Fleets prep - to dilute or not dilute?

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bluepurl
Regular Member


Date Joined Feb 2008
Total Posts : 56
   Posted 4/7/2008 6:09 PM (GMT -6)   
I have a c-scope tomorrow and probably should have asked this question earlier, but here goes nothing :)

I got the bright idea to drink the fleets like a tequila shot, followed by a ginger ale chaser. Went down easy. But I'm wondering now, should I have diluted it in something and sipped down slower than that? The last time I did this, I diluted the 1.5 oz fleet in 4 oz of ginger ale and really struggled to drink it all. Do you think it matters if you dilute the fleet in a glass, as opposed to just chugging it down? I've been drinking a ton of liquids, and nothing solid since noon.

I have to do another dose in the morning, and I'd prefer to do my tequila shot method again, but I'm being paranoid that I'm doing it wrong. Thanks for any input :)

quincy
Elite Member


Date Joined May 2003
Total Posts : 30389
   Posted 4/7/2008 7:42 PM (GMT -6)   
I don't think it matters.......just shocked you actually can take the second dosage. I did the Fleet once..never again. I'll take the gallon prep any day!

Hope it all goes well....enjoy the drugs and the monitor if you're awake. Let us know the details when you're able.

Hope the doc takes biopsies.

quincy
*Heather*Status: mini flare Dec 28... tapered to every 4th night
~diagnosed January 1989 UC (proctosigmoiditis)
~5ASA: Asacol (6 daily) + Salofalk enemas (increase for flares tapered to maintenance)
~Bentylol (dicyclomine) 20mg as needed
~vitamins/minerals/supplements 
~Probiotic 3(Natural Factors Protec) bedtime + 1 (Primadophilus Reuteri) occasionally
~multi-digestive enzymes as needed ....zymactive 3 - 5x daily
~Ranitidine,Pariet (reflux) Effexor XR 75mg;  Pulmicort/Airomir (asthma)
~URSO for PSC (or PBC) 500mg X 2 daily (LFTs back to NORMAL!!)
My doc's logic.. "TREAT (FROM)BOTH ENDS"  worth it !!!


bluepurl
Regular Member


Date Joined Feb 2008
Total Posts : 56
   Posted 4/7/2008 8:01 PM (GMT -6)   
thanks quincy! it seems to be having the desired effect.

I'll be totally out tomorrow -- watching the flex sig was entertaining enough for me :eek:

pb4
Elite Member


Date Joined Feb 2004
Total Posts : 20577
   Posted 4/7/2008 8:56 PM (GMT -6)   
The fleet is a piece of cake...when you do it right...mix only 1/3 of the bottle into a full clear glass of beverage and drink it as fast as you can (since you're suppose to get it all down quickly anyways) but pouring only 1/3 in a full glass means you won't notice the taste nor will you notice the oily consistancy of it...doing this 3 times in a row will get an entire 45ml bottled down with ease...after 17 yrs of experimenting with many preps, this is so far the best way ever...I don't even mind prepping because of this way.

:)
My bum is broken....there's a big crack down the middle of it!  LOL  :)


Another UC wife
Veteran Member


Date Joined Jun 2007
Total Posts : 2111
   Posted 4/7/2008 9:42 PM (GMT -6)   
I remember reading an article awhile back concerning lawsuits with this prep. Some people are NOT using enough liquid during the prep process and following it correctly and for some people they have serious kidney type problems.

That is my prep of choice and hubby's but after reading the article and even though I know we are consuming enough liquid I think we will do that awful gallon prep in the future. Just to be on the safer side even though we will have a heck of a time with this other prep.

61 yr old male~Colitis 1st diagnosed Jan '05-cleared up within a few wks. Flared again in May '06 (now UC) & hospitalized 5/07-currently heading towards a remission. Osteopena of spine from prednisone DX 8/07  Oct 07 feeling quite normal most days.  150mg Imuran  Zero mg prednisone   12 Asacol, Lidocaine Hydrochloride Jelly 2%,multi vitamin, iron 1X day, DanActive, chewable calcium, fiber capsule 1x day, Prilosec 20mg, enalapril 10mg, glipizide 5 mg, zocor 40 mg, baby aspirin, (Fentanyl pain patch 50mg 72 hrs  Morphine Sulf 15 mg twice daily)Cortifoam enema every other PM, Canasa suppositiry AM, folic acid 1mg, Fosamax 1x month


disco
Regular Member


Date Joined Jan 2008
Total Posts : 154
   Posted 4/8/2008 7:26 AM (GMT -6)   
Fleet is much better than teh MoviPrep I had to do last week, that was terrible. I was like drinking a too liter of salty lemonade
Diagnosed in spring 2005 at age 28
Currently on 12 asacol pills a day + Entocort
40 MG Pred cycle stating 3/26


bluepurl
Regular Member


Date Joined Feb 2008
Total Posts : 56
   Posted 4/8/2008 11:58 AM (GMT -6)   
thanks for the advice all! just got back. the UC is only left sided and the asacol appears to already be working -- there's less inflammation now than during last month's flex sig. Doc doubled the asacol and wants to see me back in a few weeks. he already said I'll need another scope in 2 years, so the tequila shot method will come in handy in 2010 :)

dakotagirl
Veteran Member


Date Joined Apr 2006
Total Posts : 3402
   Posted 4/8/2008 12:07 PM (GMT -6)   
Glad to know your tequila shot method worked. I've only ever one the go-lytely prep, but this sounds interesting.

How much Asacol are you on now?

Hooray about less inflammation!
Pan-colitis and GERD diagnosed May 2003
Osteopenia diagnosed Feb 2006
Status:  Flaring :(
 
40mg pred, Asacol 12 per day,  Azathioprine 75mg, Rowasa, Canasa, Aciphex, Forvia, and Pro-Bio
 
Co-Mod for the UC forum:  Keep HealingWell running smoothly:  www.healingwell.com/donate


bluepurl
Regular Member


Date Joined Feb 2008
Total Posts : 56
   Posted 4/8/2008 12:10 PM (GMT -6)   
it was rough trying to do that method this morning though - I don't have enough coordination at 5 am. I'm going from 2 pills 3 times a day, to 4 pills three times a day. I'm gonna need a bigger purse.
Get me a box of kittens, stat!
28 year old Jersey Girl
Asacol x 12, nulev x 4, mesalamine at night
Thought it was IBS since 2002. Diagnosed left-sided UC 4/08. Starting SCD after Passover. Determined to get into remission before paintball season ends :D


jano437
Veteran Member


Date Joined Jul 2005
Total Posts : 1614
   Posted 4/8/2008 1:18 PM (GMT -6)   
Bluepurl,
Can I ask how the shot went down? Was it nasty tasting? Did you want to gag? I use the diluttion method and I can hardly get this down without gaging. I was just wondering if the shot made you gag?
Diagnosed July 2005 with Pancolitis
Asacol 4 tabs 3 times daily
Pro-Bio
Forvia
calcium
Diosmin(for leg and vein support)


quincy
Elite Member


Date Joined May 2003
Total Posts : 30389
   Posted 4/8/2008 2:47 PM (GMT -6)   
bluepurl...you should also be on rectal meds...curious why the doc didn't at least get you on them as well?

Glad the scope went smoothly.
q
*Heather*Status: mini flare Dec 28... tapered to every 4th night
~diagnosed January 1989 UC (proctosigmoiditis)
~5ASA: Asacol (6 daily) + Salofalk enemas (increase for flares tapered to maintenance)
~Bentylol (dicyclomine) 20mg as needed
~vitamins/minerals/supplements 
~Probiotic 3(Natural Factors Protec) bedtime + 1 (Primadophilus Reuteri) occasionally
~multi-digestive enzymes as needed ....zymactive 3 - 5x daily
~Ranitidine,Pariet (reflux) Effexor XR 75mg;  Pulmicort/Airomir (asthma)
~URSO for PSC (or PBC) 500mg X 2 daily (LFTs back to NORMAL!!)
My doc's logic.. "TREAT (FROM)BOTH ENDS"  worth it !!!


Another UC wife
Veteran Member


Date Joined Jun 2007
Total Posts : 2111
   Posted 4/8/2008 3:54 PM (GMT -6)   
I don't want to sound like a nag - but is it ok to take it like a shot and then follow it up with the liquid amounts? I'll have to look for the link for that info about the Fleet lawsuits etc. It kind of made me very nervous about that prep -- and as I said - that is our prep of choice.

61 yr old male~Colitis 1st diagnosed Jan '05-cleared up within a few wks. Flared again in May '06 (now UC) & hospitalized 5/07-currently heading towards a remission. Osteopena of spine from prednisone DX 8/07  Oct 07 feeling quite normal most days.  150mg Imuran  Zero mg prednisone   12 Asacol, Lidocaine Hydrochloride Jelly 2%,multi vitamin, iron 1X day, DanActive, chewable calcium, fiber capsule 1x day, Prilosec 20mg, enalapril 10mg, glipizide 5 mg, zocor 40 mg, baby aspirin, (Fentanyl pain patch 50mg 72 hrs  Morphine Sulf 15 mg twice daily)Cortifoam enema every other PM, Canasa suppositiry AM, folic acid 1mg, Fosamax 1x month


bluepurl
Regular Member


Date Joined Feb 2008
Total Posts : 56
   Posted 4/8/2008 9:05 PM (GMT -6)   
Jano - I split each 1.5 oz bottle into 2 shots. It was nasty, but over quickly, and I chugged ginger ale until the taste was gone. I found it much easier than having to drink a full glass of fleet+ginger ale. I pretended it was tequila and envisioned being at the bar with my friends. It worked perfectly at night, but for the dose I had to do in the morning, my coordination was off and it didn't go as smoothly. I ended up diluting it and hating every sip.

quincy - I am doing rectal meds too, generic rowasa. He started me on that last month after the flex sig. it helps, but I'll be happy when I can stop

AnotherUCWife -- I'd ask your doc first, since your husband probably has a much different situation than I do. I figured it was ok to take it as a shot since it would be diluted by the liquids I drank immediately before and after. I follow the directions from my doc, which requires drinking a ton of liquids. The more liquids you drink, the easier and more effective the fleet is. The day before the procedure, you have a light breakfast and lunch, and start drinking clear liquids. Then you have to consume 32 oz of clear liquid between 6 pm and 7 pm. Then you take the first fleet at 7 pm, with at least 16 more oz of liquid. Then you have to drink at least 24 oz of something before going to bed. That's a heck of a lot of beverages! In the morning, I was not allowed to drink as much liquid, so I didn't have a good "chaser" and ended up just diluting it as normal. it was yucky.

I think if you drink enough liquid, it makes it less rough on the body. I'm also 28 and in fairly good health overall -- the office I go to uses an alternate prep method for folks with liver or kidney disease, cardiovascular issues, or fluid retention problems. From what I can tell through googling about the fleet lawsuits, people with these conditions weren't warned in the past and the Fleet could potentially cause problems in folks with certain health conditions or at a certain age.

I always take these drug lawsuits with a grain of salt -- all drugs have pros and cons, and sometimes the benefits outweigh the risks. Also, sometimes there's a certain degree of user error - like patients that forget to tell doctors their complete prescription and medical history or docs that don't realize all the possible interactions. Plus, lawyers are always looking for things to do -- sometimes it's truly in the public interest, sometimes it's just for $$.

I am not a doctor or a lawyer, YMMV.
Get me a box of kittens, stat!
28 year old Jersey Girl
Asacol x 12, nulev x 4, mesalamine at night
Thought it was IBS since 2002. Diagnosed left-sided UC 4/08. Starting SCD after Passover. Determined to get into remission before paintball season ends :D


bookworm21
Veteran Member


Date Joined Mar 2008
Total Posts : 1766
   Posted 4/8/2008 9:07 PM (GMT -6)   
Props and kudos to those of you who can take the Fleets prep. I tried taking it last year and I just had to vomit. Even when I think I about now, I start to gag.
 


bluepurl
Regular Member


Date Joined Feb 2008
Total Posts : 56
   Posted 4/8/2008 9:10 PM (GMT -6)   
I wonder why they don't just make it into a few giant quick-release capsules or something -- I'd rather swallow 10 -20 pills than have to taste it at all.
Get me a box of kittens, stat!
28 year old Jersey Girl
Asacol x 12, nulev x 4, mesalamine at night
Thought it was IBS since 2002. Diagnosed left-sided UC 4/08. Starting SCD after Passover. Determined to get into remission before paintball season ends :D


pb4
Elite Member


Date Joined Feb 2004
Total Posts : 20577
   Posted 4/8/2008 9:47 PM (GMT -6)   
They do have better tasting preps, some orange soda type thing, cannot think of the name, and some people get away with just taking a ton of dulcolax tabs (I'm guessing 20 or more) with plenty of water...so there are definitely better options, it usually depends on what the GI prefers, even though they're not the ones taking it.

:)
My bum is broken....there's a big crack down the middle of it!  LOL  :)


bluepurl
Regular Member


Date Joined Feb 2008
Total Posts : 56
   Posted 4/8/2008 9:57 PM (GMT -6)   
lol, thanks pb4. I wonder if they ever have to do it themselves, you know? Like how police officers often get hit with pepper spray, mace, tasers, etc. during training so they know the effect of what they are using. My dear hubby offered to do the prep with me, but I told him no since we only have one bathroom... and he'll get his chance to do it in 20 yrs when he's 50 :)
Get me a box of kittens, stat!
28 year old Jersey Girl
Asacol x 12, nulev x 4, generic rowasa at night
Thought it was IBS since 2002. Diagnosed left-sided UC 4/08. Starting SCD after Passover. Determined to get into remission before paintball season ends


serendipity24
Regular Member


Date Joined Jan 2008
Total Posts : 56
   Posted 4/9/2008 12:35 AM (GMT -6)   
I do a variation of the "tequila shot" method. I mix the fleets with an equal amount of gingerale. Plug my nose, chug it down as fast as possible, then chug a glass of peach/grape juice/lemonade, etc afterward. Yeah, it sucks, but only for a minute. I literally gagged on every sip of my first glass of go-lytely after switching to a new GI--I called the resident that night and told him I was doing Fleet's instead. No problemo. Only bummer is I can't drink gingerale anymore--developed a complete taste aversion. It tastes salty to me now. So down the Fleet's with something you don't drink often!
Rachel

23 yrs old
Diagnosed with UC: March 2004 with probable IBS component

Currently taking:
Asacol 4pills 3x/day
Prograf 5mg/day
(Prograf is my miracle drug! It doesn't seem to be well known, but it's fantastic!)

Previously Tried:
Prednisone (works, but such awful side effects!), 6-MP (gave me acute pancreatitis), Entocort, Cipro (antibiotic), Bentyl, Canasa suppositories, a couple different enemas

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