Loading…
Osmotic Bowel Prep·Gastrointestinal - Laxatives
Bowel cleansing prior to clinical procedures (colonoscopy, barium enema, colonic surgery)
No source link confirmed for this record yet. Its own source notes are under Additional.
Max Dose
3-4 Litres
Caution: Onset
1-2 h
Caution: Volume
MASSIVE
High risk: Dehydration
HIGH RISK
Avoid / Cautions
Known/suspected bowel obstruction, toxic megacolon, gastric retention/severe gastroparesis.
Overview
Massive-volume PEG (Polyethylene Glycol) solution. Used strictly to completely blast the bowel clean prior to a colonoscopy or major bowel surgery.
Clinical Focus
Patients often fail the prep because drinking 4 Litres of salty, thick fluid causes severe nausea and vomiting. Clear liquids must be encouraged.
Bottom Line
Fortrans/PEG is a high-volume polyethylene glycol solution for bowel preparation before colonoscopy, but is poorly tolerated due to large volume and taste, and carries electrolyte disturbance risk.
Brand Names
Glycoprep, Fortrans, Colyte
Oral Routes
Massive sachets of powder (PEG + intense electrolytes) to be mixed into litres of water.
Prescribing & PBS
Often supplied directly by the endoscopy clinic. OTC available.
Primary
Bowel cleansing prior to clinical procedures (colonoscopy, barium enema, colonic surgery).
Clinical Place
The most effective, though least palatable, method for guaranteeing a perfectly clean colon for a gastroenterologist.
No calculator, monitoring schedule or factsheet is linked to this medicine page yet.