SUPREP Colonoscopy Preparation Instructions

• Your prescription has been sent to your pharmacy. It is very important that you use these instructions and NOT those provided by the pharmacy. Please read and understand all of these bowel prep instructions.
• If you take blood thinners such as Coumadin, Plavix, Pradaxa, Effient, and Brilinta; we prefer these are not taken prior to the procedure. Please call your prescribing provider to determine if it is safe to not take these medications and, if so, for how many days prior to your procedure.
• Do NOT eat seeds, nuts, corn, or quinoa on the days leading up to your procedure.
• Do NOT take fiber supplements.
• Do NOT take iron tablets or vitamins with iron.
• Speak to your primary care provider or endocrinologist regarding any diabetes medications that you may be on prior to your procedure.

• NO solid foods. You will be on a clear liquid diet all day.
• NO red or purple liquids.
• You can drink Gatorade, soft drinks, fruit juices without pulp, Kool-Aid and water.
• You can drink tea or coffee with sugar, but no cream or milk can be added.
• You can eat Jell-O, popsicles, clear soups (such as bouillon or broth) and Italian Ice.
• Pour one (1) 6-ounce bottle of SUPREP liquid into the mixing container.
• Add cool drinking water to the 16-ounce fill line on the container and mix.
• Drink all the liquid in the container at 6:00 p.m.
• Important: Drink two (2) more 16-ounce containers of water over the next 60 minutes.

• Pour the other 6-ounce bottle of SUPREP liquid into the mixing container.
• Add cool drinking water to the 16-ounce fill line on the container and mix.
• Drink all the liquid in the container at _________.
• To complete prep drink two (2) more 16-ounce containers of water over the next 60 minutes.
• Complete all clear liquids by _________.
• Do not drink anything after the prep is complete except for medications you are required to take (i.e. blood pressure/heart/breathing medications) with small sips of water.
• Bring someone with you who can remain during the procedure to drive for you, as you will be medicated and unable to drive for 12 hours. Your procedure will be canceled if you do not have a driver that can remain at the endoscopy center for the duration of your procedure.

IMPORTANT: Do not drink anything four (4) hours prior to your procedure. Ingesting any liquids within four (4) hours of your procedure may require that your procedure be delayed or canceled. If you have any questions, please call (804) 285-8206.