SUPREP PM Prep

SUPREP PM for a colonoscopy scheduled for 12 noon and later. 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, completed medical forms 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  prior to your procedure:  SUPREP Bowel Prep kit from your pharmacist. Protein breakfast ingredients see below. Plenty of clear liquids from the list below.  No red liquids. 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, should not operate machinery, nor should you sign any legal documents the day of your procedure. ***

If you take a blood thinner such as Coumadin, Plavix, Warfarin, Eliquis, Zarelto, Pradaxa, Clopidogrel, Arixtra, Dabigtran, Apixaban, Rivaroxban, or Ticagrelor contact my office.  You will also need to contact your prescribing physician regarding any 7 day adjustment to your medications or additional blood tests prior to your colonoscopy.  Let my office know any adjustments made to these medications. Without this office having this information your procedure will be canceled.

If you have a history of constipation; if you regularly take narcotics such as morphine, OxyContin, Fentanyl or Vicodin contact my office. 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.

If your insurance requires a PCP referral make sure my office has your referral on file.  Without this referral you may be financially responsible for your procedure.

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, seeds, any other meat besides what is listed above. Drink: The more liquids the better. Increase your liquid intake to at least 12oz every 2 hours. Avoid: Do not drink liquids that are red or purple or have pulp.

The day before your colonoscopy: 8:00 AM: You may only have a small protein breakfast consisting of an egg, small piece of skinless chicken, turkey or fish and a piece of white bread. Have nothing to eat after this light breakfast. No milk or milk products are allowed.

After breakfast drink 120z 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 two (2) more 16-oz containers of water over the next 1 hour.  Continue to drink or sip 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 cool 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 two (2) more 16-oz containers of water over the next 1 hour.  Continue to drink a clear liquid up until four hours before your colonoscopy and then nothing to drink until after your procedure.

Please plan three hours from 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.***