Very Important

• Read and familiarize yourself with all the prep instructions.
• Call the office with any questions or concerns at 814-453-2777.
• Discuss diabetes and blood thinner medications with the physicians that prescribed them  

One week before the colonoscopy

• Stop all iron-containing supplements and vitamins
• Stop Plavix medication; if applicable
• Purchase HalfLYTELY, and Dulcolax tablets  

Five days before the colonoscopy

• Stop all Aspirin, Coumadin (Warfarin), and Motrin-type (NSAID) drugs
• Avoid fiber supplements as well as high fiber/multigrain foods

One day before the colonoscopy

• Prepare the HalfLYTELY solution according to the package instructions and refrigerate it well in advance of starting the prep
• A very light breakfast is allowed until 8 a.m. (toast, bagel, cereal type of foods) (no fruits or vegetables allowed)
• Take two Dulcolax tablets after breakfast
• Unlimited clear liquids are allowed until midnight before the colonoscopy
• Avoid all mannitol, lactulose and xylose sweeteners until after the procedure
• At noon, or as soon as you return home from work, start drinking the Halflytely Solution - eight ounces should be taken every 15-20 minutes until entirely consumed
• The clean out process usually takes 4-8 hours
• If nausea develops, take a one-hour break and then resume the prep
• Hard candy and lollipops between Halflytely doses helps suppress nausea
• Continue to take clear liquids after the Halflytely is completed
• Take two additional Dulcolax tablets two hours before the planned bedtime
• Do not eat or drink anything after midnight or the exam may have to be cancelled  

On the day of the procedure

• Take your morning medications with a sip of water
• Wear loose fitting, comfortable clothing
• Avoid body powders/lotions
• Arrive at the endoscopy facility two hours before your exam is scheduled
• Bring a list of your current medications and allergies
• Bring a photo ID and up to date insurance information