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On the day before your procedure…

  • You may have a light breakfast or have clear liquids ONLY; please have nothing for dinner.
  • DO NOT drink milk
  • DO NOT eat or drink anything colored red or purple
  • DO NOT drink alcoholic beverages

Any of the following liquids are OK to drink

Strained fruit juices (without pulp) including apple, orange, white grape, or white cranberry
Limeade or lemonade
Coffee or tea. DO NOT use any dairy or non-dairy creamer
Chicken broth
Gelatin desserts without added fruit or toppings (NO RED OR PURPLE)


You take the first 6-ounce bottle of SUPREP the evening before your colonoscopy at 5pm and the second 6-ounce bottle of SUPREP at 7pm. It is important to drink the additional water as recommended in the Instructions for Use. Both 6-ounce bottles are required for a complete prep. Your doctor will tell you when it is time to begin to take each dose.


  • On the evening before your procedure (or when your doctor tells you to begin), complete steps 1 through 4 using one (1) 6-ounce bottle before going to bed
  • On the morning of your procedure, repeat steps 1 through 4 using the other
    6-ounce bottle

Both 6-ounce bottles are required for a complete preparation.


 Step 1:
Pour ONE (1) 6-ounce bottle of SUPREP liquid into the mixing container.
 Step 2:

Add cool drinking water to the 16-ounce line on the container and mix.

NOTE: Be sure to dilute SUPREP as shown at left before you drink it.

 Step 3:
Drink ALL the liquid in the container.
 Step 4:

You must drink two (2) more 16-ounce containers of water over the next 1 hour.

NOTE: You must finish drinking the final glass of water at least 2 hours, or as directed, before your procedure.

SUPREP ® Bowel Prep Kit (sodium sulfate, potassium sulfate and magnesium sulfate) Oral Solution is an osmotic laxative indicated for cleansing of the colon as a preparation for colonoscopy in adults. Most common adverse reactions (>2%) are overall discomfort, abdominal distention, abdominal pain, nausea, vomiting and headache. Use is contraindicated in the following conditions: gastrointestinal (GI) obstruction, bowel perforation, toxic colitis and toxic megacolon, gastric retention, ileus, known allergies to components of the kit. Use caution when prescribing for patients with a history of seizures, arrhythmias, impaired gag reflex, regurgitation or aspiration, severe active ulcerative colitis, impaired renal function or patients taking medications that may affect renal function or electrolytes. Use can cause temporary elevations in uric acid. Uric acid fluctuations in patients with gout may precipitate an acute flare. Administration of osmotic laxative products may produce mucosal aphthous ulcerations, and there have been reports of more serious cases of ischemic colitis requiring hospitalization. Patients with impaired water handling who experience severe vomiting should be closely monitored including measurement of electrolytes. Advise all patients to hydrate adequately before, during, and after use. Each bottle must be diluted with water to a final volume of 16 ounces and ingestion of additional water as recommended is important to patient tolerance.

Colon Cancer

First of all, most colon cancers begin as a then precancerous polyp which is found in the colon. In addition, polyps can vary in size as well as type. Most importantly, they can then vary in their propensity to turn into colon cancer. Consequently, screening tests such as colonoscopy allow Gastroenterologists to then remove these potentially cancerous polyps.

Who is at risk of developing colon polyps/cancer?

Approximately a quarter of patients age 50 years old have high-risk colon polyps. Therefore, this risk increases in those with a family history of colon polyps as well as colon cancer. In addition, some patients have genetic syndromes which then increase their risk of cancer. Consequently, aside from family history as well as genetic syndromes, there are also other factors which increase your risk of developing colon polyps as well as subsequent colon cancer:

  • African American Ethnicity

  • Age > 50 Years Old

  • Male Gender

  • Diet High in Fat and Red Meat

  • Obesity

  • Tobacco and Alcohol Use

  • Chronic Constipation

When should you be screened for colon cancer?

So, it is recommended that people 50 years old or African Americans at the age of 45, undergo colon cancer screening. Therefore, patients with a family history of colon polyps as well as colon cancer should be screened at age 40. In addition, patients who are 10 years younger than the afflicted relative should also be screened. Lastly, if there is established as well as suspected genetic syndromes, they may then need unique as well as more intensive screening protocols. Finally, this should happen at an earlier age.

What screening options are available?

A variety of screening options are available. However, colonoscopy then remains the gold-standard screening modality. In addition, this is the diagnosis as well as the treatment of colon polyps. In addition, this includes cancer. Finally, other tests include fecal DNA tests. This is in addition to blood DNA tests as well as virtual CT colonography.


Firstly, it is important to understand that polyps generally do NOT cause symptoms alerting you of their presence. Consequently, very large colon polyps as well as cancer can manifest with symptoms of unintentional weight loss. In addition, this includes change in bowel habits including constipation as well as diarrhea. Also this includes occult or even overt bleeding with anemia as well as abdominal pain.

Decreasing Risk

In addition to a healthy diet and exercise plan, eliminating risk factors, supplementing your diet with fruits and fibers can decrease one’s risk. In addition this includes foods with high anti-oxidant content. Consequently, these have been shown to decrease one’s risk of developing colon polyps as well as subsequent cancer. Lastly, the removal of colon polyps during colonoscopy remains the most effective way to decrease your risk of colon cancer.


Finally, during a colonoscopy, colon polyps are removed using a variety of endoscopic techniques. In addition, gastroenterologists are able to biopsy polyps as well as remove them as they are in the colon. Consequently, if colon cancer is diagnosed, various treatment options are available. Lastly, these include surgery, chemotherapy as well as radiation. Furthermore, this depends on the stage.

Constipation is a very common problem. Each year more than 2.5 million Americans visit their healthcare provider. They do this for relief from symptoms. This condition refers to a change in bowel habits, but it has varied meanings. Stools may be too hard or too small, difficult to pass, or infrequent (less than three times…

This is an easy prep for a colonoscopy that requires no prescription.

Contact us:        214-629-4454 or 214-941-6891