Pico-Sulphate Bowel Prep
Pico-Sulphate (PicoPrep® and Picolax®) are popular small volume laxatives taken orally the day before your colonoscopy. These are available at most chemists without the need for a prescription.
Irrespective of the type of prep used, three sachets are required prior to your colonoscopy.
PicoPrep® is recommended as it is sold as a box of three sachets. Each sachet consists of white powder that is mixed as a drink with a glass (i.e. 250ml) of water. Those having a morning colonoscopy drink their PicoPrep® at 2pm, 4pm and 6pm the day before their colonoscopy. Those having an afternoon colonoscopy drink their PicoPrep® at 6pm and 8pm (day before) and 6am (day of) their colonoscopy. Those having an evening colonoscopy drink their PicoPrep® at 6pm (day before) and 6am and 8am (day of) their colonoscopy (see Table 1).
PicoLax® is identical to PicoPrep® although it is only sold as a box of two sachets, therefore four sachets need to be purchased but only three used (i.e. identical instructions as for PicoPrep®).
Prep kit C
Prep Kit C® may be required to obtain a clean colon for those with chronic constipation or those who have previously not had a clean bowel preparation with conventional preps.
This kit also consists of three sachets (A, B & C), with the second sachet (sachet B) containing Glycoprep®. This second sachet (sachet B) is mixed with 1 Litre of water and sipped slowly over the hour.
|Morning Colonoscopy||Afternoon Colonoscopy|
|Last Solid Food||Breakfast (Day Before)||Lunch (Day Before)|
|Commence Clear Fluids (i.e. no solid food)||8am (Day Before)||1pm (Day Before)|
|1st Picoprep||2pm (Day Before)||6pm (Day Before)|
|2nd Picoprep||4pm (Day Before)||8pm (Day Before)|
|3rd Picoprep||6pm (Day Before)||6am (Day of)|
|Fasting Time (No liquids or solids)||12Midnight (Day Before)||7am (Day of)|
|Call & SMS to instruct start time||After 10am (Day Before)||After 10am (Day Before)|
|Present to Hospital||1 hour prior to start time||1 hour prior to start time|
|Discharge (Pick-Up)||3-4 hours after start||3-4 hours after start|
Table 1. Checklist for patients having colonoscopy.