OSMO Preparation – Afternoon Procedure
OSMO Pill Preparation for Colonoscopy (Afternoon Procedure)
In order to achieve an accurate evaluation of your lower gastrointestinal (GI) tract, it is important that you properly prepare for the procedure. Doctors are able to obtain the clearest view of the bowel when it is flushed completely free of waste material. The thoroughness of this intestinal cleaning depends on you. Without your cooperation, the examination cannot accomplish its purpose and may have to be repeated.
If you are taking anticoagulants or blood thinners such as (but not limited to) those listed below, please discuss this with your Health Care Provider. In most circumstances, these medications are temporarily discontinued prior to your procedure.
- Coumadin (warfarin)
- Plavix (clopidogrel)
- Persantine (dipyridamole)
- Aggrenox (aspirin-dipyridamole)
- Effient (prasugrel)
- Pradaxa (dabigatran etexilate)
- Xarelto (rivaroxaban)
- Eliquis (apixaban)
Certain weight reduction and diabetic medications can slow the emptying of the stomach and increase the risk of aspiration when sedated for the procedure. Some of these are commonly called GLP-1 medications. Some of these medications need held up to a week before the procedure. If you have not reviewed your medications with us, please contact the office to review. Using your patient portal is the best and most efficient way to communicate with us. If you have questions or you need to reschedule or cancel your procedure, please message us through your patient portal or call (717) 761-0930.
Note; our instructions for the OSMO differ slightly from the package inset. Please follow our instructions.
Supplies
- Osmo Prescription sent to your local pharmacy.
5 Days Before Procedure
- Do not take any ibuprofen products (nonsteroidal anti-inflammatories – NSAIDS). Tylenol (acetaminophen) is allowed. If you are on aspirin you may continue the aspirin.
- Do not take oral iron tablets.
- Do not consume any foods that contain seeds or nuts. These foods take longer to pass through the bowel and should be avoided.
2 Days Before Procedure
- You may eat your regular diet.
The Day Before Procedure
- You will need to follow a clear liquid diet the entire day before your procedure. We ask that you avoid dark colored clear liquids (red, purple, or dark blue). NO milk products, NO vegetables, NO breads or grains, NO meats and NO fats or oils are allowed. By rule of thumb, a clear liquid is one that can be seen through. Some examples include clear juices without pulp, clear soda, chicken or beef broth, popsicles, Jell-O, Italian ice, tea, coffee, clear hard candy, etc. If you are diabetic, drink regular (non-diet) liquids in moderation throughout the day.
- You may take your regularly prescribed medication (except for blood thinners and oral iron, as instructed by your nurse).
- Start taking the OSMO pills as follows:
- Dose 1 at 6:00 p.m.: Take 4 tablets plus 8 oz of clear liquids.
- Dose 2 at 6:15 p.m.: Take 4 tablets plus 8 oz of clear liquids
- Dose 3 at 6:30 p.m.: Take 4 tablets plus 8 oz of clear liquids
- Dose 4 at 6:45 p.m.: Take 4 tablets plus 8 oz of clear liquids
- Dose 5 at 7:00 p.m.: Take 4 tablets plus 8 oz of clear liquids
NOTE: It is normal to feel very “full” or “bloated” during your prep. Some people may also experience nausea and vomiting. If this occurs, simply wait about 30 minutes before resuming drinking. Sipping some Ginger ale can help. Walking around can also help move the solution downstream. These symptoms will likely disappear once bowel movements begin. If the vomiting becomes persistent, please call our office.
On the Day of the Procedure
- Do not have anything to eat.
- On the morning of your procedure, begin taking the OSMO pills as follows:
- Dose 1 at 6:00 a.m.: Take 4 tablets plus 8 oz of clear liquids
Dose 2 at 6:15 a.m.: Take 4 tablets plus 8 oz of clear liquids
Dose 3 at 6:30 a.m.: Take 4 tablets plus 8 oz of clear liquids
If your bowel movements are not clear or pale yellow after completing the prep, please call our office at (717) 761-0930.
- At 6:00 a.m., take any currently prescribed heart and blood pressure medications (except for blood thinners, as detailed above) with a sip of water.
- Stop drinking clear liquids 4 hours prior to your procedure. You will want to note this time on the clock or use your smart phone to set a reminder. No chewing gum, hard candy, or chewing tobacco within 4 hours of your procedure time.
- If you are diabetic: Do not take your diabetic medications (pills or insulin) the morning of your procedure. If you normally monitor your blood sugars at home, please check your blood sugar the morning of your procedure. If your blood sugar is over 150 or below 90, please contact the West Shore Endoscopy Center at (717) 975-2430. An anesthesia specialist will provide you with further instructions.
- Please report to your appointment as scheduled. NOTE: Plan to be at the procedure center for about two to two and one-half hours.
- A driver must come with you in order to drive you home after the procedure. You will be sedated for your colonoscopy. By state regulations, you may not drive or work for 12 hours after the procedure. Unfortunately, taxis and rider services such at Uber and Lyft are not currently permitted for transportation home. For later afternoon procedures, drivers must be present no later than 4:00 p.m. The West Shore Endoscopy Center closes at 4:00 p.m.