Bowel Prep: How to take Moviprep

Please note, this page is printable by selecting the normal print options on your computer.

Why do I need to take MOVIPREP?

You have been prescribed Moviprep as a laxative to empty your bowel in preparation for your colonoscopy. It does this by causing you to have diarrhoea, or frequent bowel movements. A clean bowel will allow the endoscopist to have a clear view of the inner lining of your bowel, which is important for accurate diagnosis and treatment.

Please ensure that you follow the instructions carefully as your procedure may have to be cancelled and/or repeated at another time if your bowel is not clean enough.

These instructions may differ slightly from the manufacturer’s information leaflet, however, please follow this schedule. Do not take if you are allergic to any of the ingredients.

Do not take if you are allergic to any of the ingredients.

Expected side effects?

  • You will experience diarrhoea as the purpose of Moviprep is to clear and cleanse the bowel.
  • You are also likely to experience some abdominal cramping.
  • Some patients may experience nausea and/or vomiting – if this is a problem, wait for ½ hour and then recommence taking Moviprep. Chilled Moviprep, drinking it through a straw and/or sucking a sweet may help resolve some side effects.
  • It is important that you continue to drink adequate amounts of fluid to avoid dehydration.

Very Common 

  • Abdominal pain, a feeling of fullness in your stomach, bloating, tiredness, soreness/ pain of the anus (bottom), thirst and nausea.

Common

  • Hunger, headache, problems sleeping, dizziness, vomiting, indigestion, and chills.

Adverse reactions

  • Rarely, people can be allergic to Moviprep and may get an itchy rash (nettle rash or hives).

If any of the side effects become serious, or do not ease, or if you at all worried, or you notice any side- effects not listed above, you must seek advice from:

  • Endoscopy Department Tel: 01908 996460 (Monday-Friday;8am- 6pm)
  • Your GP
  • NHS 111
  • Tel: 111

What is Moviprep and how to take it?

Moviprep is a 1L PEG-based laxative designed to cleanse your bowel.

MOVIPREP® comes in a two-dose preparation:

  • Dose 1 is two sachets (A and B)
  • Dose 2 is two sachets (A and B)

All sachets must be taken with the right amount of water according to the timing of your appointment.

How to prepare for your procedure

 

7 days before your appointment

Stop taking any iron tablets as this can affect the quality of your test.

5 days before your appointment

Stop eating any food containing nuts/seeds/salads.

If you take any opioids painkillers (such as morphine/codeine/codydramol) on daily basis, consider the possibility to stop them or reduce the usual amount to increase the effectiveness of the laxatives.

2 days before your appointment

Start with your low fibre diet (Please see the list of foods and drinks allowed on page 6) and stay on this diet until the procedure is done.

A low fibre diet before taking your laxative plays a key-role in making sure that your colonoscopy is effective.

How to prepare MOVIPREP

Please make sure that you read the full instruction before you start preparing the laxative.

1.    Each Box of Moviprep contains 2 sealed bags 4. Make up to 1 litre with water (not chilled)
2.    Each sealed bag contains 1 x sachet A and 1 X sachet B  5. Stir until dissolved (solution is clear or

slightly hazy)
3.    Pour 1 sachet A and 1 sachet B into a jug. 6. Before taking the laxative, check the time of

your appointment and select the appropriate

page of instruction listed below.

 
Morning Appointment Afternoon Appointment
Follow instruction at page 4 Follow instruction at page 5

 

It is important that you take all doses of the medication, Moviprep works by emptying the content of your bowel, so you should expect to have watery bowel movements. You may want to ensure you have some soft toilet paper or wet wipes and you are allowed to apply a cream to the area if necessary.

Instructions for MORNING APPOINTMENT

 

If you have been given a morning appointment, follow these instructions:

  • 1 day before your appointment
  • 7-8 am Breakfast – See allowed food list (page 6).
  • No further solid foods until after the procedure – clear fluids only
  • You can make up the Moviprep solution (see page 3) now and refrigerate to make it easier to drink.
  • 1 pm – Start drinking the 1st litre of Moviprep preparation.
  • One glassful (250mls/ ½ pint) of about every 15-30 minutes until you have drunk it all (1-2 hours). You may use a straw to help with the taste.
It is important to drink at least an additional 500ml of water (2 glasses) or clear fluids with each litre of Moviprep taken.

 

6 pm – Start drinking the 2nd litre of Moviprep preparation over 1-2 hours.

It is important to drink at least an additional 500ml of water (2 glasses) or clear fluids with each litre of Moviprep taken.

 

 

The day of your appointment

  • No solid food.

If you take blood pressure tablets, please take these with a small amount of water on the morning of your procedure.

Stop drinking 2 hours before your appointment time or 4 hours if you are having a Gastroscopy & Colonoscopy.

 

Instructions for AFTERNOON APPOINTMENT

 

If you have been given an afternoon appointment, follow these instructions:

  • 1 day before your appointment
  • 7-8 am Breakfast – See allowed food list (page 6).
  • 1pm Lunch – Have a light meal from the allowed foods list (page 6).
  • No more solid food after lunch until after your procedure
  • You can make up the Moviprep solution (see page 3) now and refrigerate to make it easier to drink.
  • 6 pm – Start drinking Dose 1 of the Moviprep preparation.
  • One glassful (250mls/ ½ pint) of about every 15-30 minutes until you have drunk it all (1-2 hours). You may use a straw to help with the taste.
It is important to drink at least an additional 500ml of water (2 glasses) or clear fluids with each litre of Moviprep taken.

 

The day of your appointment

  • No solid food.
  • If you take blood pressure tablets, please take these with water on the morning of your procedure at least 1 hour before taking the bowel preparation.
  • 6:00am – Make up the second litre of Moviprep and drink it over 1-2 hours.
It is important to drink at least an additional 500ml of water (2 glasses) or clear fluids with each litre of Moviprep taken.

 

You should finish taking your Moviprep and additional water at least 2 hours before your colonoscopy.

Stop drinking 2 hours before your appointment time or 4 hours if you are having a Gastroscopy & Colonoscopy.

Information for patients with diabetes

 

Low Fibre Diet and Drinks

Here is a summary of the main food and drink allowed, you may want to cut it to put it on your fridge or take a photo on your phone to help with your food shopping before your procedure.

Low residue foods you can eat High Fibre foods to avoid
ü  White cereals such as cornflakes or rice-based cereals.

ü  White rice and pasta.

ü  Plain white biscuits such as rich tea, custard creams, nice or malted milk.

ü  White bread, crumpets, and scones (without dried fruit).

ü  Well cooked meat, fish, cheese, or egg

ü  Potatoes without the skin.

ü  Jelly (NOT red ones)

 

 ×       Bread – wholemeal, high bran, granary, high fibre or half wholegrain.

×       Wholemeal pittas, chapattis and muffins.

×       Cereal bars, digestive biscuits, fruit cake, fig rolls.

×       Wholemeal lasagne/pasta.

×       Brown rice.

×       High fibre or bran crisp breads and crackers.

×       Wholemeal, wholegrain bran or high fibre cereals, porridge, and muesli.

×       Nuts and seeds.

×       Fruit – fresh, frozen, cooked and dried.

×       Beans, lentils, and chickpeas.

×     Potatoes with skin on.
Drinks allowed Drinks to avoid
ü  Water

ü  Tea and/or coffee without milk

ü  Soft drinks

ü  Fruit juices without pulp

ü  Clear soup

 ×       Alcohol

×       Milk

×       Any red or purple drink

×       Drinks containing pulp