GoLytely is one of the safest and most frequently used bowel preparation regimens available, but the large volume (4 L) that patients must drink in a relatively short time, as well as the unpleasant taste attributed to the electrolytes it contains, can make it difficult to tolerate, the authors wrote.
Hjelkrem and his colleagues assessed GoLytely and MiraLAX in a 1year study in which 425 patients undergoing screening colonoscopy were randomly assigned to bowel prep with GoLytely alone, MiraLAX alone, MiraLAX plus lubiprostone pretreatment, or MiraLAX plus bisacodyl pretreatment.
GoLytely was more effective for overall bowel cleansing and for cleansing of the ascending, transverse, and descending colon, as measured by the OBPS score.
Use of oral
GoLytely solution in relief of refractory fecal impaction.
Golytely - a controlled study of efficacy and patient tolerability in bowel preparation for colonoscopy.
Mira-LAX-gatorade bowel prep versus GoLytely before screening colonoscopy: an endoscopic database study in a community hospital.
PR 1 adult suppository or 5-15 mL enema Lavage Polyethylene glycol 0.8 g/kg/day PO (PEG, MiraLax) Max: 17 g/day (1 tablespoon) Disimpaction: 25 mL/kg/hr Max: 1,000 mL/hr
GoLytely 25-40 mL/kg/h PO until rectal effluent clear Max: 4 liters Stimulant Senna (Senokot, Children 10-20 mg/kg/dose Exlax, Fletcher's 2-6 y.o.
The process of instilling and then flushing large volumes of irrigation solutions such as Colyte or
Golytely is "unbelievably messy and labor-intensive," he said.
The general policy followed was to completely remove colorectal polyps, regardless of size.[8,9] Bowel preparation was accomplished with 4 to 6 L of oral polyethylene glycol (
Golytely).
The standard bowel preparation in this study group was
Golytely (Braintree Laboratories, Inc, Braintree, Mass), which allowed for adequate examinations.
Later in the study, the authors preferentially started using a balanced electrolyte purge solution such as Golytely (Braintree Laboratories, Braintree, Mass) or Colyte (Reed and Carnick, Piscataway, NJ).
A balanced electrolyte purge solution (Golytely, Braintree Laboratories, Braintree, Mass, or Colyte, Reed and Carnick, Piscataway, NJ) was the most common preparation used.