Bowel Prep Instructions

SUPREP BOWEL PREP

FOR COLONOSCOPY

There are other bowel preps available and your doctor will recommend which one is best for you given your health conditions and medications.

The day before your procedure you may have a light breakfast (i.e., a piece of toast and an egg) by 10:30am then drink only CLEAR LIQUIDS for lunch and dinner.  No solid foods.  It is important that you drink as much clear liquid as you can throughout the day to avoid dehydration due to the multiple bowel movements.

Clear Liquid Diet:

 Coffee, tea, hard candy, water, carbonated beverages, apple juice, white grape juice or white cranberry juice, Gatorade, soft drinks, Jell-O (no fruit added), icy popsicles and clear broth. Do not drink alcohol, dairy products (including non-dairy creamer) or any liquid with red or purple food coloring.

  • The SUPREP box contains 2 brown bottles and a disposable 16oz cup for mixing. Store it in the refrigerator to keep cold before consuming. You must complete the entire prep to ensure the most effective cleansing. 
  • Prepare the SUPREP solution: Empty ONE BOTTLE into the disposable container.  Add cold water to the top line of the container and stir.  You may add lemonade flavored Crystal Light powder into the cup to alter/enhance the taste, if desired.
  • At 5 pm: Begin drinking the solution. You should finish the solution within 30 minutes.  Now you must refill the cup 2 times with the clear liquid of your choice (apple juice, Gatorade, etc.) and drink them within 1 hour.

THE MORNING OF YOUR PROCEDURE

  • 4 HOURS BEFORE THE START OF YOUR PROCEDURE _______AM prepare the second dose of the SUPREP solution. Empty the REMAINING BOTTLE into the disposable container.  Add cold water to the top line of the container and stir.  You may add lemonade flavored Crystal Light powder into the cup to alter/enhance the taste, if desired.   Now you must refill the cup 2x with the clear liquid of your choice (apple juice, Gatorade, etc.) you should finish all 3 cups (1 cup of medicine and 2 of clear liquids) within an hour.

It usually takes about an hour to notice the diarrhea affect.  You may notice some bloating or cramping at the beginning of the prep, but this usually gradually improves once the diarrhea begins.  Occasionally some may develop nausea with vomiting.  The best remedy for this is to take a break from the SUPREP solution for about a half hour to allow it to move downstream and then to resume drinking at a slower rate.  The diarrhea may continue for about an hour or two after completing the prep.  Many have found that drinking the prep through a straw and chilling the solution improves tolerance. 

Your efforts at cleansing your colon are essential for an accurate procedure. These instructions are designed to maximize the ease, safety, and success of your preparation. Failure to take the prep as indicated may result in a poorly cleansed colon and the cancellation of the procedure.

IMPORTANT:

  • ABSOLUTELY NO FOOD OR LIQUIDS OF ANY TYPE WITHIN 2 HOURS OF YOUR COLONOSCOPY OR IT WILL BE CANCELLED.
  • Arrive at the facility ONE HOUR BEFORE your procedure is scheduled.
  • Make sure that you have your HEALTH INSURANCE CARDS with you and a LIST OF ANY MEDICATIONS which you are taking, including the dosage. Be prepared to answer questions about your medical history.
  • YOU CANNOT DRIVE YOURSELF HOME following the procedure. Please arrange for a responsible adult to drive you home.  You will not be able to take a cab or bus ride home.

Medications (unless otherwise advised by your doctor):

  • STOP 2 weeks prior to your procedure
    • Phenteramine and ALL HERBAL SUPPLEMENTS/TEAS (Black Cohash, Ehineasa, Ephedra, Fererfew, Garlic, Ginkgo Biloba, Ginseg, GBL/BD/GHB, Goldenseal, Hoodia, Kava, Licorice, Saw Palmetto, St John’s Wort Valerian)
  • STOP 10 DAYS prior to your procedure
    • Aspirin or aspirin-containing medicines
    • Plavix
    • Fish Oil and Vitamin E
  • STOP 5 days prior to the procedure
    • Coumandin/Warfarin
  • STOP 2 days prior to the procedure
    • NSAIDS (Motrin, Advil, Ibuprofen, Aleve, Naprosyn, Celebrex)
  • If you take heart or blood pressure medications, please take them the morning of your procedure with a SMALL SIP OF WATER
  • Discuss changes in your Insulin dosage with your Primary Care provider
  • Tylenol is safe to use as a pain reliever
  • Continue all other medications. You may brush your teeth
  • A&D Ointment or Desitan along with Cottonelle moist flushable wipes are recommended for anal irritation

Please call the office (EC: 410-730-1712  GB:   GB: 410.760.9996) if you have any questions concerning these instructions

SUPREP
Colonoscopy Bowel Prep

OSMOPREP BOWEL PREP

FOR COLONOSCOPY

The day before your procedure, you may have a light breakfast by 10:30 AM, then drink only CLEAR LIQUIDS for lunch and dinner. No solid foods. See Clear Liquid Diet for description of clear liquids. It is important that you drink as much clear liquid as you can throughout the day to avoid dehydration due to the multiple bowel movements.

  • First regimen – Take this regimen the evening before your procedure starting at 6 PM. You may continue to drink clear fluids throughout the night.
  • Take 4 tablets with at least 8 oz of any clear liquid every 15 minutes.
  • You will take a total of 20 tablets over a 1-hour period.
  • Second regimen – Take this regimen the morning of your procedure. Start 4 hours prior to your procedure. (Example: For an 8 am procedure you would start at 4 a.m. and be done at 4:30 a.m.) After completing this regimen you may NOT consume any food or liquids until after your procedure.
  • Take 4 tablets with only 8 oz of any clear liquid every 15 minutes.
  • You will take a total of 12 tablets over a 30-minute period.
  • PLEASE NOTE
    • It is extremely important to follow the preparation listed above, so that the doctor will be able to have full visualization of your colon. Your colon must be clear of any stool. Inadequate preparation limits the value of this procedure and could necessitate rescheduling of the examination. It usually takes about an hour to begin to notice the diarrhea affect. You may notice some bloating or cramping at the beginning of the prep, but this usually gradually improves once the diarrhea begins. The diarrhea may continue for about an hour or two after completing the prep.

Your efforts at cleansing your colon are essential for an accurate procedure. These instructions are designed to maximize the ease, safety, and success of your preparation. Failure to take the prep asindicated may result in a poorly cleansed colon and the cancellation of the procedure.

Medications (unless otherwise advised by your doctor):

  • STOP 2 weeks prior to your procedure
    • Phenteramine and All Herbal Supplements/Teas (Black Cohash, Echineasa, Ephedra, Fererfew, Garlic, Ginkgo Biloba, Ginseng, GBL/BD/GHB, Goldenseal, Hoodia, Kava, Licorice, Saw Palmetto,
      St. John's Wort, Valerian)
  • STOP 10 days prior to your procedure
    • Aspirin or aspirin-containing medicines
    • Plavix
    • Fish Oil and Vitamin E
  • STOP 5 days prior to the procedure
    • Coumadin/Warfarin
  • STOP 2 days prior to the procedure
    • NSAIDS (Motrin, Advil, Ibuprofen, Aleve, Naprosyn, Celebrex)
  • If you take heart or blood pressure medications, please take them the morning of your procedure with a small sip of water.
  • Discuss changes in your Insulin dosage with your Primary Care provider
  • Tylenol is safe to use as a pain reliever
  • Continue all other medications. You may brush your teeth.
  • A&D Ointment or Desitan along with Cottonelle moist flushable wipes are recommended for anal irritation.

Please call the office (410-730-1712) if you have any questions concerning these instructions.

  • If you take medication, you may have it the morning of the procedure with a small amount of water. This means NO MORE than a few SMALL sips of water. You may brush your teeth.
  • Arrive at the facility ONE HOUR BEFORE your procedure is scheduled.
  • Remember, you will be sedated for this procedure. Please make arrangements for someone to drive you home.
  • Make sure you have your insurance cards with you and a list of any medications that you are taking, including the dosage. Also, be prepared to answer questions about your medical history.

Clear Liquid Diet:

Coffee, tea, hard candy, water, carbonated beverages, apple juice, white grape juice or white cranberry juice, Gatorade, soft drinks, Jello (no fruit added), icy popsicles and clear chicken and beef broth. Do not drink alcohol, dairy products (including non-dairy creamer) or any liquid with red or purple food coloring.

IMPORTANT:

  • Arrive at the facility ONE HOUR BEFORE your procedure is scheduled.
  • Make sure that you have your health insurance cards with you and a list of any medications which you are taking, including the dosage. Be prepared to answerer questions about your medical history.
  • YOU CANNOT DRIVE YOURSELF HOME following the procedure. Please arrange for a responsible adult to drive you home. You will not be able to take a cab or bus ride home.

OSMOPREP
Colonoscopy Bowel Prep

TWO-DAY BOWEL PREP

FOR COLONOSCOPY

MIRALAX 1 capful in an 8 oz. beverage DAILY.

DIET: CLEAR LIQUIDS all day.
2 PM: CITRATE OF MAGNESIUM (10 oz. bottle).

CONTINUE CLEAR LIQUID DIET and follow instructions for OSMOPREP or MOVIPREP as directed.

Please call the office (410.730.1712) if you have any questions concerning these instructions.

TWO-DAY
Colonoscopy Bowel Prep

LOW SODIUM (MAG CITRATE) BOWEL PREP

FOR COLONOSCOPY

Your efforts at cleansing your colon are essential for an accurate procedure. These instructions are designed to maximize the ease, safety, and success of your preparation. Failure to take the prep as indicated may result in a poorly cleansed colon and the cancellation of the procedure.

You will need to purchase:

  • (1) 10 oz bottle of Magnesium Citrate
  • (1)  pkg of 4 Bisacoyl (Ducolax) tablets

DAY BEFORE YOUR COLONOSCOPY:

You may have a light breakfast before 10:30 am, then drink only CLEAR LIQUIDS for lunch and dinner. These include: coffee, tea, hard candy, water, carbonated beverages, apple juice, white grape juice or white cranberry juice, Gatorade, soft drinks, Jell-O (no fruit added), icy popsicles and clear broth. Do not drink alcohol, dairy products (including non-dairy creamer) or any liquid with red or purple food coloring. It is important that you drink as much clear liquid as you can throughout the day to avoid dehydration due to the multiple bowel movements.

  1. Drink an 8 oz glass of Water or Clear Liquid beverage at:
    • 1:00 pm
    • 2:00 pm
    • 3:00 pm
    • 4:00 pm
  2. Drink the 10 oz bottle of Magnesium Citrate at 5:30 pm
  3. Drink an 8 oz glass of Water or Clear Liquid beverage at:
    • 6:00 pm
    • 7:00 pm
  4. At 7:30 pm:  Peel the backing off the packet of Bisacodyl (Ducolax) tablets and remove the 4 enclosed tablets. Take all 4 tablets with one 8 oz  glass of Water or Clear Liquid beverage. This will usually produce a bowel movement in 6-12 hours.
  5. Drink an 8 oz glass of Water or Clear Liquid beverage at:
    • 8:00 pm
    • 9:00 pm

Medications (unless otherwise advised by your doctor):

  • STOP 2 weeks prior to your procedure
    • Phenteramine and All Herbal Supplements/Teas (Black Cohash, Echineasa, Ephedra, Fererfew, Garlic, Ginkgo Biloba, Ginseng, GBL/BD/GHB, Goldenseal, Hoodia, Kava, Licorice, Saw Palmetto, St. John's Wort, Valerian)
  • STOP 10 days prior to your procedure
    • Aspirin or aspirin-containing medicines
    • Plavix
    • Fish Oil and Vitamin E
  • STOP 5 days prior to the procedure
    • Coumadin/Warfarin
  • STOP 2 days prior to the procedure
    • NSAIDS (Motrin, Advil, Ibuprofen, Aleve, Naprosyn, Celebrex)
  • If you take heart or blood pressure medications, please take them the morning of your procedure with a small sip of water.
  • Discuss changes in your Insulin dosage with your Primary Care provider
  • Tylenol is safe to use as a pain reliever
  • Continue all other medications. You may brush your teeth.
  • A&D Ointment or Desitan along with Cottonelle moist flushable wipes are recommended for anal irritation.

Please call the office (410.730.1712) if you have any questions concerning these instructions.

Please arrive ONE HOUR BEFORE your procedure is scheduled for registration and preparation.  The facility may ask you to pay a co-pay or deductible at that time.

CLEAR LIQUIDS are allowed until 2 hours before your colonoscopy.

IMPORTANT:

  • ABSOLUTELY NO FOOD OR LIQUIDS OF ANY TYPE WITHIN 2 HOURS OF YOUR COLONOSCOPY OR IT WILL BE CANCELLED.
  • Arrive at the facility ONE HOUR BEFORE your procedure is scheduled.
  • Make sure that you have your health insurance cards with you and a list of any medications which you are taking, including the dosage. Be prepared to answerer questions about your medical history.
  • YOU CANNOT DRIVE YOURSELF HOME following the procedure. Please arrange for a responsible adult to drive you home. You will not be able to take a cab or bus ride home.

Low Sodium (Mag Citrate)
Colonoscopy Bowel Prep

SUPREP BOWEL PREP

FOR SURGERY

The day before your procedure you will be on a CLEAR LIQUID diet only.  No solid food at all. Do not drink alcohol, dairy products (including non-dairy creamer) or any liquid with red or purple food coloring. It is important that you drink as much clear liquid as you can throughout the day to avoid dehydration due to the multiple bowel movements.

Clear Liquid Diet:

Coffee, tea, hard candy, water, carbonated beverages, apple juice, white grape juice or white cranberry juice, Gatorade, soft drinks, Jell-O (no fruit added), icy popsicles and clear broth.

  • The SUPREP box contains 2 brown bottles and a disposable 16oz cup for mixing. Store it in the refrigerator to keep cold before consuming. You must complete the entire prep to ensure the most effective cleansing. 
  • Prepare the SUPREP solution: Empty ONE BOTTLE into the disposable container.  Add cold water to the top line of the container and stir.  You may add lemonade flavored Crystal Light powder into the cup to alter/enhance the taste, if desired.
  • At 3pm: Begin drinking the solution. You should finish the solution within 30 minutes.  Now you must refill the cup 2 times with the clear liquid of your choice (apple juice, Gatorade, etc.) and drink them within 1 hour.
  • Continue drinking Clear Liquids
  • At 9 pm: Repeat steps performed at 3 pm.
  • You may drink Clear Liquids up until midnight

It usually takes about an hour to notice the diarrhea effect.  You may notice some bloating or cramping at the beginning of the prep, but this usually gradually improves once the diarrhea begins.  Occasionally some may develop nausea with vomiting.  The best remedy for this is to take a break from the SUPREP solution for about a half hour to allow it to move downstream and then to resume drinking at a slower rate.  The diarrhea may continue for about an hour or two after completing the prep.  Many have found that drinking the prep through a straw and chilling the solution improves tolerance. 

Your efforts at cleansing your colon are essential for an accurate procedure. These instructions are designed to maximize the ease, safety, and success of your preparation. Failure to take the prep as indicated may result in a poorly cleansed colon and the cancellation of the procedure.

IMPORTANT:

  • Make sure that you have your HEALTH INSURANCE CARDS with you and a LIST OF ANY MEDICATIONS which you are taking, including the dosage. Be prepared to answer questions about your medical history.

Medications (unless otherwise advised by your doctor):

  • STOP 2 weeks prior to your procedure
    • Phenteramine and ALL HERBAL SUPPLEMENTS/TEAS (Black Cohash, Ehineasa, Ephedra, Fererfew, Garlic, Ginkgo Biloba, Ginseg, GBL/BD/GHB, Goldenseal, Hoodia, Kava, Licorice, Saw Palmetto, St John’s Wort Valerian)
  • STOP 10 DAYS prior to your procedure
    • Aspirin or aspirin-containing medicines
    • Plavix
    • Fish Oil and Vitamin E
  • STOP 5 days prior to the procedure
    • Coumandin/Warfarin
  • STOP 2 days prior to the procedure
    • NSAIDS (Motrin, Advil, Ibuprofen, Aleve, Naprosyn, Celebrex)
  • If you take heart or blood pressure medications, please take them the morning of your procedure with a SMALL SIP OF WATER
  • Discuss changes in your Insulin dosage with your Primary Care provider
  • Tylenol is safe to use as a pain reliever
  • Continue all other medications. You may brush your teeth
  • A&D Ointment or Desitan along with Cottonelle moist flushable wipes are recommended for anal irritation.

Please call the office (410.760.9996) if you have any questions concerning these instructions

SUPREP
Surgery Bowel Prep

ABOUT COLON RECTAL SURGICAL ASSOCIATES

CRSA is one of the largest specialized groups of its kind in the state of Maryland. We’re committed to delivering superior, compassionate care to patients in the Baltimore area, including Howard County and Anne Arundel County. Dr. James Zalucki, Dr. Vincent Cifello, and our staff use the best and most up-to-date techniques available in our field; we place particular focus on educating our patients and on communicating effectively with healthcare providers, in order to facilitate the best outcomes.

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CONTACT INFO

ADDRESS​
4801 Dorsey Hall Drive
Suite 216
Ellicott City, MD 21042
Phone: 410-730-1712
Fax: 410-730-1713

1404 S. Crain Highway
Suite 111
Glen Burnie, MD 21061
Phone: 410-760-9996
Fax: 410-582-9314