Colonoscopy SUFLAVE - Manhattan Gastroenterology

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COLONOSCOPY PREPARATION WITH SUFLAVE
PLEASE PURCHASE	SUFLAVE bowel prep kit (by prescription) Contact our office if you cannot obtain your prescription.
7 DAYS BEFORE	Stop fiber supplements and iron supplements, including multivitamins
3 DAYS BEFORE	Begin a LOW FIBER Diet including: White or sour dough bread White Rice, Pasta Eggs, Chicken, Turkey, Fish Cheese, Yogurt, Milk, Ice Cream, Pudding Canned or cooked fruit/vegetables without skin or peel (carrots, cucumbers, potatoes) Pureed fruits/vegetables (smoothies, strained puree soups) Creamy peanut or almond butter	High Fiber Foods to AVOID: Raw fruits/vegetables with seeds, skin, membranes Cooked/canned fruit/vegetables with skin/seeds/peel Whole wheat or multigrain bread or crackers Nuts, Seeds Popcorn Oatmeal, bran cereal Brown rice, quinoa
2 DAYS BEFORE	Continue LOW FIBER Diet Avoid solid foods after midnight
1 DAY BEFORE	MORNING: Start a CLEAR LIQUID Diet Water Apple, White Grape, White Cranberry Juices without Pulp Clear Soup/Broth Tea or Black coffee (no milk/creamer) Gatorade/Powerade/Vitamin Water (no red, purple, orange color) Jello (no red, purple, or orange color) Popsicles/Italian Ice (no red, purple, or orange color) 6PM: Take SUFLAVE Dose 1 Open 1 flavor enhancing packet and pour contents into 1 bottle Fill the provided bottle with lukewarm water up to the fill line. Cap the bottle and shake the bottle until all powder has dissolved. For best taste, refrigerate the solution for 1 hour before drinking. Do not freeze. Drink 8 oz of solution every 15 minutes until bottle is empty Drink an additional 16 oz of water during the evening Bowel movements should begin 1-2 hours after starting SUFLAVE but effect can sometimes be delayed by up to 4-6 hours

DAY OF COLONOSCOPY
5 HOURS BEFORE	Take SUFLAVE Dose 2 Follow the same instructions as outlined for Dose 1 Drink an additional 16 oz of water during the morning By the end of the cleanse your stool should be a clear liquid with yellow or green tinge
3 HOURS BEFORE	Stop drinking/eating clear liquids Do not chew gum or mints Take regular medications with a small sip of water the morning of your procedure, unless otherwise instructed by your physician
30 MIN BEFORE	Arrive at endoscopy suite 30 MIN PRE PROCEDURE (no later!) Bring list of current medications including doses Bring a Photo ID and Insurance Card Bring any applicable Referrals Please do not bring any valuables

GENERAL INSTRUCTIONS:
URINE PREGNANCY TESTING	If you are a premenopausal woman, you will need to submit a urine sample upon office check in
IF YOU HAVE DIABETES	Contact your Primary Care Provider or Endocrinologist for instructions regarding your medications
IF YOU TAKE MEDICATION TO THIN YOUR BLOOD	Contact your Gastroenterologist for further instructions at (212) 427-8761 Medications include but are not limited to: Heparin, Lovenox, Warfarin (Coumadin), Rivaroxaban (Xarelto), Apixaban (Eliquis), Edoxaban (Lixiana, Savaysa), Betrixaban (Bevyxxa), Clopidigrel (Plavix), Prasugrel (Effient), Brilinta (Ticagrelor)
IF YOU TAKE WEIGHT LOSS MEDICATIONS	Alert your GI provider to discuss holding your medication(s) prior to your procedure
IF YOU TAKE ASPIRIN OR BLOOD PRESSURE MEDICATIONS	You may continue to take these medications
ESCORT	Please ensure that you have an escort (responsible adult over the age of 18) to pick you up at the end of the procedure. Thank you.

Updated on Dec 13, 2023 by Dr. Shawn Khodadadian (Gastroenterologist) of Manhattan Gastroenterology

Our site is the source of information about the gastroenterology related conditions and procedures. This information is intended for patients looking to learn about our gastroenterology practice in New York (Midtown, Financial District, and Upper East Side Gastroenterology) and make an appointment to see one of our physicians. This information is only intended to provide guidance, not definitive medical advice. Please consult a doctor or GI specialist about your specific condition. Only a trained physician can determine an accurate diagnosis and proper treatment. Terms and conditions are subject to change.

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