FILL LINE
IMPORTANT
(17.5g/3.13g/1.6g) per 6 ounces
SUPREP Bowel Prep Kit is a split-dose (2-day) regimen. Both 6-ounce bottles are required for a complete prep.
FIRST DOSE: Begin Step 1 at _______PM the evening before your procedure and proceed as shown below:
You must complete Steps 1 through 4 using one (1) 6-ounce bottle before going to bed:
SECOND DOSE: Begin Step 1 at _____AM the morning of your procedure and proceed as shown above:
For this dose, repeat Steps 1 through 4 shown above using the other 6-ounce bottle.
NOTE: You must nish drinking the fi nal glass of water at least hour , or as directed, before your colonoscopy.
Pour ONE (1) 6-ounce
bottle of SUPREP liquid
into the mixing container.
STEP 1
Drink ALL the liquid in
the container.
STEP 3
Add cool drinking water to
the 16-ounce line on the
container and mix.
NOTE: Dilute the solution
concentrate as directed
prior to use.
STEP 2
You must drink two (2)
more 16-ounce containers
of water over the next
1 hour.
STEP 4
(Please see other page for additional instructions.)
HEALTHCARE PROVIDER INFORMATION
Name:
Address:
City:
State:
Zip:
Phone:
Fax:
2
s
Please read the full Prescribing Information and Medication Guide in the kit.
Provided as an educational service from
©2011 Braintree Laboratories, Inc. SU-12392
On the day before your procedure…
What You CAN do:
You may have a light breakfast or have clear liquids ONLY;
please have nothing for dinner
What You CANNOT do:
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:
Water
Strained fruit juices (without pulp) including apple, orange,
white grape, or white cranberry
Limeade or lemonade
Coffee or tea (DO NOT
use any dair
y or non-dairy creamer)
Chicken broth
Gelatin desserts without added fruit or topping
(NO RED OR PURPLE)
Note:
SUPREP Bowel Prep Kit is indicated for cleansing of the colon as a
preparation for colonoscopy in adults
Be sure to tell your doctor about all the medicines you take,
including prescription and non-prescription medicines, vitamins,
and herbal supplements. SUPREP Bowel Prep Kit may affect how
other medicines work
Medication taken by mouth may not be absorbed properly when
taken within 1 hour before the start of each dose of SUPREP Bowel
Prep Kit
The most common adverse reactions after administration of SUPREP
Bowel Prep Kit were overall discomfort, abdominal distention,
abdominal pain, nausea, vomiting, and headache
If you have any questions about taking SUPREP Bowel Prep Kit,
call your doctor
To learn more about this product, please call 1-800-874-6756 or visit our W
eb site at www.suprepkit.com
(Please see other page for additional instructions.)
SPECIAL INSTRUCTIONS FROM YOUR
HEALTHCARE PROVIDER
YOUR PROCEDURE
Time/Date:
Location:
If you have any questions, please contact your
healthcare provider at:
May, 2013