Colonoscopy Prep Using Clenpiq

Procedures scheduled before NOON

ONE WEEK before procedure:

• Stop all over the counter medicine. May continue Tylenol & 81mg Aspirin.
• Notify office if you use any blood thinners (example: Coumadin or Plavix).
• Go to pharmacy and pick-up prescription for prep (we have sent it electronically) AND 1 bottle Magnesium Citrate (this is over the counter). DO NOT follow instructions on the box, follow these instructions.

PLEASE FOLLOW DIRECTIONS BELOW.

TWO DAYS before the procedure:

Start low residue diet (Sat-Sun-Mon-Tues-Wed-Thurs-Fri)

• Between 4-6pm, drink the 1 bottle of Magnesium Citrate. This will cause bowels to move.

ONE DAY before the procedure:

Start clear liquid diet (Sat-Sun-Mon-Tues-Wed-Thurs-Fri)
Continue clear liquids all day. It is important to drink at least 64oz of clear liquids before you begin prep (CLENPIQ).

• Between 4-6pm, Start prep (CLENPIQ). Complete steps 1-3 exactly as directed:
  1. Do NOT refrigerate bottles.
  2. Drink 1 bottle of CLENPIQ pre completely. Do NOT dilute bottle
  3. Follow up with FIVE (5) 8oz clear liquid taken at your own pace within the next 4.5 hours.
• Between 9-10pm, REPEAT STEPS 1-3 as listed above.
• When you finish the last half of the CLENPIQ prep solution, you should pass clear liquid from rectum. If return is not clear, take a Fleets enema in the evening and another Fleets enema in the morning at least two hours prior to scheduled arrival time.
• Nothing by mouth after midnight, except as noted below.

MORNING OF the procedure:

1. Continue clear liquid diet until 4 hours prior to arrival time.
2. **Women** will have to provide a urine sample for pregnancy test at time of admit.
3. DIALYSIS patients MUST have labs (potassium level) 2 hours prior to procedure, CALL 289-8249 for orders.
4. Only blood pressure/heart medications should be taken with small amount of water on morning of procedure.
5. All other medications should NOT be taken on morning of test. Resume medications after you are able to eat.
6. The endoscopy center opens at 7:00AM if you have questions. You may brush your teeth.
7. BRING YOUR CURRENT MEDICATIONS OR LIST WITH YOU ON THE DAY OF YOUR TEST
8. You will be sedated and need to have someone available to listen to the doctor’s advice upon discharge and drive you home after the test. If you do not have a driver, your test will be rescheduled.

1. ***IF YOU HAVE ANY QUESTIONS PLEASE CALL OUR OFFICE AND ASK FOR A NURSE**The Gastro CLINIC
   Suite 303
   337-232-6697Lafayette General Endoscopy Center
   Suite 302
   337-289-8249IF YOU CANNOT KEEP YOUR APPOINTMENT, PLEASE GIVE AT LEAST TWO (2) BUSINESS DAYS NOTICE

Procedures scheduled at NOON or later

ONE WEEK before procedure:

• Stop all over the counter medicine. May continue Tylenol & 81mg Aspirin.
• Notify office if you use any blood thinners (example: Coumadin or Plavix).
• Go to pharmacy and pick-up prescription for prep (we have sent it electronically) AND 1 bottle Magnesium Citrate (this is over the counter).
• PLEASE FOLLOW DIRECTIONS BELOW.

TWO DAYS before the procedure:

Start low residue diet (Sat-Sun-Mon-Tues-Wed-Thurs-Fri)

• Between 4-6pm, drink the 1 bottle of Magnesium Citrate. This will cause bowels to move.

ONE DAY before the procedure:

Start clear liquid diet (Sat-Sun-Mon-Tues-Wed-Thurs-Fri)
Continue clear liquids all day. It is important to drink at least 64oz of clear liquids before you begin prep (CLENPIQ).

• Between 4-6pm, Start prep (CLENPIQ). Complete steps 1-3 exactly as directed:
  1. Do NOT refrigerate bottles.
  2. Drink 1 bottle of CLENPIQ pre completely. Do NOT dilute bottle
  3. Follow up with FIVE (5) 8oz clear liquid taken at your own pace within the next 4.5 hours.
• Between 9-10pm, REPEAT STEPS 1-3 as listed above.
• When you finish the last half of the CLENPIQ prep solution, you should pass clear liquid from rectum. If return is not clear, take a Fleets enema in the evening and another Fleets enema in the morning at least two hours prior to scheduled arrival time.
• Nothing by mouth after midnight, except as noted below.

MORNING OF the procedure:

1. Six hours prior to your procedure, REPEAT STEPS 1-3 as listed above.
2. When you finish the last half of the CLENPIQ prep solution, you should pass clear liquid from rectum. If return is not clear, take a Fleets enema in the evening and another Fleets enema in the morning at least two hours prior to scheduled arrival time.
3. Nothing by mouth after midnight, except as noted below.
4. Continue clear liquid diet until 4 hours prior to arrival time.
5. Only blood pressure/heart medications should be taken with small amount of water on morning of procedure.
6. All other medications should NOT be taken on morning of test. Resume medications after you are able to eat.
7. The endoscopy center opens at 7:00AM if you have questions. You may brush your teeth.
8. BRING YOUR CURRENT MEDICATIONS OR LIST WITH YOU ON THE DAY OF YOUR TEST
9. You will be sedated and need to have someone available to listen to the doctor’s advice upon discharge and drive you home after the test. If you do not have a driver, your test will be rescheduled.

***IF YOU HAVE ANY QUESTIONS PLEASE CALL OUR OFFICE AND ASK FOR A NURSE**