FormWeb • polyethylene glycol 3350 with electrolytes

Huntsville Hospital

Approved Hospital Formulary

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Medications not yet evaluated by P&T are considered NON-FORMULARY. Always check 2 unique patient identifiers - NAME and DATE OF BIRTH - at every step!
Please be sure to document all clinical activities daily.

Huntsville Hospital

Approved Hospital Formulary

Suggestions or Corrections? Above and Beyond Nominations Formulary Request

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polyethylene glycol 3350 with electrolytes

polyethylene glycol 3350 with electrolytes

Formulary PEG - Electrolyte Solution Formulary

Drug Name	Form	Strength	Formulary Unrestricted	Formulary Restricted	Non-Formulary	Interchange
Clinpiq, Colyte, Colovage, HalfLytely, MoviPrep, NuLYTELY, Plenvu, TriLyte	POWDER FOR RECONSTITUTION, ORAL
GoLYTELY	POWDER FOR RECONSTITUTION, ORAL

VIEW MORE Cathartics and Laxatives

Comments:

GoLYTELY type bowel preps – currently unavailable; use Miralax 238 gm in place of 2-4 L of GoLYTELY
type products

ORDERED FORMULATION	THERAPEUTIC INTERCHANGE	NOTES
polyethylene glycol 3350 with electrolytes (Colyte)	polyethylene glycol 3350 with electrolytes (GoLYTELY)	Give recommended dose of GoLYTELY
polyethylene glycol 3350 with electrolytes (Colovage)	polyethylene glycol 3350 with electrolytes (GoLYTELY)	Give recommended dose of GoLYTELY
polyethylene glycol 3350 with electrolytes (HalfLytely)	bisacodyl (Dulcolax) AND polyethylene glycol 3350 with electrolytes (GoLYTELY) FOUR bisacodyl tablets PLUS TWO liters of GoLYTELY
polyethylene glycol 3350 with electrolytes (MoviPrep)	bisacodyl (Dulcolax) AND polyethylene glycol 3350 with electrolytes (GoLYTELY) FOUR bisacodyl tablets PLUS TWO liters of GoLYTELY
polyethylene glycol 3350 with electrolytes (NuLYTELY)	polyethylene glycol 3350 with electrolytes (GoLYTELY)	Give recommended dose of GoLYTELY
polyethylene glycol 3350 with electrolytes (Plenvu)	polyethylene glycol 3350 with electrolytes (GoLYTELY)	Give recommended dose of GoLYTELY
polyethylene glycol 3350 with electrolytes (TriLyte)	polyethylene glycol 3350 with electrolytes (GoLYTELY)	Give recommended dose of GoLYTELY

GoLYTELY medication guide

HalfLytely and Bisacodyl medication guide

MoviPrep medication guide

NuLYTELY medication guide

Reviewed: March 25, 2008 (TRILYTE)

Reviewed: November 14, 2006 (Movi-Prep)

Last updated: Oct. 28, 2020

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