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SUTAB Preparation for Colonoscopy

SUTAB Preparation for Colonoscopy

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, Coumadin (warfarin), Plavix (clopidogrel), Persantine, Aggrenox, Effient (prasugrel), Pradaxa (dabigatran), Xarelto (rivaroxaban)or Eliquis (apixaban), please discuss this with your Health Care Provider. In most circumstances, these medications are temporarily discontinued prior to your procedure. This bowel preparation should not be used if you have a history of congestive heart failure, renal failure, or renal impairment.

If you have questions or you need to reschedule or cancel your procedure, please call (717) 761-0930.


  • SUTAB Bowel Prep Kit – 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.
  • Avoid foods that contain seeds or nuts. These foods take longer to pass through the bowel and should be avoided.


The Day Before Procedure


  1. 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, it is important to drink regular (non-diet) liquids in moderation throughout the day.
  • At 5:00 p.m.,
  • Open one of the two bottles in the kit. It will contain 12 tablets.
  • Fill the plastic container that comes with the kit with water (there is a line on the container).
  • Swallow one tablet at a time with a sip of water. Spread the time to take the 12 tablets over 15 to 20 minutes. If you run out of water, you can take more water. If you become uncomfortable, you can spread the time over 20 to 30 minutes.
  • About one hour after taking the last tablet, fill the container with water again (it will be about 16 ounces) and drink over 30 minutes.
  • About 30 minutes after finishing the second container of water, fill the container again with water and drink that over 30 minutes.
  • Note: we are all different. Some people will have a rapid response with bowel movements shortly after beginning the preparation while others will take longer.


Second Dose of Preparation

  • At _________ (6 hours before your scheduled procedure), repeat all the same steps as above using the second bottle of tablets.
  • It is important to have completed all these steps at least 4 hours before your colonoscopy.


On the Day of the Procedure

  • Do not have anything to eat.
  • At 6:00 a.m., take any currently prescribed heart and blood pressure medications with a sip of water.
  • 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.
  • Stop drinking clear liquids at __________, 4 hours before the procedure. No chewing gum, hard candy, or chewing tobacco within 4 hours of your procedure.
  • Please report to your appointment at the scheduled time. 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. You may not drive or work for 12 hours after the procedure. For later afternoon procedures, drivers must be no later than 4:00 p.m. The West Shore Endoscopy Center closes at 4:00 p.m.
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