Prep instructions

ENDOSCOPIC SURGICAL CENTRE OF MARYLAND, LLC
10801 Lockwood Drive, Suite 110 Silver Spring, MD 20901 INSTRUCTIONS
Phone: (301) 593-5110 Fax: (301) 593-6269 TTY Users call Maryland Relay # 711 Colonoscopy/Polypectomy(OsmoPrep)
If you have any questions, please call us between 8:00 a.m. and 3:00 p.m. Your procedure is scheduled for ___________________________. Please be here at _____________.
Due to cancellations or physician emergencies, your procedure time may change. You will be called the day before to confirm all
appointment instructions. PLEASE ALLOW ABOUT 2 HOURS TOTAL TIME FOR ALL ASPECTS OF YOUR PROCEDURE.
PLEASE REVIEW THESE INTRUCTIONS CAREFULLY AT LEAST SEVEN (7) DAYS BEFORE YOUR PROCEDURE.
ABOUT YOUR PROCEDURE
THE DAY BEFORE YOUR PROCEDURE (cont.)
You need to receive a prescription from your physician to If you are taking any medications (prescription or obtain 28 OsmoPrep Tabs from your local pharmacy. Take
nonprescription) for any reason, please check with the doctor to these tabs according to the directions on this sheet. determine whether or not to take your medications on the day of your procedure. Please take all heart and blood pressure
You will be sedated with an intravenous medication, and that medications up to and including the day of your procedure.
will impair your judgment and perception. After the If you are diabetic and taking glucophage, hold glucophage for procedure you will have time to rest, however, you must 24 hours prior to your procedure. Hold all other oral diabetic make arrangements for transportation home since
medications the morning of your procedure. Please bring to
lingering effects of the medication will make operating a your appointment all inhalers that you may have.
motor vehicle hazardous for 24 hours after the procedure. If these arrangements are not made before you come to the TAKING YOUR PREP
facility, your procedure will be cancelled. No one will be
allowed to leave in a taxi without a responsible person to
The day before your procedure at 4:00pm, take 4 OsmoPrep
accompany them.
Tablets with at least 8 fl.oz. of approved clear liquid (water,
juice or soda) every 15 minutes. The last dose should be taken SEVEN (7) DAYS BEFORE YOUR PROCEDURE
with at least 12 fl. oz. of any clear liquid.
Do not take any aspirin (including Ecotrin, Bufferin, and
Dose 1 4:00pm 4 Tablets + 8 fl.oz. of clear liquid
Anacin) as well as, iron or iron-containing vitamins; or
Dose 2 4:15pm 4 Tablets + 8 fl.oz. of clear liquid
herbal supplements like Ginseng, Gingko and Garlic. If you Dose 3 4:30pm 4 Tablets + 8 fl.oz. of clear liquid
take Plavix, Coumadin, Heparin and Lovenox, consult with Dose 4 4:45pm 4 Tablets + 8 fl.oz. of clear liquid
your physician to know when they should be stopped. Dose 5 5:00pm 4 Tablets + 12 fl.oz. of clear liquid
FOUR (4) DAYS BEFORE YOUR PROCEDURE
Following this regimen, continue drinking more of the approved clear liquids, so that you don’t become dehydrated. Do not take anti-inflammatories (e.g., ibuprofen, Advil,
The day of your procedure, start your second regimen 6 hours
Motrin, Aleve, etc.). However, Celebrex may be continued before your procedure. Take 4 OsmoPrep Tablets with at
up to the day of the procedure. You can take least 8 fl.oz. of approved clear liquid (water, juice or soda) 15 Acetaminophen or Tylenol for discomfort.
minutes apart. The last dose should be taken with at least 12 TWO (2) DAYS BEFORE YOUR PROCEDURE
Do not eat any foods containing seeds such as tomatoes, Dose 1 Start time 4 Tablets + 8 fl.oz. of clear liquid
cucumbers, rye bread, corn, celery, popcorn and nuts. Dose 2 + 15 min 4 Tablets + 12 fl.oz. of clear liquid
THE DAY BEFORE YOUR PROCEDURE
You may have clear liquids up until 4 hours before your
procedure. During the 4 hours before your procedure,
Do not eat any solid foods or dairy products. Drink
take nothing by mouth, not even water, except for a
only clear liquids for breakfast, lunch and dinner.
small sip of water if needed for your medications. However,
Clear liquids include clear juices such as apple, grape and you may still brush your teeth prior to the procedure.
cranberry, clear broth or bouillon, tea and coffee (without milk or creamer), Jell-O, Italian ices, sodas, Gatorade, Kool NOTE: Individual response to laxatives may vary. This prep
Aid and water. Drink at least 48oz of fluids throughout
will cause multiple bowel movements and often works within the day before taking the prep. Jell-O, ices or any drinks
30 minutes but, can take as long as 3 hours. Please remain with artificial red, purple or orange coloring are not allowed.
within easy reach of bathroom facilities.

Source: http://escm-silverspring.com/assets/uploaded/documents/84/ESCMColonOsmoPrep_000.pdf