Pico-Salax®
Bowel Preparation Instructions for
Afternoon Colonoscopy
You will need to purchase the following from the drug store:

One box containing 2 packets of Pico-Salax® (no substitutions).
Dietary Restrictions

7 days before your procedure avoid foods containing nuts or seeds, AND stop taking iron
pills or multivitamins containing iron.

2 days before your procedure start a Low Residue Diet (see reverse).

1 day before your procedure change from a low residue diet to a Clear Fluid Diet
(see reverse).

STOP drinking ALL fluids 1 hour before you are scheduled to arrive at the hospital.
Pico-Salax® Administration Instructions
(follow these instructions, NOT the instructions on the box)

Preparation: Mix 1 packet of Pico-Salax® in 1 cup (250 mL) of water and stir for 2 to 3
minutes before drinking. If solution becomes warm, wait for it to cool before drinking.

7:00 p.m. the night before your procedure take the first packet of Pico-Salax®.

8:00 a.m. the day of your procedure take the second packet of Pico-Salax®.
It is VERY IMPORTANT to drink at least 1 cup (250mL) of water or clear fluids every
hour you are awake after taking Pico-Salax®. If you do not drink enough water, your test
results could be affected and your procedure may have to be rescheduled and repeated.
CEAC 1120
April 2017
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Low Residue Diet
You CANNOT Eat
You CAN Eat
Milk and Milk Products:
- seeded cheeses
- yogurt with fruits or seeds in it
Milk and Milk Products:
(LIMIT of 2 cups (500mL) per day)
- all milk products EXCEPT those listed in the left hand column
Breads and Grain Products:
- whole grains, bran and bran cereals, brown or wild rice,
whole wheat flour
Breads and Grain Products:
- refined white bread, pasta, white rice, refined cereals
Meat and Meat Alternatives:
- processed meat, sausage, tough meats, dried peas, lentils,
beans, nuts & seeds
Meat and Meat Alternatives:
- tender skinless meats
- tofu
Fruits:
- prunes, dates, raisins, currents, cherries, grapes, kiwi,
strawberries, rhubarb, raw pineapple, dried fruits, candied fruits,
unpeeled raw fruits, fruits with seeds, jams or marmalades,
orange pulp, fruit cocktail
Fruits:
- soft fruits without skins and peeled melons
- canned fruits without skins
- baked fruits or applesauce
- fruit juice without pulp
Vegetables:
Vegetables:
- ALL vegetables (you CANNOT eat any vegetables on this diet) - NONE
Soups:
- soups made with dried peas, beans or lentils
Soups:
- plain broth
- bland strained cream soups
Fats and Oils:
- seeds and nuts
Fats and Oils:
- butter, margarine, cooking oil, mayonnaise, seedless salad
dressings, bland strained creamy sauces or gravy
Desserts:
- baked goods, candies, pastries made with nuts, seeds, coconut,
dried fruits or berries
Desserts:
- pudding, mousse
- popsicles, Jello™ (avoid red, purple and blue)
Beverages:
- prune juice or orange juice with pulp
- nutritional supplement drinks containing fibre
Beverages:
- all juices EXCEPT those listed in the left hand column
- mineral water, carbonated drinks
- coffee or tea with nothing added
Other:
- popcorn
- pickles, olives
Other:
- mild herbs and spices, salt, pepper, vinegar, ketchup, mustard,
BBQ sauce
Clear Fluid Diet
- water
- apple juice, white cranberry juice, white grape juice
- clear carbonated beverages, sports drinks, crystal fruit drinks
- coffee or tea with nothing added
- clear broths (bouillon or consommé)
- popsicles, gelatin desserts, Jello™ (avoid red, blue, and purple)
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