Preps

Procedure Preps

  • Suprep
  • Nulytely Prep
  • Miralax and Gatorade
  • Prepopik Prep
  • Movi prep
  • Pillcam Endoscopy Prep

SUPREP

To ensure a successful exam, please follow all instructions carefully.

You MUST arrange a ride for the day of your exam. If you fail to arrange acceptable transportation, your procedure will need to be rescheduled. If you must cancel or reschedule your appointment, please call our office as soon as possible.

Before your Exam:

Fill prescription for SUPREP at your local pharmacy.

7 days before you Colonoscopy:
  • If you take aspirin or NSAIDS such as Advil, Motrin, Celebrex or Ibuprofen, you may continue to take them as usual unless otherwise instructed by your physician.
  • If you take a blood thinner, such as Plavix(Clopidogrel), Coumadin, (warfarin), Effient (Prasugrel), hold it for 5 days and Pradaxa (dabigatran), Eliquis (Apixaban), Xarelto (rivaroxaban) hold it for 3 days prior to your procedure with approval of your cardiologist.
  • Stop taking iron supplements: ferrous sulfate or polysaccharide iron complex.
3 days before your Colonoscopy:

Stop eating all nuts, seeds and popcorn

1 day before your colonoscopy:

Begin a clear liquid diet. Drink at least 8 glasses of water during the day to avoid dehydration.

At 6 pm, pour one (1) 6 oz. bottle of SUPREP liquid into the mixing container. Add cool drinking water to the 16 oz. line on the container and mix. Drink all the liquid in the container. You must drink two (2) more 16 oz. containers of water over the next one (1) hour. Pour one (1) 6 oz. bottle of SUPREP liquid into the mixing container. Add cool drinking water to the 16 oz. line on the container and mix. Drink all the liquid in the container. You must drink two (2) more 16 oz. containers of water over the next one (1) hour.

Allowed Clear Liquids:
  • Gatorade, Pedialyte, or Powerade
  • Coffee or tea (no milk or non-dairy creamer)
  • Carbonated and non-carbonated soft drinks
  • Kool-Aid or other fruit-flavored drinks
  • Apple juice, white cranberry juice, or white grape juice
  • Jell-O, popsicles
Liquids - NOT allowed:
  • Chicken, beef, or vegetable broth
  • Red or purple items of any kind
  • Alcohol
  • Milk or non-dairy creamer
  • Juice with pulp
  • Hard candy
  • Any liquid you cannot see through
Day of your Colonoscopy:

Nothing to drink after midnight. You may take all of your usual morning medications with 4 oz. of water up to 2 hours prior to your procedure

You are ready for the exam if you followed all instructions and your stool is no longer formed, but clear or yellow liquid.

  1. Stay near a toilet! You will have diarrhea, which can be quite sudden. This is normal.
  2. Continue to drink the prep solution every 15 minutes as directed. Occasionally, this may involve drinking the solution while sitting on the toilet.
  3. Rarely, people may experience nausea or vomiting with the prep. If this occurs, give yourself a 30-90minute break, rinse your mouth or brush your teeth, then continue drinking the prep solution.
  4. It is common to experience abdominal discomfort until the stool has flushed from your colon (this may take 2 to 4 hours, and occasionally significantly longer).
  5. Anal skin irritation or a flare of hemorrhoidal inflammation may occur and can be treated with a variety of over the counter remedies including hydrocortisone creams, baby wipes or Tucks pads. Avoid products containing alcohol. If you have a prescription for hemorrhoid cream, you may use it. Do not use suppositories.

Nulytely Prep

To ensure a successful exam, please follow all instructions carefully.

You MUST arrange a ride for the day of your exam. If you fail to arrange acceptable transportation, your procedure will need to be rescheduled. If you must cancel or reschedule your appointment, please call our office as soon as possible.

Before your Exam:

Fill prescription for NuLytely/GoLytely/Trilyte at your local pharmacy.

7 days before you Colonoscopy:
  • If you take aspirin or NSAIDS such as Advil, Motrin, Celebrex or Ibuprofen, you may continue to take them as usual unless otherwise instructed by your physician.
  • If you take a blood thinner, such as Plavix(Clopidogrel), Coumadin, (warfarin), Effient (Prasugrel), hold it for 5 days and Pradaxa (dabigatran), Eliquis (Apixaban), Xarelto (rivaroxaban) hold it for 3 days prior to your procedure with approval of your cardiologist.
  • Stop taking iron supplements: ferrous sulfate or polysaccharide iron complex.
3 days before your Colonoscopy:

Stop eating all nuts, seeds and popcorn

1 day before your colonoscopy:

Begin a clear liquid diet. Drink at least 8 glasses of water during the day to avoid dehydration.

At 4 pm, drink one 8 oz. glass of NuLytely/GoLytely/Trilyte solution and continue drinking one 8 oz. glass every 15 minutes until the bottle is empty. Do not drink any other liquids while you are drinking the NuLytely/GoLytely/Trilyte solution.

Allowed Clear Liquids:
  • Gatorade, Pedialyte, or Powerade
  • Coffee or tea (no milk or non-dairy creamer)
  • Carbonated and non-carbonated soft drinks
  • Kool-Aid or other fruit-flavored drinks
  • Apple juice, white cranberry juice, or white grape juice
  • Jell-O, popsicles
Liquids - NOT allowed:
  • Chicken, beef, or vegetable broth
  • Red or purple items of any kind
  • Alcohol
  • Milk or non-dairy creamer
  • Juice with pulp
  • Hard candy
  • Any liquid you cannot see through
Day of your Colonoscopy:

Nothing to drink after midnight. You may take all of your usual morning medications with 4 oz. of water up to 2 hours prior to your procedure

You are ready for the exam if you followed all instructions and your stool is no longer formed, but clear or yellow liquid.

  1. Stay near a toilet! You will have diarrhea, which can be quite sudden. This is normal.
  2. Continue to drink the prep solution every 15 minutes as directed. Occasionally, this may involve drinking the solution while sitting on the toilet.
  3. Rarely, people may experience nausea or vomiting with the prep. If this occurs, give yourself a 30-90minute break, rinse your mouth or brush your teeth, then continue drinking the prep solution.
  4. It is common to experience abdominal discomfort until the stool has flushed from your colon (this may take 2 to 4 hours, and occasionally significantly longer).
  5. Anal skin irritation or a flare of hemorrhoidal inflammation may occur and can be treated with a variety of over the counter remedies including hydrocortisone creams, baby wipes or Tucks pads. Avoid products containing alcohol. If you have a prescription for hemorrhoid cream, you may use it. Do not use suppositories.

Miralax and Gatorade

To ensure a successful exam, please follow all instructions carefully.

You MUST arrange a ride for the day of your exam. If you fail to arrange acceptable transportation, your procedure will need to be rescheduled. If you must cancel or reschedule your appointment, please call our office as soon as possible.

Before your Exam:
  • 1 - 8.3 oz. bottle Miralax (238 grams)
  • 64 oz. clear liquid (NOT red). Gatorade, G2, Gatorade Ice, Powerade or Powerade Zero are acceptable.
7 days before you Colonoscopy:
  • If you take aspirin or NSAIDS such as Advil, Motrin, Celebrex or Ibuprofen, you may continue to take them as usual unless otherwise instructed by your physician.
  • If you take a blood thinner, such as Plavix(Clopidogrel), Coumadin, (warfarin), Effient (Prasugrel), hold it for 5 days and Pradaxa (dabigatran), Eliquis (Apixaban), Xarelto (rivaroxaban) hold it for 3 days prior to your procedure with approval of your cardiologist.
  • Stop taking iron supplements: ferrous sulfate or polysaccharide iron complex.
3 days before your Colonoscopy:

Stop eating all nuts, seeds and popcorn

1 day before your colonoscopy:

Begin a clear liquid diet. Drink at least 8 glasses of water during the day to avoid dehydration.

At 4 pm, drink one 8 oz. glass of the Miralax/Gatorade solution and continue drinking one 8 oz. glass every 15 minutes thereafter until the mixture is gone. Set a timer for every 15 minutes to keep pace.

Allowed Clear Liquids:
  • Gatorade, Pedialyte, or Powerade
  • Coffee or tea (no milk or non-dairy creamer)
  • Carbonated and non-carbonated soft drinks
  • Kool-Aid or other fruit-flavored drinks
  • Apple juice, white cranberry juice, or white grape juice
  • Jell-O, popsicles
Liquids - NOT allowed:
  • Chicken, beef, or vegetable broth
  • Red or purple items of any kind
  • Alcohol
  • Milk or non-dairy creamer
  • Juice with pulp
  • Hard candy
  • Any liquid you cannot see through
Day of your Colonoscopy:

Nothing to drink after midnight. You may take all of your usual morning medications with 4 oz. of water up to 2 hours prior to your procedure

You are ready for the exam if you followed all instructions and your stool is no longer formed, but clear or yellow liquid.

  1. Stay near a toilet! You will have diarrhea, which can be quite sudden. This is normal.
  2. Continue to drink the prep solution every 15 minutes as directed. Occasionally, this may involve drinking the solution while sitting on the toilet.
  3. Rarely, people may experience nausea or vomiting with the prep. If this occurs, give yourself a 30-90minute break, rinse your mouth or brush your teeth, then continue drinking the prep solution.
  4. It is common to experience abdominal discomfort until the stool has flushed from your colon (this may take 2 to 4 hours, and occasionally significantly longer).
  5. Anal skin irritation or a flare of hemorrhoidal inflammation may occur and can be treated with a variety of over the counter remedies including hydrocortisone creams, baby wipes or Tucks pads. Avoid products containing alcohol. If you have a prescription for hemorrhoid cream, you may use it. Do not use suppositories.

Prepopik Prep

To ensure a successful exam, please follow all instructions carefully.

You MUST arrange a ride for the day of your exam. If you fail to arrange acceptable transportation, your procedure will need to be rescheduled. If you must cancel or reschedule your appointment, please call our office as soon as possible.

Before your Exam:

Fill prescription for Prepopik at your local pharmacy. Inside the Prepopik box you will find 1 dosing cup and 2 packets of Prepopik Powder.

7 days before you Colonoscopy:
  • If you take aspirin or NSAIDS such as Advil, Motrin, Celebrex or Ibuprofen, you may continue to take them as usual unless otherwise instructed by your physician.
  • If you take a blood thinner, such as Plavix(Clopidogrel), Coumadin, (warfarin), Effient (Prasugrel), hold it for 5 days and Pradaxa (dabigatran), Eliquis (Apixaban), Xarelto (rivaroxaban) hold it for 3 days prior to your procedure with approval of your cardiologist.
  • Stop taking iron supplements: ferrous sulfate or polysaccharide iron complex.
3 days before your Colonoscopy:

Stop eating all nuts, seeds and popcorn

1 day before your colonoscopy:

Begin a clear liquid diet. Drink at least 8 glasses of water during the day to avoid dehydration.

At 4 pm, fill the provided dosing cup with cold water up to the lower line on the cup (5 oz of water). Pour in the contents of one (1) packet and stir for 2-3 minutes. After stirring, drink the entire contents of the dosing cup. At your own pace over the next five (5) hours, drink five (5) 8 oz glasses of clear liquid. After this fill the provided dosing cup with cold water up to the lower line on the cup (5 oz of water). Pour in the contents of one (1) packet and stir for 2-3 minutes. After stirring, drink the entire contents of the dosing cup. At your own pace over the next two (2) hours, drink three (3) 8 oz glasses of clear liquid.

Allowed Clear Liquids:
  • Gatorade, Pedialyte, or Powerade
  • Coffee or tea (no milk or non-dairy creamer)
  • Carbonated and non-carbonated soft drinks
  • Kool-Aid or other fruit-flavored drinks
  • Apple juice, white cranberry juice, or white grape juice
  • Jell-O, popsicles
Liquids - NOT allowed:
  • Chicken, beef, or vegetable broth
  • Red or purple items of any kind
  • Alcohol
  • Milk or non-dairy creamer
  • Juice with pulp
  • Hard candy
  • Any liquid you cannot see through
Day of your Colonoscopy:

Nothing to drink after midnight. You may take all of your usual morning medications with 4 oz. of water up to 2 hours prior to your procedure

You are ready for the exam if you followed all instructions and your stool is no longer formed, but clear or yellow liquid.

  1. Stay near a toilet! You will have diarrhea, which can be quite sudden. This is normal.
  2. Continue to drink the prep solution every 15 minutes as directed. Occasionally, this may involve drinking the solution while sitting on the toilet.
  3. Rarely, people may experience nausea or vomiting with the prep. If this occurs, give yourself a 30-90minute break, rinse your mouth or brush your teeth, then continue drinking the prep solution.
  4. It is common to experience abdominal discomfort until the stool has flushed from your colon (this may take 2 to 4 hours, and occasionally significantly longer).
  5. Anal skin irritation or a flare of hemorrhoidal inflammation may occur and can be treated with a variety of over the counter remedies including hydrocortisone creams, baby wipes or Tucks pads. Avoid products containing alcohol. If you have a prescription for hemorrhoid cream, you may use it. Do not use suppositories.

Moviprep

To ensure a successful exam, please follow all instructions carefully.

You MUST arrange a ride for the day of your exam. If you fail to arrange acceptable transportation, your procedure will need to be rescheduled. If you must cancel or reschedule your appointment, please call our office as soon as possible.

Before your Exam:

Fill prescription for MoviPrep at your local pharmacy.

7 days before you Colonoscopy:
  • If you take aspirin or NSAIDS such as Advil, Motrin, Celebrex or Ibuprofen, you may continue to take them as usual unless otherwise instructed by your physician.
  • If you take a blood thinner, such as Plavix(Clopidogrel), Coumadin, (warfarin), Effient (Prasugrel), hold it for 5 days and Pradaxa (dabigatran), Eliquis (Apixaban), Xarelto (rivaroxaban) hold it for 3 days prior to your procedure with approval of your cardiologist.
  • Stop taking iron supplements: ferrous sulfate or polysaccharide iron complex.
3 days before your Colonoscopy:

Stop eating all nuts, seeds and popcorn

1 day before your colonoscopy:

Mix first dose of MoviPrep by emptying one Pouch A and one Pouch B into the container. Add lukewarm drinking water to the top line of the container and mix to dissolve. If preferred, mix solution ahead of time and refrigerate prior to drinking. The mixed solution must be used within 24 hours.

At 4 pm, begin drinking the prep. The MoviPrep container is divided by 4 marks. Every 15 minutes drink the solution down to the next mark (approximately 8 oz.), until the full liter has been consumed. Repeat the steps for the second dose. Over the course of the evening, drink an additional 32 oz of clear liquids.

Allowed Clear Liquids:
  • Gatorade, Pedialyte, or Powerade
  • Coffee or tea (no milk or non-dairy creamer)
  • Carbonated and non-carbonated soft drinks
  • Kool-Aid or other fruit-flavored drinks
  • Apple juice, white cranberry juice, or white grape juice
  • Jell-O, popsicles
Liquids - NOT allowed:
  • Chicken, beef, or vegetable broth
  • Red or purple items of any kind
  • Alcohol
  • Milk or non-dairy creamer
  • Juice with pulp
  • Hard candy
  • Any liquid you cannot see through
Day of your Colonoscopy:

Nothing to drink after midnight. You may take all of your usual morning medications with 4 oz. of water up to 2 hours prior to your procedure

You are ready for the exam if you followed all instructions and your stool is no longer formed, but clear or yellow liquid.

  1. Stay near a toilet! You will have diarrhea, which can be quite sudden. This is normal.
  2. Continue to drink the prep solution every 15 minutes as directed. Occasionally, this may involve drinking the solution while sitting on the toilet.
  3. Rarely, people may experience nausea or vomiting with the prep. If this occurs, give yourself a 30-90minute break, rinse your mouth or brush your teeth, then continue drinking the prep solution.
  4. It is common to experience abdominal discomfort until the stool has flushed from your colon (this may take 2 to 4 hours, and occasionally significantly longer).
  5. Anal skin irritation or a flare of hemorrhoidal inflammation may occur and can be treated with a variety of over the counter remedies including hydrocortisone creams, baby wipes or Tucks pads. Avoid products containing alcohol. If you have a prescription for hemorrhoid cream, you may use it. Do not use suppositories.

PillCam ® SB Capsule Endoscopy Instructions

Preparing for your Procedure:
  • Stop taking iron supplements and multivitamins five (5) days before.
  • You will be at the office for an estimated 15 minutes in the morning and afternoon. You will not need a driver.
The day before your Procedure:
  • Begin a clear liquid diet (see below) at 12:00 P.M. (noon).
  • Do not eat or drink anything after 8:00 P.M.
The day of your Procedure:
  • Do not take any medications two (2) hours prior to your procedure.
  • Wear a shirt from natural fibers such as cotton. The PillCam sensor belt will be applied to your abdomen over your shirt.
  • You will wear the belt for eight (8) hours and will need to return to office to have a light lunch four (4) hours after swallowing the capsule.

Clear Liquid Diet (any or all)

  • Broth (fat free)
  • Bouillon (fat free)
  • Tea (no milk)
  • Carbonated beverages
  • Coffee (no milk)
  • Jell-O
  • Gatorade
  • Fruit Juices (strained)
  • Popsicles
  • Avoid red and orange coloring during the clear liquid diet.
  • Avoid cream soups or any liquid with pulp.
  • Avoid any kind of ice cream or sherbet.

It is important to arrive on time for test to be completed.