Getting Ready for your Colonoscopy (SUPREP)
IMPORTANT: PLEASE READ AT LEAST 1 WEEK BEFORE YOUR PROCEDURE
1 Week Before Procedure
Arrange for a driver (Required for
Notify us of any major health changes,
illnesses, or recent hospitalizations. Call
(608) 890-5179 for procedures at DHC. For
procedures at UW Hospital GI Procedure
clinic call (608) 263-8094. For procedures
at Meriter/Unity Point call (608) 417-6389.
You will need to stop or adjust blood
thinning and diabetes medicines before your
colonoscopy. You must call the doctor who
prescribes the medicine to discuss this.
ξ Blood Thinning medicines – Call us if
you are unable to follow our guidelines,
as we may not be able to complete your
ξ No prasugrel (Effient®) for 7 days
ξ No warfarin (Coumadin®) for 5
ξ No clopidogrel (Plavix®) for 5 days
ξ No dabigatran (Pradaxa®) for 2 days
ξ No rivaroxaban (Xarelto®) for 2
ξ No apixaban (Eliquis®) for 2 days
ξ No enoxaparin (Lovenox®) for 12
ξ Diabetes medicines –Your medicine
and your blood sugar testing will need
to be changed during your prep time.
ξ Iron & Multivitamins with iron -
stop taking 5 days before your
procedure. (You do not need to contact
your doctor first.)
In Case You Are Constipated
If you are constipated often or have not
had a clean colon for a past procedure, and
you may need extra prep. Please call to
discuss this in more detail.
3 Days Before Procedure
Low Fiber Diet
Stop these foods and medicines:
ξ Corn, popcorn, seeds or nuts.
ξ Uncooked vegetables, beans and lentils,
ξ Fruits with skins or seeds.
ξ Whole grain breads, granola or high
ξ Fiber supplements (like Metamucil®,
Citrucel®, or Benefiber®).
ξ Anti-diarrhea medicines (like
Kaopectate®, Lomotil®, Pepto-Bismol®
and Imodium® or loperamide).
See website for tips of what you can eat
Pick up Bowel Prep
Call your pharmacy to let them know you
will be picking up your bowel prep.
Please pick it up 3 days before your
DO NOT MIX until the day before the
1 Day Before Procedure
Clear Liquid Diet
ξ If your arrival time is before 11am, stop
eating solid food and begin clear liquid
diet at 10am.
ξ If your arrival time is after 11:30am,
stop eating solid food and begin clear
liquid diet at 2pm.
Clear liquid diet rules:
ξ No creamers, milks or other dairy
ξ No solid food.
ξ Drink at least 8 glasses of clear
liquids all day to prevent
ξ No red or purple liquids.
Clear Liquids include these “see-through”
ξ Water, clear sports drinks like
ξ Black coffee, tea, soda
ξ Apple juice
Take your daily medicines today, EXCEPT
those you were told to stop. Take your
medicines at least one hour before or one
hour after drinking your prep.
How to Mix and Drink the Bowel Prep
Follow the directions below for drinking
prep, not the directions on the container.
For Each Dose:
1. Pour one 6-ounce bottle of SUPREP
liquid into the mixing container.
2. Add cool drinking water to the 16-ounce
line on the container and mix well. Drink
ALL the mixed liquid in the container.
3. Drink two (2) more 16- ounce containers
of water over the next 1 hour.
When to Take the First Dose
ξ If your arrival time is before 11am,
drink Dose #1 starting between 4pm
ξ If your arrival time is after
11:30am, drink Dose #1 starting
between 6pm and 8pm.
Bloating and/or nausea may occur. You will
have loose, then liquid, stools. This is
If you have a great deal of nausea or
vomiting, slow down or stop for 30 minutes.
Then start again.
If your bowels do not begin to empty after
several hours, or you have severe cramping,
dizziness, or lightheadedness, call us at
ξ Stay on Clear Liquids
ξ No Food.
When to Take the Second Dose
ξ Mix 16 ounces of cool water as directed
above and begin drinking 5-6 hours
before your arrival time.
ξ Drink two (2) more 16- ounce containers
of water over the next 1 hour.
ξ Stop drinking everything, including
water*, 4 hours before arrival “at the
DHC/Digestive Health Center.
*Exception: You may have no more than
½ cup (4 ounces) water with medicines
at least 1 hour before your arrival.
As you finish the prep, your stools should be
watery clear or yellow, with no solids
(flecks of stool are OK). If you are still
passing solid or brown stools, call us at
What to Bring
ξ CPAP or BiPAP and any inhalers that
ξ Eyeglass or contact lens case, denture
ξ Ostomy supplies
ξ Wear comfortable clothing.
ξ Do not bring valuables, money, or
Tips for a Successful Colon Prep
ξ Plan on each dose taking several hours.
ξ Stay near a bathroom. Stock up on soft toilet paper and reading materials.
ξ If you don’t like the taste of the prep, you may add yellow lemonade Crystal Light to the
mixture. We recommend mixing it into 1 glass at a time.
ξ Drinking the prep through a straw may help minimize the taste for you.
ξ Between glasses, you can chew gum or suck on slices of lime or lemon or hard candies.
Avoid red or purple candy.
ξ After you mix the prep, we suggest you put it in the refrigerator. Take it out of the
refrigerator at least 2 hours before you start drinking it, so you won’t feel too cold.
ξ If you get chilled, try putting a blanket in the dryer to warm it up before using.
What to Expect
ξ Your appointment at UW Digestive Health Center will last approximately 2 -3 hours, from
the time you check in until the time you can leave.
ξ It is up to you if your driver stays in our waiting room or in your private prep and recovery
room where private medical information will be discussed.
ξ Before the procedure, the doctor will talk with you, answer questions, and ask you to sign a
ξ An IV will be placed by a Nurse.
ξ Medicines will be given during your procedure to help you relax and keep you comfortable.
ξ After your procedure, your doctor will talk with you about the results and give you a report.
We strongly suggest that you have your driver wait in your private room to hear the results
with you. It is your choice to have your driver with you when the doctor talks to you.
ξ You will feel sleepy when you leave.
ξ Plan to spend the day resting at home. You cannot drive or return to work due to the sedation
medicines. Most patients are able to return to their normal activities the day after their
ξ If biopsies are taken or polyps removed, you can expect to get lab results 1-2 weeks after
your procedure, either by phone or by mail
ξ It may take up to a week for your bowel habits to return to your normal.
See website for additional information including prep video, diet tips, and prep worksheet
Your health care team may have given you this information as part of your care. If so, please use it and call if you
have any questions. If this information was not given to you as part of your care, please check with your doctor. This
is not medical advice. This is not to be used for diagnosis or treatment of any medical condition. Because each
person’s health needs are different, you should talk with your doctor or others on your health care team when using
this information. If you have an emergency, please call 911. Copyright © 12/2016 University of Wisconsin Hospitals
and Clinics Authority. All rights reserved. Produced by the Department of Nursing HF#7661.