Please read over these instructions carefully.
The day before your procedure:
Do not eat or drink any liquids after midnight (12 AM).
Day of your procedure: Be at the Outpatient Endoscopy Unit at:
Two hours before your procedure, use one Fleet enema — available over the counter at your local pharmacy.
On the day of your procedure, do not eat or drink. Exception: if you take blood pressure, heart, seizure and/or thyroid medications in the morning, take them with a small sip of water at least two (2) hours before your procedure time.
Please bring the following items with you
- Your insurance cards and driver's license
- Eye glasses if needed for reading
Please leave jewelry and valuables at home; wedding band(s) may be worn. Please wear comfortable clothes — you will be changing into a gown.
Important reminders
If you choose to be sedated for this procedure: you must have an adult companion (family member or friend) to take you home after your procedure. Use of public transportation — Uber, Lyft, taxi, etc. — is not allowed.
Plan on resting after your procedure. Avoid big activities, operating motor vehicles, and do not drink alcohol on the day of the procedure.
If you are diabetic:
- If you use insulin, only use ½ dose of insulin the night before your procedure and no insulin the morning of your procedure. You may resume your normal dose after your procedure.
- If you take pills, do not take them the day before and the morning of your procedure. You may resume your normal dose after your procedure.
- For anti-coagulant / blood thinner / anti-platelet medications (Plavix, Coumadin, Effient, Xarelto, Pradaxa, Brilinta, Eliquis, etc.): please contact the physician who prescribed them in advance for clearance and/or instructions.
- Please stop NSAIDs (ibuprofen, Advil, Aleve, etc.), iron, multi-vitamins with iron, Vitamin E, St. John's Wort, ginkgo biloba, ginger, fish oil, and garlic pills 7 days before. If you need to take a pain reliever, you can take Tylenol (acetaminophen).
- Don't stop Aspirin 81 mg for cardiac protection before or after the procedure.
- Stop diet pills (Phentermine) 14 days before.
- Stop semaglutide (Wegovy, Ozempic, Rybelsus), dulaglutide (Trulicity), lixisenatide (Adlyxin), exenatide (Bydureon, Byetta), liraglutide (Victoza, Saxenda) and Mounjaro (tirzepatide) 7 days before.
Note: a follow-up appointment 2 weeks after your procedure needs to be scheduled. Procedure results will not be discussed at the outpatient facility or over the phone.
Questions about your prep?
If anything in these instructions is unclear, or your medications aren't covered here, contact our office before you start your prep.