Colonoscopy: SUPREP Preparation
- If you are a diabetic, hold your oral diabetic medication the morning of the procedure. Check your blood sugar the morning of the procedure. If you use insulin or an insulin pump, check with your primary care doctor for instructions during your prep and the day of your procedure. Please bring your insulin with you the day of your procedure. Drink clear fruit juice if your blood sugar gets low.
- If you are on a medication to thin your blood (an anticoagulant or antiplatelet), do not stop your blood thinning medications until you hear from our office. We will contact your physician who prescribes this medication for instructions and notify you. If you have not heard from us a week before your procedure, please call our office at (937) 320-5050 to speak with your physician’s medical assistant.
- If you are on aspirin or NSAIDs, you may continue to these medications.
- If you take iron or vitamins containing iron, hold these medications for five days before procedure.
- If you have asthma, bring your inhaler with you to your procedure.
- If you have sleep apnea and use a CPAP machine, please bring it with you to your procedure.
Seven Days Before Your Procedure
- Avoid eating nuts, seeds, flax seed, iceberg lettuce, corn, popcorn or tomato skins.
- Purchase the prep supplies listed. Your prescription will be electronically sent to your pharmacy or enclosed.
- Review the instructions below for information regarding when to begin and how to take your bowel prep.
SUPREP Items to Purchase
- 1 SUPREP Bowel Prep Kit by prescription. Prescription sent electronically to your pharmacy.
SUPREP is taken as a split dose (2-day) regimen. You take the first 6-ounce bottle of SUPREP the evening before your colonoscopy and the second 6-ounce bottle of SUPREP the morning of your colonoscopy. It is important to drink the additional water as recommended. Both 6-ounce bottles are required for a complete prep. - Items from the clear liquid diet list such as Jell-O, broth and clear juices or drinks
- In some patients, bowel preps may cause urgency of bowel movements, and you may want to pad your undergarments and bedding. Desitin cream may help if the rectal area becomes irritated by frequent stools during your preparation.
Examples of a Clear Liquid Diet
Clear liquids are any liquid that you can see through. Do not consume any red liquids or alcoholic beverages.
CLEAR LIQUIDS INCLUDE:
- Water or Vitamin Water (no red flavors)
- Coffee or tea without creamer
- Jell-O (no red colored jello)
- Sport drinks like Gatorade, G2, Powerade or Propel (no red flavors)
- Popsicles (no red flavors)
- Broth or bouillon
- Ensure Clear Peach Flavor
- Carbonated beverages like Coke, 7UP, or Mountain Dew
- Apple juice or white grape juice
The Day Before the Procedure
Consume only clear liquids in place of solid foods.
At 4 PM: Complete Steps 1 through 4:
- Pour 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.
- IMPORTANT: You must drink 2 more 16-oz containers of water over the next 1 hour
At 8 PM: Repeat Steps 1 through 4:
- Pour 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.
- IMPORTANT: You must drink 2 more 16-oz containers of water over the next 1 hour
After completing the laxative, continue clear liquids until you go to bed.
The Day of the Procedure
- 4 HOURS PRIOR to your procedure, have NOTHING to eat or drink, including no gum, no hard candy and no chewing tobacco OR YOUR PROCEDURE MAY BE CANCELLED.
- Using a small amount of water, take your prescription medications as you usually do unless you have been instructed to “hold” the medication prior to the procedure.
- It is very important that you take your blood pressure or heart medication as usual.
- You may brush your teeth the morning of the procedure
A Few Reminders Before Leaving Home
- You must have a driver (no taxis or buses) to take you home after the procedure.
- Bring a list of your current medications and any allergies to medication.
- Bring your insurance cards and driver’s license/picture ID with you.
- If you are a diabetic, check your blood sugar at home before your procedure.
- If you have an implanted cardiac defibrillator, it is very important that you bring the card identifying the device manufacturer, model, and serial number.
- Wear comfortable clothing and shoes.
- You may wear your dentures, hearing aids, contacts, or glasses; however, you may be asked to remove them for the procedure. Please leave your jewelry at home.