If you have a pacemaker or defibrillator, please make sure your doctor is aware and bring the device card with you to your procedure COVID-19 TESTING • You MUST have a COVID PCR test 3 days before your procedure, regardless of vaccinationNormal poop is usually brownish in color, though your diet and underlying medical conditions can cause it to change color. Managed to drink the bottle at 5 pm (took 30 min to get it down). Administer tetracycline and fluoroquinolone antibiotics, iron, digoxin, chlorpromazine and penicillamine, at least 2 hours before and not less than 6 hours after administration of CLENPIQ to avoid chelation with magnesium. Do not take any oral medications within 1 hour of taking each dose. This prep often works within 30 minutes, but it may take as long as 4-6 hours. At 4 pm - Drink 1 bottle (160 ml) of CLENPIQ. I thought one bottle was good enough, too. It should take just a couple minutes for you to have a bowel movement – certainly not more than 10-15 minutes. CLENPIQ is ready for you to drink right from the bottle. They are available with a prescription from your doctor. Visicol. You can drink this over an hour long period,. For bowel cleansing, Suprep® (7. Do not take oral medications within one hour of starting CLENPIQ. 001) and Moviprep (p≤0. Get medical help right away, if you have any of the symptoms listed above. Do not eat solid food or dairy and do not drink anything colored red or purple. Having diarrhea for 2 to 3 days or more can dehydrate you. The flavor is not great, but not terrible either, so it's not hard to drink that volume. not difficult at all. is equal to one measuring cup. Discover much more about the diagnosis of. It is better (preferred) to use the Split-Dose method. Morning of 5 hours before procedure + 8 oz 8 oz8 Evening Before Between 5-9 pm + 8oz 8oz 8oz 8 oz 8 oz Prep Assistant Use the prep assistant as a guide for completing your prep. 001). DzooBaby 4 May 2013. For others it can take a little more than an hour, but that’s about the most someone usually has to wait. Long story short, I used the Clenpiq as instructed and it worked. Garland Yarborough answered. Talk to your care team. Had to do 2nd bottle at 10 pm with more water. The procedure went well, it was noted that the quality of the bowel preparation was excellent :-). One 8. 9 days before your procedure date: 1. Posted 7/10/2018 5:09 AM (GMT -8) Yes, I've been severely ill when going into a prep before (we actually learned the next day, after I did the prep, that I had c diff. Your healthcare provider may do blood tests after you take CLENPIQ to check your blood for changes. Next one is Dec 29. Add cold water to the 16 oz. The colonoscopy instructions and FAQs are for UConn Health patients. Drink only clear liquids. Several BMs with my last at 8am. Average total time at the facility is around 2 hours. You can drink this over an hour long period,. Chronic use of marijuana can interfere with the natural digestive system. You'll survive though. Do not drink alcohol. Keep it at room. Most of the time, people begin to have bowel movements about 3 hours after drinking the solution, so if a person has not experienced bowel movements by this time,. Here's what you can expect. 5000 Special Notes: If you have major health problems or a pacemaker, you should discuss your health history withNO SOLID FOOD UNTIL AFTER THE PROCEDURE. See the instructions for use for more information. Side Effects of Bowel PrepEach bottle is 160 ml (about 5. There are two main ways to use Osmoprep: Day before or split dose regimen. "how soon after a colonoscopy do you poop?" Answered by Dr. I forgot about them until 11:45 a. DO NOT CONSUME ANY ALCOHOL, JUICE PULP, MILK, CREAM, SOY OR NON-DAIRY CREAMER, OR. (2. 2) • If taking tetracycline or fluoroquinolone antibiotics, iron, digoxin, chlorpromazine, or penicillamine, take these medications at least 2 hours before and not less than 6 hours after administration of CLENPIQ. before you take the prep, while you’re taking the prep, and after the prep. The easiest way to find. At 5:00pm: start drinking your bowel prep. 8 hours after the 1st dose the 2nd split dose was followed by BMs in 1-1. It works by causing you to have diarrhea to clean your colon. 1, 5. I drank the whole bottle in about three big. 3)‐You will be in recovery for 30‐45 minutes after the exam. Bran is a great source of fiber. ’21. My prep hasn't started working yet. CLENPIQ is ready for you to drink right from the bottle. It actually sounds worse once we do the math. CLENPIQ can reduce the absorption of co-administered drugs. (2. e. T his means you take the first dose in the evening before the procedure and the second dose the day of. “Usually, if someone takes longer than a minute [to poop] while also needing to push hard, they are likely. not difficult at all. eat solid foods, dairy such as milk, or alcohol while taking CLENPIQ and until after your colonoscopy. Your doctor will discuss instructions that will help you manage your blood sugar and still be ready for your colonoscopy if you are diabetic. If you have not had a bowel movement by midnight the night prior to your procedure, you will need to reach the on call physician for. I’ll share her review with you so you can request Clenpiq if you think it sounds better than the classic “horse pills and milk of magnesia” prep. Aside from which preparation you select, there are a few other things you can do to reduce the discomfort: Refrigerating the liquid will make it go down more easily. Do not refrigerate or freeze CLENPIQ. Drink 8 ounces (oz. I just had a colonoscopy and had the same experience as you -- running clear after first round so I wanted to skip the second round in the wee hours of the morning. you get diarrhoea to the point where you are incontinently passing dirty water. before you take the prep, while you’re taking the prep, and after the prep. So trust the prep and the process lol. • CLENPIQ can reduce the absorption of co-administered drugs. 1, 5. Push down on the cap while twisting to the left (counterclockwise). Unhealthy foods to avoid include: desserts and high-sugar foods. • 4 hours before you plan on leaving for your procedure: — Drink the second 5. Stop eating solid foods at midnight two nights prior to your procedure. you get diarrhoea to the point where you are incontinently passing dirty water. Do not take oral medications within one hour of starting CLENPIQ. Again,. CLENPIQ is ready for you to drink right from the bottle. 1, 5. You may continue to drink clear liquids until midnight. Do not drink anything at least 2 hours before the. Around thirty minutes to six hours after taking the drug, magnesium citrate can induce bowel motion. Pour the first 6 ounce bottle of liquid into mixing container. Had to do 2nd bottle at 10 pm with more water. Drink one bottle of CLENPIQ and then drink 5 cups (8oz each) or more of clear liquids within the next 3-5 hours before bedtime. 1. 3. Tip #1: Expect about 5 hours for the first dose of Clenpiq from when you finish the bottle to the required five 8-oz glasses afterwards. What should I do? Bowel movements usually start within two to three hours after taking the prep, but can take longer. Felt nauseous all night. If you are taking antibiotics for diverticulitis, we will need to postpone your colonoscopy until six weeks after your last dose for your safety. Mix your bowel prep agent with water as instructed in the package label. 8 oz LIQUIDS MUST NOT BE RED OR PURPLE. How to Use OsmoPrep for Colonoscopy Bowel Preparation. ttbet1028. Ugh! You have been instructed to do a 2-Day (double) CLENPIQ Bowel Prep. Clear liquids are okay to drink (examples: water, Gatorade, clear broth, black coffee and apple juice). Cleaned me out perfectly, no stress, no drama, no trauma. First dose At 6 pm: Drink one bottle of Clenpiq® right from the bottle. 8 oz. Generally speaking, it may take up to two weeks for you to start feeling the effects of Clenpiq. Do not put the other half of the bowel prep solution in the refrigerator. All people taking CLENPIQ should follow these general instructions starting 1 day before your colonoscopy: only drink clear liquids all day and the next day until 2 hours before your colonoscopy. Oral medicines may not be absorbed completely. Immediately follow with 40 ounces of water over the next hour. Finish dose 2 of your Sutab prep and all 48 ounces of water at least 4 hours before your colonoscopy. It is a combination of sodium picosulfate, magnesium oxide, and anhydrous citric acid that works together to trigger bowel movements and empty the colon. If you are not passing very loose bowel movements 3 hours after your first prep, take 2 doses of Miralax. m. Is Clenpiq hard to drink? 9. 5:40am: first BM. Follow your doctor’s instructions completely. with a few sips of water. 3. Even though th. 00PM, Drink the 1 st half of the bowel prep agent at a rate of 8oz every 10-15mins until 2L is completed. take any medicines by mouth (oral) within 1 hour of starting Clenpiq. It can take 1–2 days before food finishes its journey through a person’s digestive tract. Twist the cap until you see the white plastic ring under the cap is broken. Causes of fecal impaction can include: overuse of. Each bottle of Clenpiq is less than six ounces. Do not take oral medications within one hour of starting CLENPIQ. While taking Clenpiq, do not:. I see yellow color in the toilet bowl and a few flecks. If we do find a colon cancer during a colonoscopy, we obtain a biopsy and make a treatment. How much poop you have before colonoscopy depends on many factors. "how soon after a colonoscopy do you poop?" Answered by Dr. ‐You will need a friend or family member to drive you home. If you are taking antibiotics for diverticulitis, we will need to postpone your colonoscopy until six weeks after your last dose for your safety. It all depends on what time you take action; If you wait until 2 hours before the procedure is scheduled than yes, it’s probably too late to do much. Is this normal. The second dose took less time to 'hit' for me - I'd say I was sporadically going for about 1. A ginger hard candy or lemon slice may be helpful. What should I do if I have a long travel time to MGH for my procedure? If you have a long travel time to MGH for your procedure, we recommend that you drink the last half of the laxative earlier. Ideally, it is preferred that you have someoneTake 4 tablespoons of Milk of Magnesia after dinner. A total waste of money everyone's time and 3 days of my life. Morning of 5 hours before procedure + 8 oz 8 oz8 Evening Before Between 5-9 pm + 8oz 8oz 8oz 8 oz 8 oz Prep Assistant Use the prep assistant as a guide for completing your prep. Do not store the solution for later use. Managed to drink the bottle at 5 pm (took 30 min to get it down). Is it better to drink colonoscopy prep fast or slow? 5. Do not take other laxatives while taking PLENVU® and do not take PLENVU® with starch based thickeners. — Then drink at least 24 oz. The first watery stool should appear within 1 hour after you start drinking PEG-3350 with Electolytes. ---feels more like a quart. Clenpiq for Bowel Preparation User Reviews (Page 5) Clenpiq has an average rating of 5. How long after a colonoscopy do you poop. You must do this to make sure you are hydrated and well prepared for your. Take exactly as directed. After taking Clenpiq, it typically takes about 30 minutes to 1 hour for the medication to start working. 1, 7. 05). Take at least one hour before or one hour after drinking your prep. The second bottle of CLENPIQ was shortly followed by three 8-ounce cups of clear liquids not fewer than 2 hours before the colonoscopy. 5-3 hours (time from check-in to check-out). ago. It’s a split-dose regimen, where you take one dose between 4-6 pm the evening before your procedure, and the second dose 5 hours before your procedure. loss of consciousness. Drink an additional 5 cups (8 oz each) of water or clear liquids. The more the fluids you consume the better your chances of being clean. I had to cancel after 3 days preparation. 004), and Miralax® with Gatorade® (7. Be sure to finish 2 hrs before your. Diarrhea comes on, and then boom, nonstop until clean. At 9:15 a. Especially after a thorough brush. Do not refrigerate or freeze clenpiq. Dulcolax is a stimulant laxative used to relieve occasional constipation. ESCORT POLICY: It is REQUIRED that someone picks you up after the. • ®If you are taking regular insulin , do not take it on the day of your procedure. If you're not a UConn Health patient. 47% of reviewers reported a positive experience, while 40% reported a negative experience. ago. Woke up at 4 am for second dose. Truly the most miserable prep. This means that it begins to have an impact on the body within this timeframe. For me, that meant my. It all depends on what time you take action; If you wait until 2 hours before the procedure is scheduled than yes, it’s probably too late to do much. of other liquids every hour, but those are your choice and I didn't find that hard at all. If you think the prep is not working, after 5pm call 248-544-6959. colonoscopyprep 29 Jan 2019. Of course results may vary. While taking Clenpiq, do not: take any other laxatives. CLENPIQ PREPARATION You will need a prescription for this pre paration. After finishing the 1st of liter of MoviPrep solution, take the 2ndDo not drink alcohol. Split-Dose means you will take 2 separate doses. Felt nauseous trying to drink it. It does not need to be mixed or diluted. In the split-dose regimen, half the total dose of the bowel cleansing agent is used the evening before your. Since it has been 4 1/2 hours and you have not had a bowel movement yet, you may need an extra laxative. Overall the prep was way easier than I expected. Prep day you'll want to be home, the day of the procedure, and the day after to recover from sedation cause you'll still feel yucky. Most of the time, people begin to have bowel movements about 3 hours after drinking the solution, so if a person has not experienced bowel movements by this time, the prep may not be working. foods high in saturated fat, such as fast food. How long will I poop after taking Clenpiq? — Individual response to the preparation medications varies from person to person. DO NOT CONSUME ANY ALCOHOL, JUICE PULP, MILK, CREAM, SOY OR NON-DAIRY CREAMER, OR. Most people do. If you are SICK, have ANY cold symptoms, taking ANTIBIOTICS, pending Stress or Heart Test or have any major changes in your medical history – Please Call Our Office Immediately For Instruction 4. ) ***IF YOU FEEL YOUR COST/COPAY FOR PREPOPIK IS TOO HIGH, THERE IS AN ALTERNATEMaking some changes to your everyday routine, along with other treatments, may help with constipation. This will counteract the saltiness of it. If a person vomits, they should drink as much as possible and tell a healthcare. Put nothing else in your mouth except a small sip of water with your heart, blood pressure or seizure medication. You should avoid red meat, “heavy” foods, fried foods, fiber-filled foods and anything that is red. You’ll start preparing for your colonoscopy a couple of days before you drink the bowel-cleansing agent. Started bowel movements about an hour later. before you take the prep, while you’re taking the prep, and after the prep. Cut out fiber. How many times do you poop with Clenpiq Some people will begin to have multiple urgent bowel movements within 30 minutes of drinking the solution and others may not have a bowel movement for 3-4 hours — I would encourage everyone to stay within close range of a bathroom after beginning to drink the preparation. The second half of your prep should be started 4-5 hours before the time of your colonoscopy. Expect to move your bowels at least 5-10 times, although some people do not have multiple bowel movements after this initial dose of preparation. Can you take both doses of Clenpiq in the same day? (It is preferred that you take the 2nd dose the morning of the procedure, but if you have a very early arrival time, you can take both doses of Clenpiq the day before: 1st dose should be taken at 4:00 p. • •Drink 1 bottle of CLENPIQ between 5 and 9pm • Drink 5 or more of 8 ounce cups of clear liquid. • Following the CLENPIQ dose, drink at least four or more 8-ounce cups (cup provided) of clear liquids (32 ounces) at least 2 hours before the colonoscopy. Instructions for Use CLENPIQ® (CLEN-pik) (sodium picosulfate, magnesium oxide, and anhydrous citric acid) oral solution. Affiliate Disclosure; Contact us; Find what come to your mind; How long does it take for clenpiq to work?Typically, bowel prep medication is a solution that you will need to drink starting one day before your procedure. Split-Dose means you will take 2 separate doses. On the day before taking Clenpiq I made sure that I started to be well hydrated drinking lemonade chicken broth beef broth or any other liquid preparing my body for the 5 pm prep to start and then took a small dose of Clenpiq followed by 8 oz glass of liquid and continued until finished the 1 st bottle every half hr. What Should Poop Look Like During Colonoscopy Prep? The effects of bowel prep medication can begin as soon as 30 minutes to an hour after your first dose, and can last up to 16 hours. How long will the colonoscopy take/how long will I be at the facility? The procedure itself takes about 30-45 minutes, however, plan on being at the Surgery Center for approximately 2. We would like to show you a description here but the site won’t allow us. Donald Colantino answered. Even if it is just 10 mLs. The first is the individual’s response to the medication. 4. If you need any more ideas, just. Do not take iron pills for 3 days before the procedure. It actually sounds worse once we do the math. x All people taking CLENPIQ should follow these general instructions starting 1 day before your. Ask your doctor what plan is best for you. It does not have to be clear in color (water) since digestive secretions will continue to ‘tint’ the stool. While taking CLENPIQ, do not: take any other laxatives. Things To Remember. How many times do you poop with Clenpiq Some people will begin to have multiple urgent bowel movements within 30 minutes of drinking the solution and others may not have a bowel movement for 3-4 hours — I would encourage everyone to stay within close range of a bathroom after beginning to drink the preparation. Female 23 years old Diagnosis: crohns Getting a colonoscopy Medication: pentasa 1000mg 4x a day Don’t smoke. Still have diarrhea 18 hours after starting clenpiq. Four hours before your colonoscopy on the day of your procedure: Drink one bottle of CLENPIQ, then drink one cup (8-ounces each) of clear liquid, every 15 minutes for at. Drink an additional 5 cups (8 oz each) of water or clear liquids. A 49-year-old female asked: I had a colonoscopy this morning. Keep taking the medicine until you have completed all doses prescribed by your doctor. This will aid in regulating elimination, so you can set your watch to potty time. Take comfort in knowing that many products have improved in taste over the years. • You MUST FINISH the final glass of clear liquid AT LEAST THREE HOURS BEFORE YOUR You're at higher risk if you have a history of kidney problems and if you’re also taking certain medications like water pills or non-steroidal anti-inflammatory drugs (NSAIDs). nausea. 2. 5 hours before procedure + 8 oz 8 oz 8 oz 8 oz Drink 4 cups (32 oz) or more of clear liquids. Before Taking CLENPIQ - Take CLENPIQ using the Split-Dose method. I had to cancel after 3 days preparation. It does not have to be clear in color (water) since digestive secretions will continue to ‘tint’ the stool. [email protected] Toll Free: 1-877-536-8162 ; Fax: 1-866-560-1660 ; Shipping Flat $9. for what condition you are taking the antibiotics. Try to keep this scheduled at the same time each day. Kaiser Permanente recommends patients start a low-fiber diet three. 1, 7. 1, 7. Do not take oral medications within one hour of starting CLENPIQ. (2. Morning of 5 hours before procedure + 8 oz 8 oz8 Evening Before Between 5-9 pm + 8oz 8oz 8oz 8 oz 8 oz Prep Assistant Use the prep assistant as a guide for completing your prep. x All people taking CLENPIQ should follow these general instructions starting 1 day before your. (Please refer to “Special Instruction” sheet if you are diabetic). Tell your healthcare provider right away if you have severe stomach-area (abdomen) pain or. Administer tetracycline and fluoroquinolone antibiotics, iron, digoxin, chlorpromazine and penicillamine, at least 2 hours before and not less than 6 hours after administration of CLENPIQ to avoid chelation with magnesium. x There are 2 different methods for taking CLENPIQ. You will be asked to take the colon prep in two doses: the first dose, 3-6 pm the night before your procedure;. This change in stool color is not a cause for concern unless you have stopped taking the bismuth subsalicylate and the changes in the stool color persist. 8 oz. Day-before dosing: Take the first dose in the afternoon or early evening. Your bowel pr eparation star ts 3 days prior to pr ocedur e with diet r estrictions as outlined below. What do these people use for brains? How long does it take a bowel prep to kick in? It depends on the formula you're taking. My first movement was 75 minutes later, for reference, so you have a bit of mobility I'd say for the first hour. , I ate my blue muffins with an oat milk latte and got to work. This means you need at least 3 liters of fluid (bowel cleansing agent and clear liquid diet) to be clear. I took the first bottle with within 20 minutes was experiencing cold sweats, nausea and diarrhea. On the day before taking Clenpiq I made sure that I started to be well hydrated drinking lemonade chicken broth beef broth or any other liquid preparing my body for the 5 pm prep to start and then took a small dose of Clenpiq followed by 8 oz glass of liquid and continued until finished the 1 st bottle every half hr. 48 years experienceDo not drink PEG-3350 with Electolytes if it has been less than 1 hour since you last ate solid food. 9 L) of water per day. Sodium sulfate, potassium sulfate, and magnesium sulfate combination is used to cleanse the colon (bowel) before a colonoscopy. Clenpiq can make it harder for your body to absorb other medicines you take by mouth within 1 hour before your colon prep. Two days of a preceding low fiber diet and continually hydrating on the prep day resulted in BMs 2. You. In the day before regimen, the entire bowel cleansing agent is used the evening before the colonoscopy. HOW DO I KNOW IF MY PREP IS ADEQUATE? The stool should be watery in consistency. 9. g. loss of bowel control. Main Menu. It causes your gut muscles to contract more to help push stool out. Drank the recommended water after. 5-12 MG-GM-GM/160ML Solution. Dulcolax/Miralax + Gatorade: What I was told this time was to take 3 Dulcolax tablets at 3PM, mix 8. 1) •Do not take oral medications within 1 hour of start of each dose. You may drink this right from the bottle making sure you consume ALL the liquid. m. Drink the first bottle of Clenpiq. Garland Yarborough: See below: Usuall within 24 to36 hrs. The average retail price of Clenpiq is $228. Take only the medications you were told to take the morning of your colonoscopy. 2) •If taking tetracycline or fluoroquinolone antibiotics, iron, digoxin, chlorpromazine, or penicillamine, take these medications at least 2 hoursCan you take both doses of Clenpiq in the same day? (It is preferred that you take the 2nd dose the morning of the procedure, but if you have a very early arrival time, you can take both doses of Clenpiq the day before: 1st dose should be taken at 4:00 p. (2. If taking tetracycline or fluoroquinolone antibiotics, iron, digoxin, chlorpromazine, or penicillamine, take these medications at least 2 hours before and not less than 6 hours after administration of CLENPIQ. If you have severe bloating, distension, or stomach pain after you take the first dose, you may need to wait until your symptoms improve before you take the second dose. Created for people with ongoing healthcare needs but benefits everyone. The effects of Clenpiq can usually be observed within 30 minutes to an hour after ingestion. CO. CLENPIQ can reduce the absorption of co-administered drugs. However, there is no such thing as “normal,” and healthy people can poop much more or less frequently than the average. Again,. Vitamins containing iron are permissible. Do not refrigerate or freeze CLENPIQ. The instructions on the Clenpiq box are different – you must FOLLOW OURS as detailed below! • At 6:00 p. Some dosage forms listed on this. 3. It may begin a week before with dietary changes. But there’s nothing wrong with having bowel movements at other times of the day. Multiple studies show that to have an clean prep, you need 3. We do suggest foods such as soups, chicken and salmon. If taking tetracycline or fluoroquinolone antibiotics, iron, digoxin, chlorpromazine, or penicillamine, take these medications at least 2 hours before and not less than 6 hours after administration of CLENPIQ. Mix all of the PEG 3350 with lukewarm water and refrigerate. If you are severely constipated and your bowel movements aren’t progressing, contact your healthcare provider. , 5:00 to 9:00 PM). Learn about Clenpiq What it is used. It starts working a couple of hours after you drink the first bottle and from then on you will evacuate any solids that are in your bowel. For best results, take the medicine 2 to 4 hours after you last ate. For most people, it’s once every 10 years after the age of 45 — depending on your cancer risk. While taking Clenpiq, do not: take any other laxatives. Must of vomited it all out because it did not do it’s intended purpose. Do not refrigerate or freeze CLENPIQ. It really depends on what time this happens. 2. ) and you take the second one several hours after the first. They must remain at the facility the entire time of your procedure. Do not take other laxatives while taking CLENPIQ. Many bowel prep products include several drinks or pills to take - make sure to take them all for a total cleanout and effective scope. Your provider will prescribe 2 prescriptions of CLENPIQ and you will receive 4 bottles. 4. So what if you’re a once-a-day pooper who’s suddenly going three or four times a day? Dr. After your break, try to slowly drink the prep again. The prep is split in two. DZ. It allows the doctor performing the test to find and remove precancerous polyps and early colorectal cancers. Begin drinking PEG 3350 at 6:00 p. How long does it take a bowel prep to kick in? It depends on the formula you're taking. It’s nothing as bad as stomach flu, for instance. Cleansing the colon before a colonoscopy is called bowel preparation, or “prep. After all, that same protocol was given to everyone from seven-foot-one-inch basketball player Shaquille O’Neal to four-foot-nine-inch gymnast Mary Lou Retton. At least one day before the procedure, your doctor will ask you to radically alter and limit what you eat. Drink plenty of fluids. How Long Does Colonoscopy Prep Take to Work? Bowel prep medicine should be taken at least 24 hours before the procedure to ensure that the colon is clean prior to the exam . Like a very sweet juice. Does Clenpiq taste bad? The taste is sweet. 2) • If taking tetracycline or fluoroquinolone antibiotics, iron, digoxin, chlorpromazine, or penicillamine, take these medications at least 2 hours before and not less than 6 hours after administration of CLENPIQ. After consuming remainder of prep, take 125 mg of Simethicone (Gas X). Your healthcare provider may do blood tests after you take CLENPIQ to check your blood for changes. "I had great hopes for this prep based on lots of good reviews. • Take all of your regularly scheduled medications unless directed otherwise by your doctor. Drink the 2nd 160 ml bottle of Clenpiq.