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Yes, you can put Miralax in milk. The container states that you can put Miralax in any liquid, cold or hot. Even though milk is technically a solid, milk has the properties of many liquids.Miralax is an OTC laxative that you can find at your local pharmacy or drug store. You don’t need a prescription for it. It typically comes in a powder form that you mix with water, juice, or milk. The Food and Drug Administration (FDA) approves Miralax for use in adults only.NO Solid Foods or Alcoholic Beverages. NO red or purple colored drinks, please. You may have Gatorade, Water Ice, Popsicles, Ginger Ale, 7-Up, Sprite, Coke, Pepsi, or Any soda, Jello (yellow or green) and chicken or beef broth.
Table of Contents
Can you mix MiraLAX in milk?
Miralax is an OTC laxative that you can find at your local pharmacy or drug store. You don’t need a prescription for it. It typically comes in a powder form that you mix with water, juice, or milk. The Food and Drug Administration (FDA) approves Miralax for use in adults only.
What should MiraLAX not be mixed with?
NO Solid Foods or Alcoholic Beverages. NO red or purple colored drinks, please. You may have Gatorade, Water Ice, Popsicles, Ginger Ale, 7-Up, Sprite, Coke, Pepsi, or Any soda, Jello (yellow or green) and chicken or beef broth.
What is the best drink to mix with MiraLAX?
64 ounces of any clear liquid that isn’t red, purple, or orange. You will need to mix this with the MiraLAX. Keep it at room temperature. A sports drink like Gatorade® or Powerade® is a good choice.
What drinks can you put MiraLAX in?
MiraLAX® can be mixed into any beverage, hot or cold. Some examples include coffee, tea, water, orange juice, iced coffee, ice water, coconut water, smoothie, iced tea and seltzer.
MIRALAX Prep Instructions : Gastroenterology Consultants of South Jersey
What are osmotic laxatives?
You might notice that the word “osmotic” is pretty close to “osmosis,” meaning we’re talking about the movement of water. Osmotic laxatives like MiraLAX® attract and hold water in your colon. This action allows MiraLAX® to hydrate and soften stool and unblock your system without causing severe gastrointestinal side effects.
WHAT DO YOU DO?
Basically, osmotic agents, like the polyethylene glycol found in MiraLAX®, work naturally with the water in the colon to unblock a person’s system. Soluble, non-absorbable PEG 3350 hydrates, softens and lightens stool by gently drawing water into the colon through a process known as osmosis. The water increases stool volume and stretches the intestinal wall, triggering the defecation reflex, allowing the digestive system to unclog naturally.
HOW DO I TAKE IT?
It all depends on what type of osmotic laxative you have. Some of the products that fall into this category are pre-mixed liquids, some are tablets that you chew and swallow, and some are powders, e.g. B. MiraLAX®, which you mix in 4-8 ounces of a liquid before drinking. MiraLAX® can be mixed into any drink, hot or cold. Some examples are coffee, tea, water, orange juice, iced coffee, iced water, coconut water, smoothie, iced tea and seltzer.
HOW WILL I FEEL?
Osmotic laxatives such as MiraLAX® are generally well tolerated and have very few side effects. Studies have shown that MiraLAX® increases the frequency of bowel movements with less effort and improves stool consistency. When gastrointestinal side effects do occur, they are usually mild and transient.
References:
Jin J.JAMA. 2014;312:1167. Leung L et al. JAFBM. 2011;24:436-451; 2018 QuintilesIMS Survey, 2018 Pharmacy Times Survey, 2018 QuintilesIMS Survey. https://www.miralax.com/why-miralax/. Retrieved September 14, 2017. DiPalma JA et al. South Med J 2007;100:1085-1090. Cleveland MV et al. South Med J 2001;94:478-481. DiPalma JA et al. Online J Dig Health. 1999;1:1-10.
Can MiraLAX be mixed with food?
The powder is mixed with 4 to 8 ounces of water or another non-carbonated beverage and taken 1 to 3 times daily. It can also be mixed into soft foods such as yogurt, pudding, or applesauce.
MIRALAX Prep Instructions : Gastroenterology Consultants of South Jersey
MiraLAX vs Metamucil
MiraLAX and Metamucil are both laxatives, but they work in different ways.
MiraLAX is an osmotic laxative. This means it draws water into the colon, which softens stool and can naturally stimulate the colon to contract. These measures help to facilitate bowel movements.
Metamucil is a psyllium fiber supplement that acts as a bulking laxative. Like osmotic laxatives, Metamucil draws water into the colon and softens stools. But in addition to that, its fiber content bulks up the stool, which naturally stimulates the movement of the colon to pass the stool.
Used
MiraLAX is used for short-term treatment of constipation and long-term treatment of chronic constipation. It is also used for bowel preparation before colonoscopy.
Metamucil is mainly used to prevent constipation. However, it can also be used for short-term treatment of constipation as well as long-term treatment of chronic constipation. Metamucil is also used to treat diarrhea, irritable bowel syndrome (IBS), diverticulosis, and high cholesterol.
drug forms
MiraLAX is available as a powder in bottles and single serving packs. You mix the powder with four to eight ounces of liquid and drink it once a day.
Metamucil is available as a powder and as a capsule. You mix the powder with 8 ounces of water and drink it one to three times a day. For the capsule, you usually take two to five capsules up to four times a day.
side effects and risks
MiraLAX and Metamucil have very similar common side effects. This can include:
diarrhea or loose stools
stomach pain
gas
flatulence (bloating)
nausea
Some people may experience more gas or bloating with Metamucil compared to MiraLAX. However, this side effect may decrease or disappear with continued use of either product.
Taking Metamucil without enough liquid can cause choking. Make sure you take Metamucil with at least 8 ounces of liquid. If you have trouble swallowing, do not take Metamucil.
effectiveness
MiraLAX and Metamucil are both effective in treating constipation, but they have not been compared in clinical trials.
Guidelines from the American College of Gastroenterology and the American Society of Colon and Rectal Surgeons recommend increasing fiber or using fiber supplements like Metamucil as the first choice for preventing and treating constipation, including chronic constipation.
They also recommend osmotic laxatives like MiraLAX to treat constipation, including chronic constipation.
Both MiraLAX and Metamucil typically take one to three days to induce a bowel movement.
MiraLAX vs Colace
MiraLAX is an osmotic laxative. This means it draws water into the colon, which softens stool and can naturally stimulate the colon to contract. These measures help to facilitate bowel movements.
Colace is a stool softener. It helps draw water into the stool itself to make it softer and easier to pass. It doesn’t stimulate bowel movements like many laxatives do.
Used
MiraLAX is used for short-term treatment of constipation and long-term treatment of chronic constipation. It is also used for bowel preparation before colonoscopy.
Colace is used short-term to prevent and treat constipation. It is not currently recommended for the long-term treatment of chronic constipation. Colace is often used after surgery to prevent constipation.
drug forms
MiraLAX is available as a powder in bottles and single serving packs. You mix the powder with four to eight ounces of liquid and drink it once a day.
Colace comes as a capsule that you usually take twice a day.
side effects and risks
Common side effects of MiraLAX include:
diarrhea or loose stools
stomach pain
gas
flatulence (bloating)
nausea
Colace does not usually cause side effects. In some cases, it causes loose stools. Diarrhea is considered a rare side effect.
effectiveness
MiraLAX and Colace are both effective in treating constipation. However, their effectiveness has not been compared in clinical studies.
Guidelines from the American College of Gastroenterology and the American Society of Colon and Rectal Surgeons recommend osmotic laxatives, including MiraLAX, for the treatment of constipation, including chronic constipation.
Although Colace is very commonly used to treat constipation, these guidelines do not recommend it for this use because there is no evidence of benefit.
Both MiraLAX and Colace typically take one to three days to induce a bowel movement.
MiraLAX vs. Dulcolax
MiraLAX is an osmotic laxative. This means it draws water into the colon, which softens stool and can naturally stimulate the colon to contract. These measures help to facilitate bowel movements.
Dulocolax (bisacodyl) is a stimulant laxative. It works by irritating the intestines and causing them to contract. It also works by increasing the water in the intestines. Both of these actions help induce a bowel movement.
Used
MiraLAX is used for short-term treatment of constipation and long-term treatment of chronic constipation. It is also used for bowel preparation before colonoscopy.
Dulcolax is used for the short-term treatment of constipation. It should not be used long-term. Dulcolax can also be used in combination with other laxatives (including MiraLAX) to prepare the bowel before a colonoscopy or other procedure.
drug forms
MiraLAX is available as a powder in bottles and single serving packs. You mix the powder with four to eight ounces of liquid and drink it once a day.
Dulcolax is available as tablets and rectal suppositories. Both forms are used once a day.
side effects and risks
Common side effects of MiraLAX and Dulcolax include:
diarrhea or loose stools
gas
flatulence (bloating)
nausea
The following side effects can occur with both MiraLAX and Dulcolax, but are more common with Dulcolax:
stomach pain
cramps
Vomit
Diarrhea
Electrolyte problems such as potassium deficiency
Stimulant laxatives, including Dulcolax, are also more likely to cause laxative addiction with long-term use. This can lead to severe constipation when the drug is stopped.
effectiveness
MiraLAX and Dulcolax are both effective in treating constipation. However, their effectiveness has not been compared in clinical studies.
Guidelines from the American College of Gastroenterology and the American Society of Colon and Rectal Surgeons recommend osmotic laxatives like MiraLAX for the treatment of constipation, including chronic constipation.
Dulcolax is considered a second-line option for the short-term treatment of constipation. In addition, it should not be used continuously.
Another difference is how long it takes for these products to work. MiraLAX typically takes one to three days to cause a bowel movement. Dulcolax tablets, on the other hand, usually cause a bowel movement within 6 to 12 hours. And Dulcolax suppositories usually do this within 15 minutes to an hour.
MiraLAX vs. Milk of Magnesia
MiraLAX is an osmotic laxative. This means it draws water into the colon, which softens stool and can naturally stimulate the colon to contract. These measures help to facilitate bowel movements.
Milk of magnesia (Phillip’s Milk of Magnesia and others) is another name for magnesium hydroxide. It acts as an osmotic laxative.
Used
MiraLAX is used for short-term treatment of constipation and long-term treatment of chronic constipation. It is also used for bowel preparation before colonoscopy.
Milk of magnesia is used for short-term treatment of constipation. It is not currently recommended for the long-term treatment of chronic constipation.
drug forms
MiraLAX is available as a powder in bottles and single serving packs. You mix the powder with four to eight ounces of liquid and drink it once a day.
Milk of magnesia is the liquid form of magnesium hydroxide. Milk of magnesia products are offered as liquid suspensions. They are usually taken once a day, but can be taken more often if needed.
Magnesium hydroxide products are also available as oral tablets or capsules that are typically taken once a day.
side effects and risks
Common side effects of MiraLAX include:
diarrhea or loose stools
stomach pain
gas
flatulence (bloating)
nausea
Milk of magnesia and other magnesium hydroxide products can cause the same side effects as MiraLAX, plus:
cramps
Vomit
chalky taste
If you have kidney problems, you should not use milk of magnesia or other magnesium hydroxide products. These products can cause high levels of magnesium in the body, which can lead to dangerous side effects, such as:
muscle weakness
low blood pressure
confusion
heart rhythm changes
effectiveness
An analysis of studies comparing MiraLAX and milk of magnesia for constipation in children found conflicting results. Some of these studies show that MiraLAX may be slightly more effective than milk of magnesia. However, another study in the analysis found that milk of magnesia may be more effective.
Guidelines for the treatment of constipation in children recommend MiraLAX as the first choice for the short and long-term treatment of constipation. Milk of magnesia is considered a second choice.
For adults, guidelines from the American College of Gastroenterology and the American Society of Colon and Rectal Surgeons recommend osmotic laxatives like MiraLAX to treat constipation, including chronic constipation.
Although milk of magnesia and other magnesium hydroxide products are very commonly used to treat constipation in adults, these guidelines do not recommend them for this purpose because there is not much evidence of benefit.
Another difference between MiraLAX and milk of magnesia is how long it takes for them to work. MiraLAX typically takes one to three days to cause a bowel movement. Milk of magnesia, on the other hand, usually causes a bowel movement within 30 minutes to 6 hours.
MiraLAX vs Benefiber
MiraLAX and Benefiber are both laxatives but work in different ways.
MiraLAX is an osmotic laxative. This means it draws water into the colon, which softens stool and can naturally stimulate the colon to contract. These measures help to facilitate bowel movements.
Benefiber is a wheat dextrin fiber supplement that acts as a bulking laxative. Like osmotic laxatives, Benefiber draws water into the colon and softens stools. But in addition to that, its fiber content bulks up the stool, which naturally stimulates the movement of the colon to pass the stool.
Used
MiraLAX is used for short-term treatment of constipation and long-term treatment of chronic constipation. It is also used for bowel preparation before colonoscopy.
Benefiber is mainly used to prevent constipation. However, it can also be used for short-term treatment of constipation as well as long-term treatment of chronic constipation.
drug forms
MiraLAX is available as a powder in bottles and single serving packs. You mix the powder with four to eight ounces of liquid and drink it once a day.
Benefiber is available in bulk powder and single serving packs. The powder is mixed with 4 to 8 ounces of water or other non-carbonated beverage and consumed 1 to 3 times daily. It can also be mixed into soft foods like yogurt, custard, or applesauce.
side effects and risks
MiraLAX and Benefiber have very similar common side effects. This can include:
diarrhea or loose stools
stomach pain
gas
flatulence (bloating)
nausea
People with gluten intolerance should avoid using Benefiber. This is because Benefiber contains wheat dextrin. The manufacturer states that it contains less than 20 ppm gluten.
effectiveness
MiraLAX and Benefiber are both effective in treating constipation. However, no clinical studies have directly compared their effectiveness.
Guidelines from the American College of Gastroenterology and the American Society of Colon and Rectal Surgeons recommend increasing fiber intake or using fiber supplements such as Benefiber as the first-line treatment for preventing and treating constipation, including chronic constipation.
They also recommend osmotic laxatives like MiraLAX to treat constipation, including chronic constipation.
Both MiraLAX and Benefiber typically take one to three days to induce a bowel movement.
MiraLAX vs Lactulose
Both MiraLAX and Lactulose are osmotic laxatives. They work by drawing water into the colon, which softens stool and can naturally cause the colon to contract. These measures help to facilitate bowel movements.
MiraLAX is available without a prescription. Lactulose requires a prescription from your doctor.
Used
MiraLAX is used for short-term treatment of constipation and long-term treatment of chronic constipation. It is also used for bowel preparation before colonoscopy.
Lactulose is used for short-term treatment of constipation and long-term treatment of chronic constipation. Lactulose is also used for people with severe liver disease who suffer from a condition called hepatic encephalopathy.
drug forms
MiraLAX is available as a powder in bottles and single serving packs. You mix the powder with four to eight ounces of liquid and drink it once a day.
Lactulose comes as an oral solution and as a powder that you mix with water and drink. You take both forms once a day.
side effects and risks
MiraLAX and Lactulose have very similar common side effects. This can include:
diarrhea or loose stools
stomach pain
gas
flatulence (bloating)
nausea
These side effects may be more common with lactulose. Lactulose may also be more likely to cause electrolyte imbalances as a result of diarrhea. Reducing the dosage of lactulose can reduce these side effects.
effectiveness
MiraLAX and Lactulose are both effective in treating constipation. Both usually take one to three days to cause a bowel movement.
Guidelines from the American College of Gastroenterology and the American Society of Colon and Rectal Surgeons recommend osmotic laxatives such as these products for the treatment of constipation, including chronic constipation, in adults.
An analysis of studies in children with constipation found that MiraLAX may be more effective than lactulose at increasing bowel movements.
Guidelines for the treatment of constipation in children recommend MiraLAX as the first-line option for the short and long-term management of constipation. Lactulose is considered a second choice.
MiraLAX vs. GoLytely
MiraLAX and GoLytely are both osmotic laxatives. This means they draw water into the colon, which softens stool and can naturally stimulate the colon to contract. These measures help to facilitate bowel movements.
MiraLAX and GoLytely also contain the same key ingredient, polyethylene glycol. In addition, GoLytely contains the electrolytes potassium and sodium.
MiraLAX is a branded over-the-counter product. GoLytely requires a prescription from your doctor.
Used
MiraLAX is used for short-term treatment of constipation and long-term treatment of chronic constipation. It is also used for bowel preparation before colonoscopy.
GoLytely is only used for bowel preparation prior to colonoscopy or other procedures.
drug forms
MiraLAX is available as a powder in bottles and single serving packs. You mix the powder with four to eight ounces of liquid and drink it once a day if you’re using it for constipation. In bowel preparation, larger doses are taken over a two-day period.
GoLytely comes as a powder in a large 4 liter jar. You must add water to the pitcher and then drink the solution as part of a bowel preparation procedure.
side effects and risks
MiraLAX and GoLytely share some similar side effects, but GoLytely has additional effects as well.
More common side effects
Using MiraLAX and GoLytely to prepare bowel before colonoscopy or other procedures can cause similar common side effects, such as: e.g.:
gas
stomach pain
nausea
thirst
Soft stools and diarrhea are to be expected with bowel preparation procedures.
Serious side effects
Although rare, some serious side effects have occurred in people who have used GoLytely gut supplements, such as:
Electrolyte imbalances leading to seizures or abnormal heart rhythms
fluid retention
dehydration
kidney problems
ischemic colitis (inflammation of the colon)
Other considerations
If you have certain health conditions, your doctor may run special tests before prescribing GoLytely for you. Or they can recommend other products. These health problems include:
cardiac arrhythmias
heart defect
seizures
kidney problems
ulcerative colitis
constipation in the intestines
effectiveness
MiraLAX and GoLytely have been directly compared in clinical studies. In one study, GoLytely was more effective than MiraLAX in combination with Gatorade for colon cleansing before colonoscopy.
In another study, a combination of MiraLAX in Gatorade plus Dulcolax worked as well as GoLytely for colon cleansing before colonoscopy.
MiraLAX vs Citrucel
MiraLAX and Citrucel are both laxatives but work in different ways.
MiraLAX is an osmotic laxative. This means it draws water into the colon, which softens stool and can naturally stimulate the colon to contract. These measures help to facilitate bowel movements.
Citrucel is a dietary supplement made from methylcellulose fibers that acts as a bulking laxative. Like osmotic laxatives, Citrucel draws water into the colon and softens stools. But in addition to that, its fiber content bulks up the stool, which naturally stimulates the movement of the colon to pass the stool.
Used
MiraLAX is used for short-term treatment of constipation and long-term treatment of chronic constipation. It is also used for bowel preparation before colonoscopy.
Citrucel is mainly used to prevent constipation. However, it can also be used for short-term treatment of constipation as well as long-term treatment of chronic constipation.
drug forms
MiraLAX is available as a powder in bottles and single serving packs. You mix the powder with four to eight ounces of liquid and drink it once a day.
Citrucel is available in bulk powder and in caplets (coated oval tablets). You mix the powder with 8 ounces of liquid and drink it one to three times a day. You take the capsule one to six times a day.
side effects and risks
MiraLAX and Citrucel have very similar common side effects. This can include:
diarrhea or loose stools
abdominal pain or bloating
gas or bloating
nausea
These side effects may decrease or disappear with continued use of the products.
Taking Citrucel without adequate fluids can cause choking. Be sure to take Citrucel with at least 8 ounces of liquid. If you have trouble swallowing, do not take Citrucel.
effectiveness
MiraLAX and Citrucel are both effective for constipation. It usually takes one to three days for both products to trigger a bowel movement.
Guidelines from the American College of Gastroenterology and the American Society of Colon and Rectal Surgeons recommend increasing fiber intake or using fiber supplements such as Citrucel as the first choice for preventing and treating constipation, including chronic constipation.
The guidelines also recommend osmotic laxatives like MiraLAX to treat constipation, including chronic constipation.
MiraLAX vs. PediaLax
MiraLAX is an osmotic laxative. This means it draws water into the colon, which softens stool and can naturally stimulate the colon to contract. These measures help to facilitate bowel movements.
PediaLax (magnesium hydroxide) reduces the acidity in the stomach. It also acts as an osmotic laxative. It draws water into the colon, which softens stool and can naturally stimulate the colon to contract. These effects help produce a bowel movement. (This comparison is for the PediaLax chewable tablet form only.)
Used
MiraLAX is used for short-term treatment of constipation and long-term treatment of chronic constipation. It is also used for bowel preparation before colonoscopy.
MiraLAX is approved for over-the-counter use in adults and children 17 years and older. If recommended or prescribed by a doctor, it can also be used in younger children aged under 2 years to 16 years.
PediaLax is used for short-term treatment of constipation. It is not recommended for long-term treatment of chronic constipation.
PediaLax is approved for over-the-counter use in children ages 2 to 11 years.
drug forms
MiraLAX is available as a powder in bottles and single serving packs. You mix the powder with four to eight ounces of liquid and drink it once a day.
PediaLax is a chewable tablet that can be taken from one to six times a day, depending on the child’s age.
side effects and risks
Common side effects of MiraLAX include:
diarrhea or loose stools
abdominal pain or bloating
gas or bloating
nausea
PediaLax can cause the same side effects as MiraLAX, plus:
cramps
Vomit
chalky taste
If your child has kidney problems, they should not use PediaLax. This product can cause high levels of magnesium in the body, which can cause dangerous side effects such as:
muscle weakness
low blood pressure
confusion
heart rhythm changes
effectiveness
MiraLAX and PediaLax are both effective for treating constipation in children. According to the North American Society of Pediatric Gastroenterology, MiraLAX is a first-line drug for treating and preventing constipation in children.
Products containing magnesium hydroxide, such as PediaLax, are recommended as second-line options.
Another difference between the two products is how long it takes for them to work. MiraLAX typically takes one to three days to cause a bowel movement. PediaLax, on the other hand, usually causes a bowel movement within 30 minutes to 6 hours.
Before giving your child MiraLAX or PediaLax, talk to your child’s doctor. They may want to examine your child to determine the cause of the constipation. Depending on the cause, other treatments may be needed.
How fast are you supposed to drink MiraLAX?
Drink one 8-ounce glass every 10-15 minutes until half of the entire container is finished (1 quart). This will take about an hour. It is best to drink each whole glass quickly. You may add ice to your glass.
MIRALAX Prep Instructions : Gastroenterology Consultants of South Jersey
You are not allowed to drive for the rest of the day after the exam. You must arrange transport and be picked up by a driver you know after the exam. If you don’t have anyone to drive you home, your procedure will be aborted. You may take a taxi or other non-medical rental service only when accompanied by a responsible adult.
Your procedure will take approximately two hours from the time you arrive to the time you are discharged. You can confirm your discharge time with the facility upon your arrival.
How long will it take for MiraLAX to work?
How long does it take for MiraLAX® to work? MiraLAX® generally produces a bowel movement in one to three days. Because it works naturally with the water in your body without causing harsh side effects, you do not need to worry about sudden urgency.
MIRALAX Prep Instructions : Gastroenterology Consultants of South Jersey
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Is it best to take MiraLAX on an empty stomach?
Stimulant laxatives are usually taken on an empty stomach for rapid effect. Results are slowed if taken with food. Many stimulant laxatives (but not castor oil) are often taken at bedtime to produce results the next morning (although some may require 24 hours or more).
MIRALAX Prep Instructions : Gastroenterology Consultants of South Jersey
Drug information provided by: IBM Micromedex
For safe and effective use of your laxative:
Follow your doctor’s instructions if you have been prescribed this laxative.
Follow the manufacturer’s package directions if you’re self-medicating.
With all types of laxatives, at least 6 to 8 glasses (8 ounces each) of liquid should be consumed daily. This will help soften the stool.
For patients taking laxatives containing a bulking ingredient:
Don’t try to swallow it in dry form. Mix with liquid according to product label directions.
In order for bulking laxatives to work properly and prevent bowel obstructions, it is necessary to drink plenty of fluids during their use. Each dose should be taken in or with a full glass (8 ounces) or more of cold water or fruit juice. This provides enough fluid for the laxative to work properly. A second glass of water or juice alone is often recommended with each dose to get the best effect and avoid side effects.
When taking a product that contains only one bulking ingredient, results can often be seen within 12 hours. However, this may not occur for some people for 2 or 3 days.
For patients taking laxatives that contain a stool softener (emollient):
Liquid forms can be taken in milk or fruit juice to enhance flavor.
If you are taking a product that only contains a stool softener, results usually appear 1 to 2 days after the first dose. However, this may not occur for some people for 3 to 5 days.
For patients taking laxatives containing a hyperosmotic ingredient:
Each dose should be taken in or with a full glass (8 ounces) or more of cold water or fruit juice. This provides enough fluid for the laxative to work properly. A second glass of water or juice alone is often recommended with each dose for best effect and, in the case of saline laxatives, to prevent you from becoming dehydrated.
The unpleasant taste of some hyperosmotic laxatives can be improved by following each dose with citrus juice or a citrus-flavored carbonated drink.
Lactulose cannot produce a laxative effect for 24 to 48 hours.
Polyethylene glycol cannot produce a laxative effect for 2 to 4 days.
Saline laxatives usually produce results within 30 minutes to 3 hours after a dose. If a larger dose is taken on an empty stomach, the results will be faster. If a smaller dose is taken with food, the results will be delayed. Therefore, large doses of saline laxatives are not usually taken on an empty stomach late in the day.
For patients taking laxatives containing mineral oil:
Mineral oil should not be taken within 2 hours after meals as it may interfere with food digestion and absorption of nutrients and vitamins.
Mineral oil is usually taken at bedtime (but not while lying down) because of its convenience and because it takes about 6 to 8 hours to see results.
For patients taking laxatives that contain a stimulant ingredient:
Stimulant laxatives are usually taken on an empty stomach for a quick effect. Results are slowed down when taken with food.
Many stimulant laxatives (but not castor oil) are often taken at bedtime to get results the next morning (although some may take 24 hours or more).
Castor oil is not typically taken late in the day as its results appear within 2 to 6 hours.
The unpleasant taste of castor oil can be improved by chilling it in the refrigerator for at least an hour and then stirring the dose into a full glass of cold orange juice immediately before taking it. Flavored preparations of castor oil are also available.
Bisacodyl tablets are specially coated to allow them to work properly without causing irritation and/or nausea. To protect this coating, do not chew, crush, or ingest the tablets with milk or antacids within an hour.
dosage
The dosage of drugs in this class is different for different patients. Follow your doctor’s or label directions. The information below includes only the average doses of these drugs. If your dose is different, don’t change it unless your doctor tells you to.
The amount of medicine you take depends on the strength of the medicine. Also, the number of doses you take each day, the length of time between doses, and how long you take the medicine depend on the medical problem you are using the medicine for.
storage
Keep away from children.
Store the medicine in a closed container at room temperature away from heat, moisture and direct light. Keep from freezing.
Do not keep medicines that are outdated or no longer needed.
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Can you shake MiraLAX?
Stir/shake the contents until the entire contents of Miralax® are dissolved. Chill if desired. Do NOT add ice, sugar or any other flavorings to the solution.
MIRALAX Prep Instructions : Gastroenterology Consultants of South Jersey
You must follow these instructions EXACTLY as written in order to have a successful preparation.
For a colonoscopy, your colon must be free of stool.
The day before your procedure, follow the “Pre-Procedure Diet” below.
Buy your colon supplement at least 5 days or as soon as possible before your colonoscopy.
DO NOT mix the solution prior to the day before your procedure.
Accessories you will need:
One 64 oz or 2 32 oz bottles of Gatorade®, Propel® or other clear liquid non-carbonated beverage (no RED colors).
Dulcolax® laxative tablets (not suppositories or stool softeners) you need 3 tablets.
Miralax® 238g (8.3 oz) powder or generic Polyethylene Glycol 3350 (find it in the Laxatives section).
day before your colonoscopy
In a pitcher, mix 8.3 ounces of Miralax® with 64 ounces of Gatorade®. Stir/shake the contents until the entire content of Miralax® is dissolved.
Refrigerate if desired. DO NOT add ice, sugar or other flavorings to the solution.
When to drink your bowel prep
Will MiraLAX dissolve in cold Gatorade?
The bowel preparation solution will be consumed in two parts. Mix 1/2 of MiraLAX bottle (119 grams) in each 32-ounce Gatorade bottle until dissolved. Keep cool in the refrigerator. DO NOT ADD ICE.
MIRALAX Prep Instructions : Gastroenterology Consultants of South Jersey
Important Instructions
Your bowel must be empty for your doctor to have a good view of your colon. Follow all of the instructions in this handout EXACTLY as they are written.
how they are written. DO NOT eat solid food the ENTIRE day before your colonoscopy. Drink only clear liquids.
Buy your colon supplement at least five days before your colonoscopy. Buy:
Four Dulcolax® laxative tablets, each with 5 mg bisacodyl (NOT Dulcolax stool softener).
One 8.3 ounce (238 gram) bottle of MiraLAX® or generic equivalent.
Two 32-ounce bottles of Gatorade®. (NOT RED).
People with diabetes should use Gatorade G2®. (NOT RED).
Transport on the day of the exam
A responsible person MUST PRESENT with you at check-in prior to your colonoscopy and MUST REMAIN in the endoscopy area until you are discharged. You are not allowed to drive, take a taxi or bus, or leave the endoscopy center alone. If you do not have a responsible driver (family member or friend) with you to take you home, your exam cannot be performed under sedation and will be cancelled.
Please bring a list of all your current medications, including any over-the-counter medications.
medication
If you’re taking insulin, diabetes medication, or blood thinners, you’ll need to call the doctor prescribing those medications before your colonoscopy for instructions on changing the dosage. Blood thinners include Coumadin® (warfarin); Plavix® (clopidogrel); Ticlid® (ticlopidine hydrochloride); Agrylin® (anagrelid); Xarelto® (rivaroxaban); Pradaxa® (dabigatran); Eliquis® (apixaban); and Efient® (Prasugrel).
All other medications, including aspirin, should be taken with a sip of water on the day of the exam.
Five days before your colonoscopy
DO NOT take medications that stop diarrhea such as loperamide (Imodium®) or bismuth subsalicylate (Kaopectate®, Pepto-Bismol®).
are taking medicines that stop diarrhea, such as loperamide (Imodium®) or bismuth subsalicylate (Kaopectate®, Pepto-Bismol®). DO NOT take fiber supplements such as Metamucil®, Citrucel® or Perdiem®.
take fiber supplements like Metamucil®, Citrucel® or Perdiem®. DO NOT take products that contain iron, such as B. Multivitamins (the label states what is in the products).
Take products that contain iron, such as multivitamins (labels tell you what’s in the products). DO NOT take vitamin E.
Three days before your colonoscopy
DO NOT eat high-fiber foods such as popcorn, beans, seeds (flax, sunflower, quinoa), multigrain bread, nuts, lettuce/vegetables, or fresh and dried fruit.
A day before your colonoscopy
Drink only clear liquids ALL DAY before the colonoscopy. DO NOT eat solid foods. Drink at least 8 ounces of clear liquids every hour after waking up. The table shows what you can and cannot drink.
Clear liquids
(No red liquids) DO NOT DRINK Gatorade®, Pedialyte® or Powerade® alcohol Clear broth or bouillon Milk or creamer Coffee or tea (no milk or creamer) Pasta or vegetables in soup Carbonated and non-carbonated soft drinks Juice with pulp Kool-Aid® or other fruit-flavored beverages Liquids you cannot see through Strained fruit juices (without pulp) Jell-O®, Popsicles®, candies Water
The intestinal preparation solution is taken in two parts.
Mix 1/2 of the MiraLAX bottle (119 grams) into each 32 ounce Gatorade bottle until dissolved. Keep cool in the fridge. DO NOT ADD ICE.
Part 1
Take four Dulcolax tablets at 5:00 p.m. the night before your colonoscopy. At 6:00 p.m. the night before your colonoscopy:
Drink 32 ounces of the blended solution by drinking an 8 ounce glass of colon supplement every 15 minutes for a total of four glasses.
15 minutes later, drink an 8-ounce glass of clear liquid every 15 minutes for a total of two glasses.
You can continue to drink clear liquids until midnight.
Part 2
Four and a half hours before your colonoscopy:
Can you taste MiraLAX?
MiraLax has basically no taste, and certainly is not caustic feeling and bitter.
MIRALAX Prep Instructions : Gastroenterology Consultants of South Jersey
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How quickly does MiraLAX work?
How long does it take for MiraLAX® to work? MiraLAX® generally produces a bowel movement in one to three days. Because it works naturally with the water in your body without causing harsh side effects, you do not need to worry about sudden urgency. Save $1.00 with this coupon.
MIRALAX Prep Instructions : Gastroenterology Consultants of South Jersey
Save €1.00 with this coupon.
Does MiraLAX work for impacted stool?
To treat childhood fecal impaction, Youssef and coworkers recommend 1 to 1.5 g/kg/day of polyethylene glycol solution (PEG 3350, MiraLax).
MIRALAX Prep Instructions : Gastroenterology Consultants of South Jersey
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How to take Miralax for your constipation, hemorrhoids, and fissures.
See some more details on the topic can you put miralax in chocolate milk here:
Can You Mix MiraLAX with Milk? The Truth Uncovered
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Miralax for Kids: Safety, Dosage, Alternatives, and More
Share on Pinterest It seems like you are trying to make your child poop if you are not dealing with your child’s diarrhea or vomiting. Your little one’s digestive system is still learning how to function smoothly. Also, as you may well know, constipation can be a lifelong balancing act. Up to 30 percent of children have constipation. It can happen to babies, toddlers and older children. Your child may experience intermittent constipation or go several months without many normal bowel movements. Of course, you do everything you can to see your child healthy and happy. Fortunately, laxatives and other remedies can help, and over-the-counter (OTC) laxatives like Miralax work. However, recent reports show that they can cause side effects in some children. Here’s what you should know about Miralax, and whether you’d be better off trying a more natural method to help your child’s constipation.
What is Miralax? Miralax is an OTC laxative that you can find at your local pharmacy or drug store. You don’t need a prescription for it. It usually comes in a powder form that you mix with water, juice, or milk. The Food and Drug Administration (FDA) only approves Miralax for use in adults. The main ingredient in Miralax is Polyethylene Glycol 3350 or PEG. This chemical helps the digestive tract absorb water. The water will soften and fill up the poo, making it easier to be number two. Polyethylene glycol can also help you have more frequent bowel movements. Polyethylene glycol is very new on the constipation scene compared to other drugs and remedies. It has only been used since 2000. This ingredient is also found in other over-the-counter laxatives such as Glyvolax and Restoralax.
General Dosing Recommendations Many pediatricians say it’s okay to give Miralax to your child. The manufacturer’s website notes that it’s “for adults and children 17 years of age and older,” and says you should consult a doctor for children under 16. According to the website, the recommended daily dose — if you’re 17 years old or older — is 17 grams of Miralax powder dissolved in 4 to 8 ounces of a cold or warm beverage (like water, juice, or milk). The bottle comes with a handy measuring cap. It also states that Miralax should not be used for more than 7 days. The individual dosage recommendations of clinics and doctors for children are very different. The dosages you can find online can seem confusing as they are sometimes higher than the manufacturer’s recommendations for adults! It is important that you consult your child’s doctor, who knows your child’s medical needs best.
Safety Concerns Although you do not need a prescription for Miralax, it is still a medicine. Its main component is polyethylene glycol (PEG). Using too much Miralax can cause the opposite effects of constipation: runny stools and diarrhea. If you’re interested in trying Miralax, ask your pediatrician about the best dose for your child. According to the label, it usually works within 24 to 72 hours. This is a long wait, especially if your child is unwell, but don’t give your child more than what your pediatrician recommends. In theory, you can be allergic to PEG. In reality, however, this is extremely rare. A single case study reported an anaphylactic (severe allergic) reaction, but since 1990 only seven such cases have been reported worldwide. Symptoms of a severe allergic reaction include: itching
rash
swelling
Tingling in the arms or other areas
dizziness
difficulty breathing
difficulties swallowing
Shock It’s worth noting that the Miralax manufacturer’s website has an allergy alert.
Side Effects of Miralax Miralax can cause some abdominal side effects including: Bloating or bloating
abdominal pain or feeling of pressure
swelling in the stomach area
nausea or vomiting
Diarrhea
Behavioral side effects in children Miralax’s label only mentions abdominal side effects – no others. When it was first released, it was clinically tested to be safe for children. A few years later, parents and the media began reporting on behavioral side effects in children. However, there are no reports of this in the medical literature. A review is sometimes cited inaccurately. In the review, the following symptoms were reported while children were taking PEG: Anxiety
mood swings
Fury
aggression
abnormal behavior
Paranoia However, there is no evidence that PEG caused these symptoms. Indeed, the researchers concluded that “negative public perceptions, triggered by media reports and reinforced by internet activity, have led to more complaints of adverse events as well as greater parental refusal to give PEG to their children. More medical research is needed to find out if polyethylene glycol is responsible or if these behavioral changes are related to other causes.
Causes of Constipation in Children Your child’s eating and potty training habits could be causing constipation. Some children are “potty shy” because they either don’t want to sit on the toilet or are afraid it will hurt them. Your child may be holding back his or her bowel movements – intentionally or not. Avoiding or delaying the use of the toilet can lead to constipation in children. Restless eating habits can also change bathroom habits. If your child eats a lot of processed foods or doesn’t get enough fiber from fruits and vegetables, it may be more difficult to pass stool. Too little water can also cause or worsen constipation. Eating and drinking too little also means your child has to go to the bathroom less. Let your pediatrician know if your child has frequent constipation. Health problems in children can sometimes lead to difficult bowel movements. These include: Fear
emphasize
underactive thyroid
digestive disease
Changes in the size or shape of the intestines and anus
problems with the spinal cord
nerve problems
muscle disease
some medicines
Alternatives to Miralax There are many good cures for this age old problem. If you ask your parents how they treated your constipation when you were young, you’ll probably hear some of these remedies. Give your child plenty of high-fiber foods to improve bowel movements: prunes
citrus fruits
apples
pears
kiwi
figs
spinach
rhubarb
oatmeal
beans
Lentils Other home remedies for constipation include: Give your child plenty of water to drink
Use a stool to support your child’s feet when they sit on the toilet
Encourage your child to spend more time on the toilet
MIRALAX Prep Instructions : Gastroenterology Consultants of South Jersey
Miralax (or GylcolAX) PREPARATION
Please note that if you do not prepare as instructed, your procedure will be terminated. ON THE MORNING OF THE PROCEDURE: DO NOT eat or drink anything on the day of the test,
EXCEPT: 1.) Your second dose of bowel prep or: 2.) Your morning medication with a small sip of water at least 4 hours before the exam. DO NOT CHEW CHEW, BONE, OR SMOKE. HMO-insured patients may require a referral or pre-certification.
You must bring your insurance cards, bank transfer and co-payment with you at the time of the visit. THE TEST WILL BE CANCELED IF:
1) you have no one to drive you home (a bus or taxi is not acceptable),
2) IF you eat anything on the day of the test,
3) IF you have consumed any liquids less than 4 hours before the test.
7 DAYS BEFORE YOUR EXAM: Stop taking aspirin and aspirin products (see attached list). Tylenol is allowed before the test. Discontinue all other medications only if directed to do so by the practice. Specific instructions for special situations such as diabetes are included in the drug leaflet. ALL DAY BEFORE THE EXAM: Clear liquids at breakfast, lunch and dinner ONLY.
NO solid foods or alcoholic beverages. Please NO red or purple drinks. You can have Gatorade, popsicles, popsicles, ginger ale, 7-Up, Sprite, Coke, Pepsi or any soda, jelly (yellow or green), and chicken or beef broth. You can have black coffee and tea. You can use sugar/sweetener.
Milk and cream are NOT allowed in coffee or tea. You may continue to drink clear liquids until midnight the day before the colonoscopy. The MORNING OF THE PROCEDURE: DO NOT eat or drink anything on the day of the test,
EXCEPT: 1.) your second dose of bowel prep or 2.) your morning medication with a small sip of water at least 4 hours before the exam.
Do not chew or smoke gum, candy, or candy until after the procedure.
If the test is scheduled after 1:00 p.m., you can drink small sips of water until 8:00 a.m., after that, stop drinking. Your trial is scheduled for ____________. YOUR PROCEDURE WILL BE CANCELED IF YOU FAIL TO FOLLOW THE PREPARATION AS ABOVE.
Miralax / GATORADE – SPLIT DOSING OPTION
THREE TO FOUR DAYS BEFORE COLONOSPY: Buy Miralax and Ducolax at your local drug store and Gatorade at your local supermarket. Prescriptions are not required for any of these medicines
. NOTE: Bisacodyl tablets can replace Ducolax tablets and work just as well. Powerade can replace Gatorade but cannot be red or purple. Glycolax is the generic of Miralax and does the same job and may be cheaper. MIXING THE SOLUTION:
The night before or the morning of the day before your colonoscopy, please MIX: The entire 255g bottle of Miralax (or Gylcolax)
with 64 ounces warm Gatorade/Powerade (no red or purple)
into two separate quarts (1/2 of the bottle per quart) of the solution. Once all the powder has dissolved, put the two liters in the fridge so it’s cold when you drink it later. TAKE 2 Ducolax tablets two hours before starting the first dose of Miralax solution.
DO NOT chew or crush the Ducolax tablets and swallow them with water.
FIRST CAN (1 quart) Start at the time listed below: ___ Start after work but no later than 7:00 PM the night before the colonoscopy.
Drink ½ of the solution. Drink 8 ounces every 10-15 minutes until done ½ the solution (mix in the morning of the day you use as above). ___ Or Start at ____ hours the day before the colonoscopy.
(Mix the night before as above and refrigerate.) SECOND DOSING Begin as directed below: SECOND DOSING MUST BE FINISHED 4 HOURS PRIOR TO ARRIVAL AT THE CENTER FOR YOUR PROCEDURE ___ Begin the second dose the night before Colonoscopy at ___ o’clock. ___ Start the second dose on the morning of the colonoscopy, starting at ___ o’clock. If you are unable to drink the supplement or if the stool is not clear or light yellow after you stop taking the supplement, you can call our on-call physicians at 609-265-1700 for recommendations and assistance. NOTE: Prescriptions are not required for any of these drugs. The MORNING OF THE PROCEDURE: DO NOT eat or drink anything on the day of the test.
EXCEPT: 1.) your second dose of bowel prep or 2.) your morning medication with a small sip of water at least 4 hours before the exam.
Do not chew or smoke gum, candy, or candy until after the procedure. What are the side effects? Occasionally, some patients may develop nausea and, rarely, vomiting. The best remedy for this is to pause the Miralax solution for about an hour to allow it to move downstream, and then resume drinking at a slower rate. It usually takes 1 or 2 hours to complete each quart container, and the diarrhea generally lasts about an hour or two after the concoction is complete (Many have found that drinking the concoction through a straw and refrigerating the solution improves tolerability). QUESTIONS ABOUT PROCEDURE CALL 609-265-1700
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