FormWeb • polyethylene glycol 3350 with electrolytes

Approved Hospital Formulary

Formulary Addition Requisition (Position 1)

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polyethylene glycol 3350 with electrolytes

Drug Name	Form	Strength	Non-Formulary	Restricted	Renal Dosing	REMS	Therapeutic Interchange	Notes
GoLYTELY	POWDER FOR RECONSTITUTION, ORAL	-

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Additional Information:

Drug Name	Common Side Effects
polyethylene glycol 3350	stomach pain, bloating diarrhea hives (urticaria, infrequent)

Last updated: Aug. 22, 2022

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