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For internal use only - not for distribution PillCam ® COLON 2 Regimen Guidelines The following PillCam COLON 2 regimen was used in MA-201, the European.

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Presentation on theme: "For internal use only - not for distribution PillCam ® COLON 2 Regimen Guidelines The following PillCam COLON 2 regimen was used in MA-201, the European."— Presentation transcript:

1 For internal use only - not for distribution PillCam ® COLON 2 Regimen Guidelines The following PillCam COLON 2 regimen was used in MA-201, the European PillCam COLON 2 Multicenter Trial. 5-000-239

2 PillCam COLON 2 Regimen DayTimeInstructionsComments Day -2At bedtime4 Senna tablets (12mg) Improves cleansing Day -1 All dayClear liquid diet Only clear liquids, no solid food 7 pm – 9 pm2L PEG The 2L+2L PEG split improves cleansing (versus 3L+1L split) Exam Day 7 am – 8:30 am2L PEG  Wait 45-75 min between morning PEG and capsule ingestion  No drinking is allowed after morning PEG until 1st boost (with the exception of 1 cup with capsule ingestion) not to delay capsule exit from stomach 9:15 am (45-75 min. after PEG) Capsule Ingestion* Boost I Upon SB detection 30ml NaP diluted in ½ glass of water + 1L water  First boost is given upon SB detection to reduce SB transit time  Approx. 50% of capsules will be excreted after 1 st boost  Drink the 1L water within 1 hour Boost II 3 hrs after Boost I 25ml NaP diluted in ½ glass of water + 1L water Suppository 2 hrs after Boost II 10mg Bisacodyl Suppository  Approx 25% of patients require suppository  In approx 50% of cases, capsule will be excreted after suppository (guaranteeing complete exam) [*] Use of Domperidone 20mg only if capsule is delayed in stomach >1h (approx. 30% of patients) For internal use only - not for distribution

3 Pre-treatment ExcretionCleansingComments Pre-treatment Methods High Carb Diet SameSame or better Only white pasta/noodles cooked in salt water with no sauce were evaluated Bisacodyl (day-1) -10%Same Not recommended Senna (day-2) SameSame or better Recommended Low Residue Diet Same-10-30 % Not recommended Simethicone -10%-20% (high dose, with MgC) ?? Not recommended For internal use only - not for distribution

4 Alternative Boosts DoseExcretionCleansingComments Alternative Boosts (NaP Substitutes) PEG 1L PEG for 1st boost (drink within 30 min) and 0.5L PEG for 2nd boost (drink within 15 min) ??Same Up to a total of 5.5L PEG MoviPrep 2/3L MoviPrep (drink within 15 min) + 1L water for 1st boost and 1/3L MoviPrep (drink all at once) + 0.5L water for 2nd boost -10%Same Up to a total of 3L MoviPrep Mg-Citrate 200ml (12gr) Magnesium Citrate (drink all at once) + 1L water (complete within the next hour) for 1st and 2nd boost -10%?? Brand names: Citramag, Citroma Mg-Citrate -Sodium Picosulfate 1 sachet Mg-Citrate-Sodium- Picosulfate prepared according to instruction (drink all at once) + 1.5L water (complete within the next hour) for 1st and 2nd boost -10%Same Brand names: Citrafleet, Picolax, Piclax, Picoprep Alternative laxatives should be used for boost only if NaP is unavailable or contraindicated For internal use only - not for distribution


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