Colonoscopy SUTAB - Manhattan Gastroenterology

The following guidelines are intended to make your colonoscopy preparation more tolerable. Please thoroughly follow all prep instructions, including any specific ones from your gastroenterologist, and call if you have any concerns.

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COLONOSCOPY PREPARATION WITH SUTAB
PLEASE PURCHASE	SUTAB 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 SUTAB Dose 1 Open the first bottle containing 12 tablets of Sutab Fill the provider container with 16 oz of water Swallow each tablet with sips of water every 5 minutes and drink the full 16 oz of water over a total of 60 minutes One hour after the last pill is ingested, drink another 16 oz of water Thirty minutes later, drink another 16 oz of water Bowel movements should begin 1-2 hours after starting Sutab but effect can sometimes be delayed by up to 4-6 hours

DAY OF COLONOSCOPY
5 HOURS BEFORE	Take SUTAB 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:
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 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 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

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