what is the dif between nulytely,golytely, and nulytely?

Question

I was wondering because a few moths ago i had to take golytely for a colonoscopy and i heard of othe lytelys and was curios

oh i am am sorry i put nu twice i ment halflytely

Answer 1

GoLytely was the original PEG lavage bowel cleanser; it performed well but tasted like sea water; you had to drink 1 gallon of the liquid.

NuLytely is a much better tasting lavage; still have to drink 1 gallon.

HalfLytely is a big improvement; you take two basacodyl tablets and later you only have to drink 2 quarts of a pretty good tasting lavage.

I have taken all three at various times and vastly prefer HalfLytely.

Answer 2

17 and 23

Answer 3

What Is Golytely

Answer 4

um no clue...The golytely is awful tasting though...ugh. It makes me crenge every time I think of it. The Nulytely looks like it tastes better.

Answer 5

If golytely is nulytely then it can only be used once in the same question.

Answer 6

the difference is thats its half a gallon... thats the only difference

Answer 7

It is very important to clean out your bowel the night before your CT colonography examination so that the radiologist can clearly see any polyps that might be present. You will be asked to take either a set of pills or a cathartic liquid. Some common preparations are the Fleet Prep Kit 1 (aqueous phosphate -soda and Bisacodyl) and NuLytely® or Go-Lytely® (Polyethylene glycol electrolyte solutions).


PEG or Golytely is a non-absorbable solution that should pass through the bowel without net absorption or secretion. Significant fluid and electrolyte shifts are therefore avoided. Large volumes (4L) are still required to achieve a cathartic effect.

Products:

Colyte -- Flavors: Cherry, Citrus-Berry, Lemon-Lime, Orange, Pineapple
Golytely -- Flavors: Pineapple


Dosing: No solid food for at least two hours prior to ingestion of the solution. 240 mL (8 oz.) every 10 minutes until rectal output is clear or 4 L are consumed. Dosage for nasogastric administration is 20-30mL/min (1.2-1.8L/hr).

Evidence: PEG is more effective and better tolerated than the diet combined with cathartic regimens that were used prior to 1980. PEG is also safer and more effective than high volume balanced electrolyte solutions. PEG is safer (less production of hydrogen gas), more effective, and better tolerated by patients than mannitol-based solutions. Although PEG is generally well tolerated, 5-15% of patients do not complete the preparation because of poor palatability and/or large volume.


Recommendations: PEG is a faster, more effective, and better-tolerated method for cleansing the colon than a restricted diet combined with cathartics, high volume gut lavage, or mannitol (Grade IA). PEG is safer than osmotic laxatives/NaP for patients with electrolyte or fluid imbalances such as renal or liver insufficiency, congestive heart failure, or liver failure and is therefore preferable in these patient groups.




SF-ELS (Sulfate Free-Electrolyte Lavage Solution)

PEG-based lavage solution without sodium sulphate was developed by Fordtran et al. (60) in an attempt to improve the smell and taste of PEG solutions. The improved taste was due to a decrease in potassium concentration, increase in chloride concentration, as well as a complete absence of sodium sulfate. The elimination of sodium sulfate results in a lower luminal sodium concentration. Therefore, the mechanism of action is dependent on the osmotic effects of PEG.

Products:

Nulytely -- Flavors: Cherry, Lemon-lime, Orange, Pineapple
TriLyte -- Flavors: Cherry, Citrus-Berry, Lemon-lime, Orange, Pineapple.


Dosing: No solid food for at least 2 hours prior to taking the solution. 240 mL (8 oz.) every 10 minutes until rectal output is clear or 4L are consumed. Dosage for nasogastric administration is 20-30mL/min (1.2-1.8 L/hr). Pediatric (older than 6 months of age) dose is 25mL/kg/hr until rectal effluent is clear.


Evidence: SF-PEG is less salty, more palatable, and comparable to PEG in terms of effective colonic cleansing and overall patient tolerance.

Recommendations: SF-PEG is comparable to PEG in terms of safety, effectiveness, and tolerance. SF-PEG is better tasting, but still requires the consumption of 4L in its standard regimen. SF-PEG is an acceptable alternative lavage solution when a PEG-based lavage solution is required



Low Volume PEG/PEG-3350 (Polyethylene Glycol-3350) and Bisacodyl Delayed- Release Tablets

Low volume PEG solutions were developed in an attempt to improve patient tolerance. In order to reduce the amount of volume of lavage solution required and reduce volume-related symptoms such as bloating and cramping while maintaining efficacy, bisacodyl and magnesium citrate are administered.

Products:

Halflytely -- Flavors: Lemon-lime
Dosing: Only clear liquids on the day of the preparation. Dosage is 4 bisacodyl delayed-release tablets (5mg) at noon. Wait for bowel movement or maximum of 6 hours.
240mL (8oz.) every 10 minutes until 2L are consumed.


Evidence: Multiple studies have compared full volume (4L) PEG with low volume (2L) PEG combined with magnesium citrate or bisacodyl. These studies have demonstrated equal efficacy of colonic cleansing, but with improved overall patient tolerance.

Low volume PEG without any dietary restrictions has recently been suggested to provide better quality colon cleansing than whole-dose with no significant impact on either tolerability or adverse effects.


Recommendations:

Two liter PEG regimens combined with bisacodyl (i.e. Halflytely) or magnesium citrateare equally effective when compared with standard 4L PEG regimens but are better tolerated and therefore may be the PEG preparation of choice (Grade IA). Additional studies comparing 2L regimens with NaP would be beneficial


Low Volume PEG-3350 and Bisacodyl Delayed- Release Tablets

An additional low-volume PEG 3350 without electrolytes with adjuncts such as bisacodyl has also been used.

Products:

Miralax
Dosing: Clear liquids only the day of the preparation. Dosage is 4 bisacodyl delayed-released tablets (5 mg) at noon. Wait for bowel movement or maximum of 6 hours. 240mL (8oz.) of clear liquid containing 1 capful of Miralaxevery 10 minutes until 2L are consumed.

Evidence: studies that have compared full-volume (4L) PEG with low-volume (2L) PEG 3350 combined with bisacodyl have clearly demonstrated an equal efficacy in terms of colonic cleansing and improved overall patient tolerance.


Recommendations: Two-liter PEG 3350 regimens combined with bisacodyl (i.e. Miralax) are equally effective when compared with standard 4L PEG.

In conclusion, Nulytely as compared to golytely has more chloride concentraiton, less potassium chloride and absence of sodium sulfate and thus less sodium concentration.

Halflytely on the other hand uses Bisacodyl and Magnesium Citrate is better tolerated because the volume used is half and thus cause volume-related symptoms of bloating and cramping in patientsand thus are better tolerated.