Colonoscopy Preparation Instructions: SUPREP

A week before

  • As you will be receiving sedation for this procedure you must have an escort over the age of 18 to drive you home or accompany you in an Uber, taxi and/or public transportation. Walking or riding a bike is not an acceptable means of transportation regardless of escort. Unescorted transportation is not permitted.
  • Plan to take it easy on your procedure day. You will not be able to work, drive, operate equipment, or sign any important papers until the following day. Do not drink alcohol or take sedatives on your procedure day.
  • Stop eating nuts, popcorn, corn, seeds, and small grains (such as quinoa) 1 week prior to your procedure to help clear your colon.
  • Avoid taking fish oil supplements the week prior to your procedure.
  • Throughout this prep you should continue taking all your normally prescribed medications unless you have been otherwise instructed.
  • Check with your insurance company for authorization or deductible. Call us and speak to our Billing Department with any insurance or billing concerns.
  • Pick up your prep at the pharmacy if you have not already done so.
  • You may find it useful to visit our website, www.nwgastro.com, to view educational videos, helpful hints, and frequently asked questions. Please also check our website for our latest COVID guidelines.

Starting 3 days before

  • Canceling your procedure after today may result in being charged a fee of $100.00. Short cancellation notice does not allow us to use this time slot for other patients who have been waiting.
  • Continue to take a daily aspirin if you normally take one.
  • Stay well hydrated. Drink up to 8 glasses of fluids throughout the day in addition to eating your regular diet.
  • Avoid eating obviously greasy, oily or fried foods, and continue to avoid nuts, popcorn, corn, seeds and small grains (such as quinoa).

The day before

  • Follow the Allowed Foods instructions in your packet. Stop eating solid food at 3:00 PM. Continue to stay well hydrated by drinking up to 8 glasses of clear liquid throughout the day in addition to drinking your preparation.
  • Please follow our instructions below and not the instructions provided with the preparation packaging.
  • Plan to start drinking the preparation at ___________. Pour one 6-ounce bottle of SUPREP liquid into mixing container provided in the SUPREP kit. Add cold water to the 16-ounce line on the container and mix with a spoon. Drink all the liquid in the container. You MUST drink two more 16-ounce containers of water over the next hour. Use the empty container to do this.
  • Drinking the prep will cause diarrhea typically within 1-3 hours, though results may vary. Plan to stay close to a bathroom for the rest of the evening.
  • Continue to drink additional clear liquids* after drinking the first half of your prep, (preferably an electrolyte drink) to maintain adequate hydration.
  • If you become nauseated or vomit while drinking the prep, take a break and resume drinking prep when symptoms subside. Some people do better if drinking through a straw. Adjust temperature with ice, do not put the drink in the refrigerator.
  • If you experience any unusual side effects, call us at 360-734-1420.

*Clear liquids include – Water, fat-free broth, Jello, coconut water, clear fruit juices, non-cola soft drinks, coffee or tea (no milk/creamer), popsicles, clear hard candies, electrolyte drinks such as Gatorade/Powerade. Liquids that are red, purple or bright blue or have pulp are not allowed.

Your procedure day

  • Prepare and drink the 2nd dose of SUPREP the same way as yesterday. We recommend that you start to drink at _________. Drink all the liquid in the container and then follow it with TWO 16-ounce containers of water. You can drink additional clear liquids* until the time below.
  • Take your regular medications before the time listed directed below unless instructed otherwise. Bring your inhaler if you have one.