What to expect for colonoscopy or upper endoscopy

  • Time frame

    After scheduling at our office you will be given a date. The hospital will call on the Monday before to give you the time to be at the hospital.

  • Medications to stop 2 days prior

    Eliquis (apixaban)

    Xarelto (rivaroxaban)

    Pradaxa (dabigatran)

    Savaysa (edoxaban)

    Brilinta (ticagrelor)

  • Medications to stop 2 weeks prior

    Ozempic (semaglutide)

    Wegovy (semaglutide)

    Mounjaro (tirzepatide)

    Trulicity (dulaglutide)

    Rybelsus (oral semaglutide)

  • Time frame for prep

    Two Days Before Procedure:

    Begin a low-fiber diet. Avoid seeds, nuts, raw vegetables, and whole grains.

    One Day Before Procedure:

    Clear Liquid Diet Only: No solid food. Drink only clear liquids such as water, broth, apple juice, white grape juice, tea, coffee (no cream), sports drinks, and clear sodas.

    Prep Instructions:

    At 12:00 PM: Take 2 Dulcolax (bisacodyl) tablets.

    At 4:00 PM: Mix 1 bottle of Miralax (238g) with 64 oz of Gatorade (not red or purple). Shake until dissolved.

    Drink 8 oz every 15–30 minutes until half the solution is finished.

    Refrigerate the remaining half for the morning dose.

    Day of Procedure:

    5 hours before your arrival time: Drink the remaining half of the Miralax solution.

    Finish at least 2 hours before your procedure time.

    Continue clear liquids until 2 hours before your procedure.

  • Shopping List

    1 bottle of Miralax (238g size bottle)

    Gatorade - avoid Red and Purple

    Flushable wipes

  • Other instructions

    On the morning of your procedure:

    No chewing gum or tobacco products

    Be sure you have a ride home