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GoLYTELY (Generic Polyethylene glycol-electrolyte solution (PEG-ES))

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Why is this medication prescribed?

GoLYTELY is prescribed for bowel preparation before certain medical procedures, particularly those involving the colon, such as:

  • Colonoscopy: This is a procedure used to examine the colon and rectum for abnormalities, such as polyps, inflammation, or signs of cancer. A clean colon is essential for accurate visualization during the colonoscopy procedure, and GoLYTELY is commonly used to cleanse the colon before the examination.
  • Barium Enema: Before a barium enema procedure, which is a type of X-ray examination of the large intestine, the colon needs to be thoroughly cleansed. GoLYTELY may be prescribed for bowel preparation in this case as well.
  • Colorectal Surgery: Prior to certain colorectal surgeries, thorough bowel cleansing may be necessary to reduce the risk of complications such as infection.
  • Other Diagnostic Tests: GoLYTELY may also be used before other diagnostic tests or procedures that require a clear view of the colon, such as sigmoidoscopy or virtual colonoscopy.

In essence, GoLYTELY is prescribed to ensure that the colon is completely cleaned out, allowing for better visualization during medical procedures and reducing the risk of complications associated with an unclean colon.

How should this medicine be used?

GoLYTELY is a brand name for a type of bowel preparation solution used to cleanse the colon before certain medical procedures such as colonoscopy or surgery. Here are general guidelines on how to use it:

  • Follow Instructions: Always follow the instructions provided by your healthcare provider or on the packaging of the GoLYTELY solution. These instructions may vary slightly depending on your individual circumstances and the reason for using the solution.
  • Prepare the Solution: GoLYTELY typically comes in powdered form, which you need to mix with water before drinking. Follow the instructions provided to mix the correct amount of powder with the specified volume of water. Usually, this involves mixing the entire contents of the powder packet with a specific amount of water to make a certain volume of solution.
  • Drink the Solution: Once prepared, you’ll need to drink the entire volume of the solution as instructed. This is usually done over a period of several hours, typically starting the evening before your procedure. It’s important to drink the solution steadily but not too quickly to avoid discomfort or nausea.
  • Stay Hydrated: While you’re drinking the GoLYTELY solution, it’s essential to drink plenty of clear liquids as well. This helps prevent dehydration and aids in the cleansing process. Acceptable clear liquids may include water, clear broth, plain gelatin, and clear fruit juices without pulp.
  • Expect Bowel Movements: After drinking the solution, you can expect to experience frequent bowel movements as the solution works to cleanse your colon. The stools produced may be watery and clear. It’s important to stay near a restroom during this time.
  • Finish in Time for Your Procedure: Make sure to finish drinking the GoLYTELY solution within the recommended timeframe specified by your healthcare provider. This ensures that your colon is adequately cleansed before your procedure.
  • Follow-Up Instructions: After completing the bowel preparation, your healthcare provider may provide further instructions regarding when to stop eating or drinking before your procedure and any other specific guidelines to follow.

It’s crucial to communicate with your healthcare provider if you have any questions or concerns about using GoLYTELY or if you experience any unexpected side effects or difficulties during the bowel preparation process.

Other uses for this medicine

While GoLYTELY is primarily prescribed for bowel cleansing before medical procedures like colonoscopies or barium enemas, it may also have other off-label uses, such as for bowel evacuation in cases of severe constipation or to prepare for surgical procedures involving the bowel. However, the off-label use of GoLYTELY should only be done under the guidance and supervision of a healthcare professional.

What special precautions should I follow?

Special precautions should be observed when using GoLYTELY, including:

  • Medical History: Inform your doctor about your medical history, especially if you have any conditions such as heart disease, kidney problems, electrolyte imbalances, gastrointestinal disorders, or swallowing difficulties.
  • Allergies: If you are allergic to any ingredients in GoLYTELY, such as polyethylene glycol, inform your doctor before using it.
  • Medications: Inform your doctor about all medications, supplements, and herbal remedies you are taking, as some medications may interact with GoLYTELY. Your doctor may advise you to adjust your medication schedule before using GoLYTELY.
  • Fluid Intake: It’s crucial to stay hydrated while using GoLYTELY. Drink plenty of clear liquids before, during, and after using the solution to prevent dehydration. Avoid alcohol and caffeinated beverages.
  • Electrolyte Levels: GoLYTELY can cause electrolyte imbalances, particularly sodium and potassium levels. Your doctor may monitor your electrolyte levels before and after using GoLYTELY, especially if you have certain medical conditions or are taking medications that affect electrolyte levels.
  • Side Effects: Common side effects of GoLYTELY include bloating, abdominal cramping, nausea, vomiting, and anal irritation. If you experience severe or persistent side effects, contact your doctor.
  • Pregnancy and Breastfeeding: If you are pregnant or breastfeeding, consult your doctor before using GoLYTELY to weigh the potential risks and benefits.
  • Driving and Operating Machinery: GoLYTELY can cause dizziness and lightheadedness, especially if you become dehydrated. Avoid driving or operating machinery until you know how GoLYTELY affects you.
  • Follow Instructions: Follow the specific instructions provided by your doctor or healthcare provider regarding the preparation and administration of GoLYTELY. Failure to do so may result in inadequate bowel cleansing, which can affect the accuracy of medical procedures like colonoscopies.
  • Storage: Store GoLYTELY powder at room temperature away from moisture and heat. Once mixed with water, use the solution within 48 hours and store it in the refrigerator.

Always consult your doctor or healthcare provider if you have any questions or concerns about using GoLYTELY, especially regarding its potential risks and benefits in your specific situation.

What special dietary instructions should I follow?

Special dietary instructions to follow when using GoLYTELY include:

  • Clear Liquid Diet: Follow a clear liquid diet for at least 24 hours before using GoLYTELY. Clear liquids include water, clear broth, apple juice (without pulp), clear soda, sports drinks, and black coffee or tea (without milk or cream).
  • Avoid Solid Foods: Avoid solid foods during the clear liquid diet period.
  • Avoid Red or Purple Liquids: Avoid consuming liquids that are red or purple in color, as they can be mistaken for blood during the procedure.
  • Alcohol and Caffeine: Avoid alcohol and caffeinated beverages, as they can contribute to dehydration.

What should I do if I forget a dose?

If you forget a dose of GoLYTELY:

  • Resume Schedule: Take the missed dose as soon as you remember, unless it is close to the time for your next scheduled dose.
  • Do Not Double Dose: Do not double the dose to catch up. Instead, continue with your regular dosing schedule.
  • Consult Doctor: If you have questions or concerns about missing a dose, consult your doctor or healthcare provider for guidance.

What side effects can this medication cause?

GoLYTELY, like any medication, can cause side effects. Common side effects of GoLYTELY include:

  • Nausea and Vomiting: Some individuals may experience nausea or vomiting while using GoLYTELY. This is more common at higher volumes or if the solution is consumed too quickly.
  • Abdominal Cramping: Abdominal cramping or discomfort is a common side effect of GoLYTELY. It is caused by the rapid movement of fluid through the intestines.
  • Bloating: Bloating or feeling gassy may occur as a result of the increased fluid intake and rapid bowel movements induced by GoLYTELY.
  • Anal Irritation: The frequent bowel movements associated with GoLYTELY may cause irritation around the anus, leading to discomfort or soreness.
  • Electrolyte Imbalance: In rare cases, GoLYTELY may cause electrolyte imbalances, particularly sodium and potassium levels. This can lead to symptoms such as weakness, confusion, irregular heartbeat, or seizures. It’s essential to stay hydrated and follow your doctor’s instructions carefully to minimize the risk of electrolyte imbalances.
  • Dehydration: If adequate fluid intake is not maintained while using GoLYTELY, dehydration can occur. Symptoms of dehydration include dry mouth, decreased urine output, dizziness, and lightheadedness.
  • Allergic Reactions: Although rare, some individuals may experience allergic reactions to GoLYTELY. Symptoms of an allergic reaction may include rash, itching, swelling of the face, tongue, or throat, difficulty breathing, or severe dizziness. Seek immediate medical attention if you experience any signs of an allergic reaction.
  • Fluid Overload: In rare cases, excessive fluid intake from GoLYTELY can lead to fluid overload, especially in individuals with certain medical conditions such as heart failure or kidney disease. Symptoms of fluid overload may include swelling of the legs, shortness of breath, or sudden weight gain.

It’s essential to discuss any concerns about potential side effects with your doctor before using GoLYTELY. Additionally, if you experience severe or persistent side effects while using GoLYTELY, contact your doctor or seek medical attention promptly.

What should I know about storage and disposal of this medication?

Storage and Disposal:

  • Storage: Store GoLYTELY powder at room temperature away from moisture and heat. Once mixed with water, store the solution in the refrigerator and use it within 48 hours. Keep it tightly closed and out of reach of children.
  • Disposal: Dispose of any unused or expired GoLYTELY solution according to local regulations or as instructed by your healthcare provider or pharmacist. Do not dispose of medications in wastewater or household waste unless specifically instructed to do so.

In case of emergency/overdose

  • Symptoms of Overdose: An overdose of GoLYTELY can lead to severe electrolyte imbalances, dehydration, and fluid overload. Symptoms of an overdose may include excessive thirst, dry mouth, weakness, dizziness, confusion, irregular heartbeat, seizures, or difficulty breathing.
  • Seek Medical Help: If you suspect an overdose or experience any severe symptoms after using GoLYTELY, seek immediate medical attention. Contact your local poison control center or go to the nearest emergency room.

What other information should I know?

  • Follow Instructions: Follow the specific instructions provided by your doctor or healthcare provider regarding the preparation, administration, and usage of GoLYTELY. Failure to do so may result in inadequate bowel cleansing, which can affect the accuracy of medical procedures like colonoscopies.
  • Stay Hydrated: It’s crucial to stay hydrated while using GoLYTELY. Drink plenty of clear liquids before, during, and after using the solution to prevent dehydration.
  • Electrolyte Monitoring: Your doctor may monitor your electrolyte levels before and after using GoLYTELY, especially if you have certain medical conditions or are taking medications that affect electrolyte levels.
  • Medical History: Inform your doctor about any medical conditions you have, especially heart, kidney, or gastrointestinal disorders, as well as any allergies you may have.
  • Medication Interaction: Inform your doctor about all medications, supplements, and herbal remedies you are taking, as GoLYTELY may interact with certain medications.
  • Side Effects: Be aware of common side effects such as nausea, vomiting, abdominal cramping, bloating, and anal irritation. Contact your doctor if you experience severe or persistent side effects.
  • Pregnancy and Breastfeeding: Consult your doctor before using GoLYTELY if you are pregnant or breastfeeding to assess potential risks and benefits.
  • Driving and Operating Machinery: GoLYTELY can cause dizziness and lightheadedness, especially if you become dehydrated. Avoid driving or operating machinery until you know how GoLYTELY affects you.

Always consult your doctor or healthcare provider if you have any questions or concerns about using GoLYTELY or if you need further information.

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