Colonoscopy Prep Using Suprep

procedures scheduled before noon

one week before the procedure

Stop taking fiber, such as Metamucil; vitamins; iron; nutritional supplements; herbal products; any products that contain olestra (in non-fat potato chips); fish oil (may also be called Lovaza); and Alli. Also, arthritis type medications other than Tylenol or Celebrex should be stopped. If you are on Coumadin, be sure to discuss this with the nurse to determine whether you need lab work prior to the procedure to adjust the dosage of this medication.

Please let us know if you are diabetic or on any blood thinning medication, including Aspirin.

  • Go to the pharmacy and pick-up your prescription for the prep (we have sent it to them electronically.)
  • Go to a laboratory and have your lab work done if requested.

two days before the procedure

Start low residue diet 

Between 4-6pm, drink the 1 bottle of Magnesium Citrate. This will cause bowl to move.

one day before the procedure

start clear liquid diet

Continue clear liquids all day. it is important to drink at least 64oz of clear liquid before you begin prep.

    1. Between 4-6pm, Start prep. complete step a-d exactly as directed:
      1. Pour ONE (1) 6-ounce bottle of SUPREP liquid into the mixing container.
      2. Add cool drinking water to the 16-ounce line on the container and mix.
      3. Drink ALL the liquid in the container.
      4. You MUST drink two (2) more 16-ounce containers ofwater over the next 1 hour.
    2. If at any time during the prep you notice excessive bleeding (3 tablespoons or more), stop the prep and call our office. Returns from the prep should be a yellow or green liquid, unless you have had red Jell-O, then it may be red.
    3. Between 9-10pm, REPEAT STEPS a-d as listed above.
    4. When you finish the Suprep, you should pass clear liquid from your rectum. If your return is not clear, you should take a Fleets enema in the evening and another Fleets enema in the morning at least two hours prior to your scheduled arrival time.
    5. Do not eat or drink anything after midnight, except as noted below.

the morning of the procedure

  1. Six hours prior to your procedure_______________, REPEAT STEPS a-d as listed above.1. Six hours prior to your procedure_______________, REPEAT STEPS a-d as listed above.
  2. When you finish Suprep, you should pass clear liquid from rectum.  If return is not clear, take a Fleets enema at least two hours prior to arrival time.
  3. Continue clear liquid diet until 4 hours prior to arrival time.
  4. **Women** will have to provide a urine sample for pregnancy test at time of admit.
  5. DIALYSIS patients MUST have labs (potassium level) 2 hours prior to procedure, CALL 289-8249 for orders.
  6. Only blood pressure/heart/seizure medications should be taken with sip of water on morning of procedure.
  7. All other medications should NOT be taken the morning of test. Resume medications after you are able to eat.
  8. The endoscopy center opens at 7:00AM if you have questions.  You may brush your teeth.
  9. BRING YOUR CURRENT MEDICATIONS OR LIST WITH YOU ON THE DAY OF YOUR TEST
  10. You will be sedated and need to have someone available to listen to the doctor’s advice upon discharge and drive you home after the test.  If you do not have a driver, your test will be rescheduled.

prep tips

  • Continue to drink clear liquids during the prep to aid in being completely clear.ü Continue to drink clear liquids during the prep to aid in being completely clear.
  • Walking around helps the prep go down.
  • You may reduce rectal soreness from the prep by cleansing with baby wipes after bowel movements and then applying zinc oxide to the skin in the rectal area.
  • The prep may seem difficult but it allows the physician to see the lining of your colon clearly.
  • Using a straw to drink the prep may help with the taste and getting the prep down.
  • A good prep may lengthen the time needed before your next colonoscopy!

***IF YOU HAVE ANY QUESTIONS PLEASE CALL OUR OFFICE AND ASK FOR A NURSE***

procedures scheduled at noon or later

one week before the procedure

Stop taking fiber, such as Metamucil; vitamins; iron; nutritional supplements; herbal products; any products that contain olestra (in non-fat potato chips); fish oil (may also be called Lovaza); and Alli. Also, arthritis type medications other than Tylenol or Celebrex should be stopped. If you are on Coumadin, be sure to discuss this with the nurse to determine whether you need lab work prior to the procedure to adjust the dosage of this medication.

Please let us know if you are diabetic or on any blood thinning medication, including Aspirin.

  • Go to the pharmacy and pick-up your prescription for the prep (we have sent it to them electronically.)
  • Go to a laboratory and have your lab work done if requested.

two days before the procedure

Start low residue diet

one day before the procedure

Start clear liquid diet

    1. Between 4-6pm, Start prep. complete step a-d exactly as directed:
      1. Pour ONE (1) 6-ounce bottle of SUPREP liquid into the mixing container.
      2. Add cool drinking water to the 16-ounce line on the container and mix.
      3. Drink ALL the liquid in the container.
      4. You MUST drink two (2) more 16-ounce containers ofwater over the next 1 hour.
    2. If at any time during the prep you notice excessive bleeding (3 tablespoons or more), stop the prep and call our office. Returns from the prep should be a yellow or green liquid, unless you have had red Jell-O, then it may be red.
    3. Do not eat or drink anything after midnight, except as noted below.

the morning of the procedure

  1. Six hours prior to your procedure, REPEAT STEPS a-d as listed above.
  2. When you finish the Suprep, you should pass clear liquid from your rectum. If your return is not clear, you should take a Fleets enema at least two hours prior to your scheduled arrival time.
  3. The endoscopy center may be contacted starting at 7:00AM if you have any questions. You may brush your teeth.
  4. You may continue your clear liquid diet until 4 hours prior to your arrival time. You will be sedated and you will have to have someone available to listen to the doctor’s advice upon discharge and drive you home after the test. If you do not have a driver, your test will be rescheduled to a day when one is available.
    • You can expect to be here for 2 to 3 hours.
  5. Blood pressure/heart medications should be taken with a small amount of water on the morning of your procedure.
  6. Insulin or oral diabetic medications should not be taken on the morning of your test. You may resume taking your medications after you are able to eat.
  7. BRING YOUR CURRENT MEDICATIONS OR LIST WITH YOU ON THE DAY OF YOUR TEST

prep tips

  • Walking around helps the prep go down.
  • You may reduce rectal soreness from the prep by cleansing with baby wipes after bowel movements and then applying zinc oxide to the skin in the rectal area.
  • The prep may seem difficult but it allows the physician to see the lining of your colon clearly.
  • Using a straw to drink the prep may help with the taste and getting the prep down.
  • A good prep may lengthen the time needed before your next colonoscopy!

***IF YOU HAVE ANY QUESTIONS PLEASE CALL OUR OFFICE AND ASK FOR A NURSE***