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 That amount is to be completed in 60 minutesclenpiq alternative  You can have coffee, tea, clear broth, popsicles and gelatin

CLENPIQ is a ready-to-drink cranberry-flavored, dual-acting, combination of sodium picosulfate, a stimulant laxative, and magnesium oxide and anhydrous citric acid, which forms magnesium citrate, an osmotic laxative indicated for cleansing of the colon as a preparation for colonoscopy in adults. Both MoviPrep and Plenvu are polyethylene glycol (PEG 3350)-based prescription osmotic laxatives used by adults. The brand name for Clenpiq is Clenpiq. The Plenvu prep is safe for all patients. If you need help paying for your prescription or finding out what coverages you have, review Humana’s drug list to determine your prescription coverage eligibility. Save 91%. Tava Edwards says: February 5, 2017 at 2:29 pm. Prepopik side effects (more detail)o Pick up your Clenpiq Prep from your designated pharmacy at least one week prior to your procedure date. Having no bowel movement after colonoscopy prep is uncommon, but it can happen. What Drugs,. com. CLENPIQ is a prescription medicine that cleans your colon. , so alternative test , prep procedure should be made available. The "Split-Dose" regimen was the preferred method and the "Day-Before" regimen was the alternative method if the "Split-Dose" was not appropriate. Clenpiq is approved for use in children 6 years of age and older. Another alternative is Suprep, which also contains similar active. The solution is drunk in two doses – one the evening before the procedure and one the morning of the procedure. Prices start at $33. To use Clenpiq®: Clenpiq® is ready to drink and is equal to one dose. Not fun to drink but I’ve had to drink bottles of barium for other tests before so this was nothing compared to that. GoLYTELY significantly underperformed in terms of prep tolerability compared with magnesium citrate, MiraLAX with Gatorade, MoviPrep, OsmoPrep,. Offer good only in the USA at participating retail pharmacies. About CLENPIQ. Colon cleansing can also be done for detoxification. 1. COLONOSCOPY PREP INSTRUCTIONS - CLENPIQ . Oral solution: Each bottle contains 10 mg of sodium picosulfate, 3. Continue to drink LOTS of clear liquids to prevent dehydration and headache until 10:00pm. Colonoscopy prep pills are a type of laxative medication used to clean out your bowels before a colonoscopy. Other Medical Conditions. All bowel cleansing agents have the potential to cause kidney failure because of diarrhea and changes in electrolytes. • Consume only clear liquids (no solid food) from the start of CLENPIQ treatment until after the colonoscopy. Prepopik (sodium picosulfate, magnesium oxide and citric acid) is supplied as a powder that must be reconstituted with cold water before use, while Clenpiq. I agree to the GoodRx HIPAA Marketing Authorization. See pharmacy forms. 3 DAYS BEFORE. | SODIUM PICOSULFATE; MAGNESIUM OXIDE; ANHYDROUS CITRIC ACID (SOE dee um PI koe SUL fate; mag NEE zee um OX ide; an HYE drus SIT rik AS id) cleans the bowel out before a medical procedure. Climara patches . Clenpiq can reduce the. PEG ( polyethylene glycol) with electrolyte is used to clean out the intestines before certain bowel exam procedures such as colonoscopy or barium enema X-rays. (2. One bottle of CLENPIQ is equivalent to one dose. Add to Medicine Chest. COLONOSCOPY PREP INSTRUCTIONS - CLENPIQ . Clenpiq is a prescription medication used to empty the colon in adults before a colonoscopy. Additional fluids must be consumed after every dose of Clenpiq in both dosing regimens. Medically Reviewed. com ⁠ (Opens new window)Changing how the world understands and treats cancer. insists on this procedure every five years. You may flavor with Crystal Light-Yellow Lemonade. It works by causing you to. Learn more about Clenpiq oral . Clenpiq (CLEN-pik) is a brand-name medication prescribed for clearing the bowel in preparation for a colonoscopy. Prescription drugs may be covered under the pharmacy benefit or the medical benefit. 11 ± 1. Satisfaction. The salty aftertaste is mild and not overpowering. Lowering cholesterol helps decrease the risk for strokes and heart attacks . (2. To open the CLENPIQ bottle: Place the bottle on a flat surface. Instruct patients to take two separate doses in conjunction with liquids, as follows: Dose 1 – On the day before colonoscopy: . They are available with a prescription from your doctor. trouble swallowing, trouble drinking liquids. CLENPIQ (prescription mailed electronically to your pharmacy), (if problems with insurance contact our office for possible alternative preparation. Click on a tab below…. Copay Range. Why put people through this unecessarily? Read More. Find everything you need to know about Clenpiq (Citric Acid, Magnesium Oxide, And Sodium Picosulfate), including what it is used for, warnings, reviews, side effects, and interactions. GoodRx is not sponsored by or affiliated with any of the third-party brands identified. This formulary outlines the most commonly prescribed medications covered under your plan’s prescription drug benefits. Blue Cross and Blue Shield of Texas, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company,. 47% of reviewers reported a positive experience, while 40% reported a negative experience. Try to refrigerate your colon prep. CLENPIQ prescription at the time the prescription is filled by the pharmacist and dispensed to the patient. CLENPIQ is contraindicated in the following conditions: patients with severe reduced renal impairment (creatinine clearance less than 30mL/minute), gastrointestinal obstruction or. Donut Hole. Prep: Polyethylene glycol, sodium sulfate. After taking Clenpiq, it typically takes about 30 minutes to 1 hour for the medication to start working. NO CONSUMA ALCOHOL, PULPA DE JUGO, LECHE, CREMA, SUSTITUTOS DE CREMA DE SOYA. (2. 2. Drug expiration dates exist on most medication labels, including prescription, over-the-counter (OTC) and dietary (herbal) supplements. have to drink the next in 3 hours. bottle of Clenpiq. Avoid or Use Alternate Drug. 7 out of 10 from a total of 277 reviews for the treatment of Bowel Preparation. When it’s time for a liquid diet, change it up a little. 3. There are currently no generic alternatives to Sutab. Unlike traditional laxatives that require multiple doses and may cause. Costs for covered alternatives may vary. If your colon isn’t clear, your healthcare provider won’t be able to see properly inside. Can I negotiate the price of Clenpiq with my pharmacy? In some cases, pharmacies may have pricing flexibility. Eichele. This page contains PDF documents (Portable Document Format). One bottle of CLENPIQ is equivalent to one dose. 47% of reviewers reported a positive effect, while 40% reported a negative effect. Clenpiq Alternatives Compared. The chemical name is NaHCO 3. m. The cost for Clenpiq oral liquid (12 g-3. Results All patients completed their prescribed dose of bowel preparation. This means we cover almost all FDA-approved drugs. 3090. To use Prepopik®: One dose of this medicine contains 2 packets of powder. The preferred method is the “Split-Dose” method. 9 out of 10 from a total of 228 ratings on Drugs. com today at 1-800-998-4016. Two doses are required, and a lemon flavor is included. Cleaning your colon will help your doctor see inside of it more. the doctor said my insurance picked the. Felt nauseous trying to drink it. CLENPIQ: This solution includes sodium picosulfate, magnesium oxide, and citric acid. CLENPIQ. The cost for Clenpiq oral liquid (12 g-3. 8 out of 10 from a total of 411 ratings on Drugs. Note: Fraudulent online pharmacies may attempt to sell an illegal. Therap Adv Gastroenterol. clindamycin phosphate gel cortrophin gel . Additional fluids must be consumed after every dose of Clenpiq in both dosing regimens. It features a nationwide network of pharmacies which includes pharmacies with preferred cost-sharing, which may offer lower cost-sharing than standard network pharmacies. com is the first choice when searching for safe and affordable. Prices Medicare Drug Info Side Effects Images SODIUM PICOSULFATE; MAGNESIUM OXIDE ; ANHYDROUS CITRIC ACID cleans the bowel out before a medical procedure. Bowel movements will begin 30 minutesprepopik (magnesium oxide, sodium picosulfate , citric acid - other name: clenpiq) Alternative names. MEDICATION GUIDE CLENPIQ ® (CLEN-pik) (sodium picosulfate, magnesium oxide, and anhydrous citric acid) oral solution; This Medication Guide has been approved by the U. The table idea is fantastic too. The "Split-Dose". WHAT IS A COLONOSCOPY? • Your physician has recommended that you have a colonoscopy. The Miralax can be mixed into Gatorade or another clear liquid to make the solution tastier. Prescription only. One bottle of CLENPIQ is equivalent to one dose. sodium picosulfate/magnesium oxide/anhydrous citric acid will decrease the level or effect of baloxavir marboxil by cation binding in GI tract. whole grains. Tomará la segunda botella de 6 onzas de CLENPIQ la mañana de su colonoscopia (5 horas antes del. Minimize risk; assess risk and consider an alternative drug, take. 42–51 . 34% of reviewers reported a positive effect, while 49% reported a negative effect. MiraLAX has an average rating of 7. Get free savings. One of the most common questions we hear at Colon & Rectal Specialists is "Why is my bowel prep not working?" Dr. Specifically, what brands of soft drinks are gluten-free and safe for people with celiac disease? Nearly all major soft drinks are made. 66; P < 0. Add the rest of the ingredients. Salix Product Information Call Center. Clenpiq User Reviews & Ratings. Twist the cap until you see the white plastic ring under the cap is broken. 5000Clenpiq oral solution . CLENPIQ is available in lemon flavor, which is designed to make the medication more palatable and easier to drink. What CLENPIQ does is eliminate the need for drinking the large volume of more traditional bowel prep drinks that are hard for many people to consume without experiencing nausea, vomiting, or other problems. NO CONSUMA ALCOHOL, PULPA DE JUGO, LECHE, CREMA, SUSTITUTOS DE CREMA DE SOYA. It is a dual-acting, combination of sodium picosulfate, a stimulant laxative, and magnesium oxide and anhydrous citric acid, which forms magnesium citrate, an osmotic laxative indicated for cleansing of the colon as a preparation for colonoscopy in adults. With medical big data and AI algorithms, eHealthMe is running millions of phase IV trials and makes the results available to the public. 275 mg/ml drops : none :Start the prep (CLENPIQ) Drink ONE 5. 31. CLENPIQ ® oral solution is indicated for cleansing of the colon as a preparation for colonoscopy in adults and pediatric patients ages 9 years and older. Beginning at least 5 hours prior to your procedure start time, drink the 2 nd dose of Clenpiq right from the bottle . Uncover, whisk until smooth, and microwave for 5 more seconds. Participants in Group D will begin drinking the bowel preparation Clenpiq (sodium picosulfate, magnesium oxide, and citric acid) at 4:00 PM on the day before colonoscopy. This card is good forValid alternatives may include a split method for morning colonoscopy or a full-dose method for afternoon colonoscopy of 2 L PEG plus ascorbic acid (PEGA) or of 2 L sodium picosulphate plus magnesium citrate (SPMC), particularly for elective outpatient colonoscopy. No refrigerar ni congelar CLENPIQ. “The biggest drawbacks to these alternative solutions are cost and potential side effects,” says Dr. stomach pain and tenderness. $46 retail. One bottle of CLENPIQ is equivalent to one dose. 7 pm – Clenpiq day #2, dose #1: Drink another 5. Comprehensive information for you or a loved one — including treatment options and discounts on popular medications. . CLENPIQ está listo para beber directamente del frasco. This report displays the potential drug interactions for the following 2 drugs: alprazolam; Clenpiq. How can I find a drug on the Drug List? There are 2 ways to find your prescription drugs in this Drug List: 1. S. It’s also not really new to the market— it was approved in 2012 . Unknown: No interaction information available. The sweetness of the juice helps to counterbalance the bitterness, making it much more palatable. To ensure a successful exam, please follow all instructions carefully. What is colonoscopy prep? When it’s time for your colonoscopy screening, you’ll need to prepare your bowels by cleaning them out beforehand. Clenpiq Interactions. Do not refrigerate or freeze CLENPIQ. Citric acid, magnesium oxide, and sodium picosulfate combination is used to cleanse the colon (bowel) in preparation for a procedure called colonoscopy. FREE – $175. The most common side effects of Clenpiq in children. DO NOT DISCARD If you need to reschedule, cancel, or have any questions about your procedure please contact 954. This card is good for Valid alternatives may include a split method for morning colonoscopy or a full-dose method for afternoon colonoscopy of 2 L PEG plus ascorbic acid (PEGA) or of 2 L sodium picosulphate plus magnesium citrate (SPMC), particularly for elective outpatient colonoscopy. S. asm. Mix all of the PEG 3350 with lukewarm water and refrigerate. 8 oz LIQUIDS MUST NOT BE RED OR PURPLE. 8 out of 10 from a total of 410 ratings on Drugs. as low as. The solution is drunk in two doses – one the evening before the procedure and one the morning of the procedure. Had to do 2nd bottle at 10 pm with more water. Clenpiq for Bowel Preparation User Reviews (Page 5) Clenpiq has an average rating of 5. 18 The time interval between the last dose of bowel preparation agents. This plan provides coverage for outpatient prescription drugs covered under Medicare Part D. Call us today at 1-866-779-7587. The liquid is typically 8 to 12 ounces of fluid. If you are still passing solid or brown, call us at 515-875-9115. Plenvu has an average rating of 4. 5 g-10 mg/160 mL) is around $184 for a supply of 320 milliliters, depending on the pharmacy you visit. medication alternatives —e medication pricing Compar and options. Safely buy Clenpiq at our Canadian International Pharmacy Association (CIPA) certified online drugstore. It’s cranberry flavored. It is a prescription medication that healthcare professionals rely on to cleanse the colon before procedures like colonoscopy. 8 oz LIQUIDS MUST NOT BE RED OR PURPLE. Clenpiq has an average rating of 5. Pseudoephedrine. 3 Day-Before Dosage Regimen (Alternative Method) The Day-Before regimen is the alternative dosing method for patients for whom the Split-Dosing is inappropriate. That amount is to be completed in 60 minutes. This is not a complete list of side effects and others may occur. By name. After your deductible has been satisfied, you will enter the Post-Deductible (also called Initial Coverage) stage, where you pay your copay and your plan covers the rest of the drug cost. May 7, 2018. LOWEST VOLUME OF ACTIVE MEDICATION COMPARED WITH SUPREP®, PLENVU®, AND MoviPrep®1,4-6§. Non Prescription Drugs. Minimize risk; assess risk and consider an alternative drug, take steps to circumvent the interaction risk and/or institute a monitoring plan. Clenpiq for Bowel Preparation User Reviews (Page 2) Clenpiq has an average rating of 5. It detects cancer at early, more curable stages. November 21, 2019. 00-6. The drug list is. Dulcolax (bisacodyl) is a stimulant laxative indicated for relief of occasional constipation, and for use under medical supervision, for the preparation of diagnostic procedures, in pre- and postoperative treatment, and in conditions which require defecation to be facilitated. Patients randomized to sodium picosulfate, magnesium oxide, and anhydrous citric acid had two options for dosing, as determined by the investigator. Doctors should be inquiring and offering an alternative prep, instead of a "one size fits all" drug with these kinds of side effects. 47% of reviewers reported a positive effect, while 40% reported a negative effect. Citric acid, magnesium oxide, y sodium picosulfate es una medicina combinada que causa diarrea con el propósito de limpiar su colon antes de una colonoscopia. A Moderate Drug Interaction exists between Clenpiq and lisinopril. You may continue to drink clear liquids up to 3 hours before your exam. It's not a secret that people simply put. Prep: Sodium picosulfate, magnesium oxide, and citric acid (Prepopik). The better the bowel preparation, the higher chance the endoscopist can identify and. com! In this detailed analysis, we delve into various crucial aspects of the website that demand your attention, such as website safety, trustworthiness, child safety measures, traffic rank, similar websites, server location, WHOIS data, and more. No alcohol, marijuana, or any other substance that could impair your thought process. C. Common alternatives to Clenpiq include antacids, like Tums, which neutralize the acid in the stomach and are good for quick relief of temporary heartburn. Metformin. All appointments and procedures for GI and endoscopy services require a referral. 14. Magnesium hydroxide forms in the presence of water (MgO + H2O → Mg. Instruct patients toclenpiq Savings, Coupons and Information. 47% of reviewers reported a positive effect, while 40% reported a negative effect. The alternative method is the “Day Before” method and consists of two separate doses: the first dose during the afternoon or early evening before the colonoscopy and the second dose 6 hours later during the evening before the colonoscopy. 00-4. The instructions provided by my doctor worked beautifully. Frequent, very watery bowel movements at any time should occur after you drink this product. CLENPIQ is supplied as two bottles in each carton. 1 . Alternatives for nonpreferred and nonformulary (not covered) drugs. As part of this study, use of adjunctive measures, such as bisacodyl, was not systematically collected in order to reduce the documentation burden on the pre-procedure nurses and to minimize the impact. LAXATIVE PREP INSTRUCTIONS. Four hours before your colonoscopy on the day of your procedure: Drink one bottle of CLENPIQ, then drink one cup (8-ounces each) of clear liquid, every 15 minutes for at least four cups. First of all, Quality Prescription Drugs strives to provide a generic alternative for each brand Clenpiq in order to provide additional savings to Americans. Clenpiq belongs to a group of drugs called laxatives. Fax: 1-510-595-8183. (2. e hadlima elepsia xr eluryng enilloringPlease, talk to your provider about this. Do not refrigerate or freeze CLENPIQ. Clenpiq Rx from your pharmacy- Four (4) bottles Optional: Three (3) bottles (16 oz. A doctor may also recommend that people stop. CLENPIQ (sodium picosulfate, magnesium oxide, and anhydrous citric acid) oral solution is a stimulant and osmotic laxative that is provided as a cranberry-flavored, colorless to slightly yellow, clear solution with possible presence of visible particles. Because Anthem’s Medicare Advantage plans may differ by policy and region, you. Health. 1 out of 10 from a total of 1602 ratings on Drugs. Two doses of CLENPIQ are required for a complete preparation for colonoscopy as a Split-Dose regimen. Get the colonoscopy. Minimize risk; assess risk and consider an alternative drug, take steps to circumvent the interaction risk and/or institute a monitoring plan. Clenpiq is a combination medicine that causes diarrhea for the purpose of cleaning your colon before a colonoscopy. Some nonsteroidal anti-inflammatory drugs, such as celecoxib (Celebrex) The migraine medication sumatriptan (Imitrex) Certain "water pills" (diuretics), such as furosemide (Lasix) and. It does not need to be mixed or diluted. 혼합하거나 희석할 필요가 없습니다. It is better (preferred) to use the Split-Dose method. Bowel Evacuants OSMOPREP peg-electrolyte solution, CLENPIQ, SUPREP Corticosteroids (Rectal Formulations) CORTIFOAM hydrocortisone enema, UCERIS FOAM. Cut out fiber. At CareMount Medical, the Department of Gastroenterology collectively. Please keep in mind: The Medical Assistance (Medicaid) Office682-8501 in Little Rock or1-800-482-5431 toll-free ARKids First1-888-474-8275 Many benefits have limits, especially for adults. DO NOT CONSUME ANY ALCOHOL, JUICE PULP, MILK, CREAM, SOY OR NON-DAIRY CREAMER, OR. In such cases, alternative bowel preparation methods may be necessary. Instruct patients to CLENPIQ. Please note that UVA performs colonoscopies at two locations. headache. Follow CLENPIQ by drinking five 8-ounce cups (cup provided) of clear liquids (40 ounces total) within 5 hours and. Whisk again, then cover and let sit until cool. No refrigerar ni congelar CLENPIQ. View detailed information regarding this drug interaction. “The preparation for a colonoscopy is a critical step and cannot be skipped,” Dr. Clenpiq® Reported as effective as PEG-based solutions. CLENPIQ is contraindicated in the following conditions: patients with severe reduced renal impairment (creatinine clearance less than 30mL/minute), gastrointestinal obstruction or ileus, bowel perforation, toxic colitis or toxic megacolon, gastric retention, or in patients with a known hypersensitivity to any of the ingredients in CLENPIQ. 47% of reviewers reported a positive experience, while 40% reported a negative experience. The expiration date is the final day that the manufacturer guarantees the full potency and safety of a medication. Your health plan’s formulary is divided into tiers based on the type of drug. Magnesium oxide (MgO), or magnesia, is a white hygroscopic solid mineral that occurs naturally as periclase and is a source of magnesium (see also oxide). CLENPIQ prescription at the time the prescription is filled by the pharmacist and dispensed to the patient. My experience / Clenpiq. 5 Important Safety. 28 ± 1. 50% of reviewers reported a positive effect, while 39% reported a negative effect. THIS DOCUMENT LIST IS EFFECTIVE JANUARY 1, 2021 THROUGH DECEMBER 31, 2021. Find a Store. Some people find the pills easier to take than the. Review the discount offers and pharmacy prices below. One bottle of CLENPIQ is equivalent to one dose. You must have nothing to drink 3 hours prior to your procedure time. 8 288 reviews for Clenpiq to treat Bowel Preparation: Rx: B N: Generic name: citric acid/magnesium oxide/sodium picosulfate systemic. Take the first dose (1 bottle) of CLENPIQ during the evening before the colonoscopy (e. It is a central nervous system stimulant that works by increasing the activity of certain chemicals in the brain. CLENPIQ is contraindicated in the following conditions: patients with severe reduced renal impairment (creatinine clearance less than 30mL/minute), gastrointestinal. com ⁠ (Opens new window) Adobe. Inquire about alternatives if you are sensitive to any meds or if you prefer not to have near-death experiences be part of your colonoscopy prep. The exact way that Clenpiq works to treat ADHD is not. – 12 a. CLENPIQ can be used alone or in conjunction with over the counter laxatives like bisacodyl or magnesium citrate. Some newer colonoscopy preparation alternatives. When you get a clenpiq coupon or discount card for free from RxLess, you'll pay the lowest possible price for your medication. 49 for the most common version, by using a GoodRx coupon. 1) •Two doses of CLENPIQ are required for a complete preparation for colonoscopy as a Split -Dose regimen. It is a clear solution with possible presence of visible particles and it does not need to be diluted prior to administration. clenpiq kind of tasted like a bubble gum soda syrup. Additional fluids must be consumed after every dose of Clenpiq in both dosing regimens. NO RED OR PURPLE COLORS. Generally speaking, it may take up to two weeks for you to start feeling the effects of Clenpiq. 3 . Call your doctor for medical advice about side effects. raw fruits and vegetables. Osmoprep tablets and Suprep should not be used if you have heart or kidney problems. Please ignore the instructions on the back of the Plenvu box which states you can take all of the prep the night before the procedure. Procedure Day. 1 btl CLENPIQ @ 6 pm . Call MapleLeafMeds. Pseudoephedrine, the decongestant found in Sudafed, is highly effective in helping people with stuffy noses breathe more easily, said Dr. Caution with drugs that increase risk of fluid/electrolyte abnormalities, QT prolongation, or that. CLENPIQ is ready for you to drink right from the bottle. The best way to know is to search for your particular medication on our website and you will see pricing information at your local pharmacy. Suprep Bowel Prep Kit may also be used for purposes not listed in this medication guide. Clenpiq was sooo gentle for me, as far as preps go. 5% gel and pump gel . 8 out of 10 from a total of 410 ratings on Drugs. We review and update the TRICARE Formulary each quarter. For Bowel Preparation "Paid $90 with insurance for Clenpiq. colonoscopy. Clenpiq (citric acid/magnesium oxide/sodium picosulfate) MiraLAX (polyethylene glycol 3350) Polyethylene glycol 3350. 76. You'll need to know specific dosage and refill preferences for each drug. When it comes to bowel preparation, Clenpiq is undoubtedly the champion. An 8oz cup. Drink ONE (1) 6-ounce bottle of CLENPIQ straight from the bottle. doxepin gonal3mg, 6mg tab doxycycline (rosacea) drizalma . Starting at 5. 0 out of 10 from a total of 333 ratings on Drugs. The product is distributed in a single package. Each bottle is administered as 16 ounces of diluted Sodium Sulfate, Potassium Sulfate and Magnesium Sulfate Oral Solution with an additional 1 quart of water taken orally. Welcome to our comprehensive review of Clenpig. 64% of reviewers reported a positive effect, while 24% reported a negative effect. The "Split-Dose" regimen was the preferred method and the "Day-Before" regimen was the alternative method if the "Split-Dose". It does not need to be mixed or diluted. Common Drugs Not Covered and Their Covered Alternatives About this list: This is a list of the most common single‐source brand (drugs that do not have a generic equivalent or exact copy) and generic drugs that will not be covered. Magnesium citrate, MiraLAX with Gatorade, MoviPrep, OsmoPrep, Prepopik/Clenpiq, and Suprep all had significantly higher prep tolerability compared with GoLYTELY (all P < 0. CLENPIQ BOWEL PREP KIT CLENPIQ Bowel Prep Kit Is taken as a split dose (2-day) regimen. 4 ounces.