Manhattan Gastroenterology
  • MIDTOWN 51 EAST 25TH, 4 FL New York, NY, 10010
  • UPPER EAST SIDE 983 PARK AVE, STE 1D New York, NY, 10028
  • UNION SQUARE 55 W. 17TH ST STE 102 New York, NY, 10011

The most important aspect of the colonoscopy procedure is preparation. The information provided below will help you prepare for your colonoscopy using Suprep. Please follow the instructions exactly as given below and contact us if you have any questions.

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COLONOSCOPY PREPARATION WITH SUPREP
PLEASE PURCHASE
  • SUPREP Kit (by 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 (no red, purple or orange color)
    • Jello (no red, purple, or orange color)
    • Popsicles (no red, purple, or orange color)
  • 6PM: Take SUPREP Dose 1
    • Pour one bottle of SUPREP liquid into the mixing container
    • Add cold drinking water to the 16-ounce container and mix
    • Drink ALL the liquid in the container
    • You MUST drink two more 16-ounce containers of water over the next hour
    • Thirty minutes later, drink another 16 oz of water
  • Bowel movements should begin 1-2 hours after starting SUPREP but effect can sometimes be delayed by up to 4-6 hours
DAY OF COLONOSCOPY
5 HOURS BEFORE
  • Take SUPREP Dose 2
    • Follow the same instructions as outlined for Dose 1
  • 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:
IF YOU HAVE DIABETES
  • Contact your primary care doctor 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 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
Updated on Aug 9, 2022 by Dr. Shawn Khodadadian (Gastroenterologist) of Manhattan Gastroenterology
Manhattan Gastroenterology Locations:
Manhattan Gastroenterology (Upper East Side)
983 Park Ave Ste 1D, NY 10028
(212) 427-8761
Manhattan Gastroenterology (Midtown)
51 East 25th Street Ste 407, NY 10010
(212) 533-2400
Manhattan Gastroenterology (Union Square)
55 W 17th St Ste 102, NY 10011
(212) 378-9983