Suprep Colonoscopy Preparation | Advanced Digestive Care

This describes the colonoscopy preparation using Suprep. Please read carefully around 1-2 weeks before your scheduled day.

If you have congestive hear failure, renal disease, kidney problems or suspicion of colitis/crohn’s disease this preparation might not be the best option for you.
SUPREP Bowel Prep Kit 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, or as otherwise directed by your physician. It is important to drink the additional water as recommended, as the solution is concentrated and might result in fluid and electrolyte imbalance if you did not drink extra water.

Check with your pharmacy to make sure your medication is available.
It is a good idea to discuss with your primary care physician important aspects of your medical plan including:
- If you are taking blood thinners talk about whether you are able to stop them around the time of the procedure, and whether you need to be on other medications during that time.
- Talk about any medical condition that you may have that can change our plan the day of the procedure, including implanted devices such as heart devices, insulin pumps for diabetes or any other concern.
- Make sure that any new symptoms are evaluated, especially before non urgent procedures.

Start a low residue diet, if you need further information please refer to our patient resource section.
Stop iron, including multivitamin pills that contain iron.
Make sure all your plans are ready for the endoscopy day, including arranging a ride home with a friend or family member.
Have plenty of clear liquids available at home

All the meals including breakfast will have to be from clear liquid diet. Please refer to clear liquid diet in patient resources for further information.

Start drinking the first half of the preparation at 5 pm the afternoon before the procedure following the steps below:
- Pour one 6-ounce bottle of SUPREP liquid into the mixing container.
- Add cool drinking water to the 16-ounce line on the container and mix.
- Drink all the 16-ounce solution.
- You must drink two (2) more 16-ounce containers of water over the next 1 hour.
You will have many bowel movements so be prepared. Soft and moisturized wipes can be helpful.

Start drinking the second half of the prep using the second 6-ounce bottle.
- Pour one 6-ounce bottle of SUPREP liquid into the mixing container.
- Add cool drinking water to the 16-ounce line on the container and mix.
- Drink all the 16-ounce solution.
- You must drink two (2) more 16-ounce containers of water over the next 1 hour.
You may continue to drink clear liquids for up to 3-4 hours before coming to the planned location.
Arrive at the time recommended by the endoscopy center. You have to be with an adult who will accompany you home.
Bring all your medical equipment that you need with you to the procedure, especially your CPAP machine if you have sleep apnea.
Vomiting can happen especially if you are drinking the preparation too fast, if you had an episode of vomiting stop drinking the preparation and attempt to resume in 30 minutes to an hour. If symptoms persist seek immediate medical attention.
Sometimes bowel movements can be delayed, if you did not have adequate bowel movements immediately, without abdominal pain or any other symptoms you can continue with the preparation. However, if you started having abdominal pain, significant bloating nausea and vomiting seek immediate medical attention.

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