The day before your procedure, you may have a light breakfast by 10:30 AM, then drink only CLEAR LIQUIDS for lunch and dinner. No solid foods. See Clear Liquid Diet for description of clear liquids. It is important that you drink as much clear liquid as you can throughout the day to avoid dehydration due to the multiple bowel movements. First regimen – Take this regimen the evening before your procedure starting at 6 PM. You may continue to drink clear fluids throughout the night. Take 4 tablets with at least 8 oz of any clear liquid every 15 minutes. You will take a total of 20 tablets over a 1-hour period. Second regimen – Take this regimen the morning of your procedure. Start 4 hours prior to your procedure. (Example: For an 8 am procedure you would start at 4 a.m. and be done at 4:30 a.m.) After completing this regimen you may NOT consume any food or liquids until after your procedure. Take 4 tablets with only 8 oz of any clear liquid every 15 minutes. You will take a total of 12 tablets over a 30-minute period. PLEASE NOTE It is extremely important to follow the preparation listed above, so that the doctor will be able to have full visualization of your colon. Your colon must be clear of any stool. Inadequate preparation limits the value of this procedure and could necessitate rescheduling of the examination. It usually takes about an hour to begin to notice the diarrhea affect. You may notice some bloating or cramping at the beginning of the prep, but this usually gradually improves once the diarrhea begins. The diarrhea may continue for about an hour or two after completing the prep. Your efforts at cleansing your colon are essential for an accurate procedure. These instructions are designed to maximize the ease, safety, and success of your preparation. Failure to take the prep asindicated may result in a poorly cleansed colon and the cancellation of the procedure. Medications (unless otherwise advised by your doctor): STOP 2 weeks prior to your procedure Phenteramine and All Herbal Supplements/Teas (Black Cohash, Echineasa, Ephedra, Fererfew, Garlic, Ginkgo Biloba, Ginseng, GBL/BD/GHB, Goldenseal, Hoodia, Kava, Licorice, Saw Palmetto, St. John's Wort, Valerian) STOP 10 days prior to your procedure Aspirin or aspirin-containing medicines Plavix Fish Oil and Vitamin E STOP 5 days prior to the procedure Coumadin/Warfarin STOP 2 days prior to the procedure NSAIDS (Motrin, Advil, Ibuprofen, Aleve, Naprosyn, Celebrex) If you take heart or blood pressure medications, please take them the morning of your procedure with a small sip of water. Discuss changes in your Insulin dosage with your Primary Care provider Tylenol is safe to use as a pain reliever Continue all other medications. You may brush your teeth. A&D Ointment or Desitan along with Cottonelle moist flushable wipes are recommended for anal irritation. Please call the office (410-730-1712) if you have any questions concerning these instructions.