SUPREP AM Prep

Suprep AM Prep

To insure that your colon is adequately prepared for your procedure, it is important that you carefully follow the instructions outlined below.

Please arrive at your designated facility 30 minutes prior to your procedure. Please bring identification, your insurance cards, the medical form from this office and a medication list.  Wear comfortable loose clothing, easy to undress and dress, bring minimal belongings, no valuables.  You can leave pocketbooks and wallets with your driver.   Please no fragrance deodorant or sprays.

Purchase at least one week prior to your procedure:  Suprep Bowel Prep kit from your pharmacist. Discount copay vouchers may be available at http://www.suprepkit.com  Plenty of clear liquids from the list below  (Optional): Aloe baby wipes for comfort and straws to drink the prep solution.

Because of the sedation, you must have someone drive or accompany you home, no exceptions. If you plan to take a taxi, you must have a person ride home with you. You cannot drive, operate machinery, nor should you sign any legal documents the day of your procedure.

If you are on anticoagulants such as Couomadin (Warfarin), Pradaxa(Dabigatran), Eloquis (Apixaban), or Xarelto (Rivaroxaban or are on anti-platelets such as Plavix (Clopidogrel), Ticlid (Ticlopidine, Effient (Prasugrel)or Persantine (Dipyrimadole) contact my office.  You will also need to contact your prescribing physician regarding any adjustment to your medications or additional blood tests prior to your colonoscopy.   Without my office knowing this information your procedure may need to be rescheduled.

If you have a history of constipation; if you regularly take narcotics such as morphine, OxyContin, Fentanyl or Vicodin contact my office as your prep may need to be adjusted.

Diabetics should contact the physician who oversees your diabetes for your  insulin or medication schedule for the day of your colonoscopy prep.

Patients with Commercial, HMO or PPO insurances should check with your insurance company prior to your procedure to assure that you understand your insurance benefits and coverage.  Your colonoscopy is considered to be a screening or routine if have you have no GI symptoms.  If you are experiencing GI symptoms (i.e. abdominal pain, bleeding, diarrhea, constipation, anemia) your colonoscopy is considered to be diagnostic.   If a polyp or tissue is removed during the procedure your colonoscopy may no longer be considered a screening but a surgical procedure.    Information on insurance claims adheres to your medical record.

Two days prior to your colonoscopy increase your liquids and follow a low residue diet Foods:  Soup, fish, chicken, eggs, white rice, bread, crackers, plain yogurt, pasta, potato with no skin, gelatin, broth, bouillon, all liquids  Avoid:  fresh and dried fruit, all vegetables, raisins, dried fruits, nuts and  seeds. Drink: The more liquids the better. Increase your liquid intake to at least 12oz every 2 hours.  Do not drink liquids that are red or purple or have pulp.  Refrigerate your 2 SUPREP 6oz  prep bottles and at least 84 oz of water.

The day before your colonoscopy: Do not consume any food, dairy or dairy products. Throughout the day drink 12oz of a clear liquid every hour. Clear liquids include: coffee or tea without dairy/non-dairy creamers; all carbonated beverages, non- carbonated beverages such as Gatorade or vitamin water, fruit juices without pulp, broths, jello, popsicles and Italian ice. Avoid any clear liquid that is red or purple in color. Some of these should contain sugar, even if you are a diabetic. You may have gum and hard candies. It is best to avoid alcoholic beverages as these are dehydrating liquids.

The evening before your colonoscopy:

4:00-6:00 PM: Pour one (1) 6 oz bottle of the SUPREP liquid into the mixing container.  Add cold drinking water up to the 16-oz line on the container and mix.  Drink all the liquid in the container.  Drinking through a straw can help bypass the flavor of the prep. You must drink (2) more 16 oz containers of water over the next hour.  Continue to drink 12 oz of a clear liquid until bedtime.

ANYTIME you get up during the night to go to the bathroom, have a drink of clear liquid.

6 hours before your colonoscopy: Pour the second 6- oz bottle of the SUPREP liquid into the mixing container.  Add cold drinking water up to the 16-oz line on the container and mix.  Drink all the liquid in the container.   Drinking through a straw can help bypass the flavor of the prepYou must drink (2) more 16 oz containers of water over the next hour.  Continue to drink a clear liquid up until four hours before your colonoscopy ad then nothing to drink the four hours before the exam.

Please plan three hours from the drop off to discharge though this estimate may vary from patient to patient.  Every attempt is made to adhere to the schedule though there are occasions when unavoidably the schedule may run behind. Your patience and understanding are appreciated.

***Your colonoscopy brings together an endoscopy team that provides you the best possible care available.  If you are not able to keep your procedure appointment we request at least a 72 hour notice.   Less than 72 hours may result in a $50 cancellation fee.***