SUTAB Colonoscopy Prep

** Following these instructions correctly will help your colonoscopy prep and procedure go smoothly**

SUTAB® (sodium sulfate, magnesium sulfate, potassium chloride) tablets for oral use is an osmotic laxative indicated for cleansing of the colon in preparation for colonoscopy in adults.

SUTAB

At least 7 business days prior to the procedure

1. Complete your health history. Be sure your check your email (and spam folders) for a message with a link to our online patient portal. Follow the instructions in this email to complete your patient health history. This step is essential in order for us to ensure excellent care. If you do not have access to the internet, a nurse will be calling you to go over your health history. Please have the following ready: a list of current medications, your surgical history and family history.

2. Please pick up your SUFLAVE prep kit at designated pharmacy.

3. Purchase Miralax or the generic Polyethylene Glycol 3350 in a 8.3oz or larger bottle. This is over the counter and usually available at all pharmacies.

4. If you have a new medical diagnosis or become ill between now and your scheduled procedure, please call us so we can evaluate a possible need to reschedule.

5. If you start antibiotics and will be on them at time of procedure please call to reschedule your appointment. Your procedure will not be able to be performed if you are taking an antibiotic.

 

6 days before the procedure

  1. Start Miralax or the generic Polyethylene Glycol 3350
    1. Take 1 dose twice a day for 5 days, then stop on the day your prep begins
  2. Start a LOW RESIDUE DIET.

 

The day before the procedure

What You CAN Do

What You CANNOT Do

  • Do not drink milk or eat or drink anything colored red, orange or purple
  • Do not drink alcohol
  • Do not take other laxatives while taking SUTAB
  • Do not take oral medications within 1 hour of starting each dose of SUTAB
  • If taking tetracycline or fluoroquinolone antibiotics, iron, digoxin, chlorpromazine, or penicillamine, take these medications at least 2 hours before and not less than 6 hours after administration of each dose of SUTAB.

Liquids That Are OK to Drink

  • Coffee or tea (no cream or nondairy creamer)
  • Fruit juices (without pulp)
  • Gelatin desserts (no fruit or topping) (no red, purple, or orange)
  • Water
  • Power Aid or Gatorade (no red, purple, or orange)
  • Chicken broth
  • Clear soda (such as ginger ale, Sprite or 7-Up)
  • Read full details of a CLEAR LIQUID DIET

The Dosing Regimen

SUTAB is a split-dose (2-day) regimen. A total of 24 tablets is required for complete preparation for colonoscopy. You will take the tablets in two doses of 12 tablets each. Water must be consumed with each dose of SUTAB, and additional water must be consumed after each dose.

DOSE 1 – On the Day Prior to Colonoscopy

You may have a low residue breakfast and lunch no later than 1:00 PM

Take the tablets with water ONLY and then can have other clear liquids such as apple juice, Gatorade or Powerade (no red, orange, or purple)

STEP 1 At 1:00 PM start a clear liquid diet.

Diabetic patients:

  1. If taking oral medications, stop your oral diabetic medications when you change your diet to clear liquids
  2. If taking insulin:
    1. If on long-acting insulin, cut your long-acting insulin in half when changing your diet to clear liquids
    2. If on short-acting insult, use a sliding scale when changing your diet to clear liquids
    3. If using an insulin pump, manage as usual

STEP 2 At 5:00 PM open 1 bottle of 12 tablets.

STEP 3  Fill the provided container with 16 ounces of water (up to the fill line). Swallow each tablet with a sip of water, and drink the entire amount of water over 30-60 minutes.

SUTAB tablets plus water

IMPORTANT: If you experience preparation-related symptoms (for example, nausea, bloating, or cramping), pause or slow the rate of drinking the additional water until your symptoms diminish.

Drink additional water or clear liquids

STEP 3  Approximately 1 hour after the last tablet is ingested, fill the provided container again with 16 ounces of clear liquid of choice (up to the fill line), and drink the entire amount over 30 minutes.

STEP 4  Approximately 30 minutes after finishing the second container of clear liquids, fill the provided container with an additional 16 ounces of clear liquid of choice (up to the fill line), and drink the entire amount over 30 minutes.

On the day of the procedure

DOSE 2 – Day of the Colonoscopy

  1. The morning of the colonoscopy, six (6) hours prior to the colonoscopy plus driving time, open the second bottle of 12 tablets.
  2. Repeat STEP 1 to STEP 4 from DOSE 1
  3. Continue to drink only clear liquids
  4. You must complete all SUTAB tablets and required water at least 2 hours before colonoscopy
  5. STOP drinking all fluids 2 hours before you travel. Do not chew gum or suck on hard candy.
  6. Take any essential medications such as heart, blood pressure, anxiety, asthma, or seizure meds as usual 1 hour before either dose. If you use an inhaler daily, please use the morning of the procedure and bring it with you to the procedure.
SUTAB tablets plus water

IMPORTANT:  You must complete all SUTAB tablets and required water at least 2 hours before colonoscopy.

**YOU MUST BRING SOMEONE WITH YOU TO DRIVE YOU HOME AFTER THE PROCEDURE**

We do not allow public transportation or ride services for your safety.