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Guidance covers timing for stopping or adjusting common medications, including GLP-1 drugs for diabetes and weight loss, diabetic medications, and blood thinners. Instructions also specify diet restrictions before the procedure, how to use split bowel preparation, and what to do the morning of the exam, including medication timing and stopping all intake before arrival. A responsible adult must accompany the patient due to sedation.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/preparing-for-your-colonoscopy-instructions-for-glp-1-and-medication-hold-timing/403689/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/preparing-for-your-colonoscopy-instructions-for-glp-1-and-medication-hold-timing/403689.png","ImageObject",300,407,{"name":92,"@type":93},"jayni","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-04","2026-09-27",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",11,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"Which GLP-1 medications should be stopped, and when, before the procedure?","Question",{"text":113,"@type":114},"GLP-1 medications such as liraglutide, dulaglutide, semaglutide, tirzepatide, and exenatide should be STOPPED 1 week prior. Confirm with the prescribing physician whether holding is safe and ask about an alternative if needed.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"What diet and intake rules apply the day before and the day of the procedure?",{"text":118,"@type":114},"The day before, drink CLEAR liquids ONLY for the entire day and avoid solid foods, dairy products, and alcoholic beverages; avoid anything red or purple. The day of the procedure, stop all clear liquids 3 hours before the procedure and take nothing else by mouth.",{"name":120,"@type":111,"acceptedAnswer":121},"What is split prep, and how does it differ from taking all the bowel prep the day before?",{"text":122,"@type":114},"In a split prep, the first part is taken the evening before and the second part is taken early in the morning on the procedure day. The guidance notes split prep can be easier and is much better than prepping only the day before, with studies showing higher rates of excellent or adequate prep.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},403689,1790925788,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":14,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":24,"preview_page_count":4},3985747859343,"https://ap-avatar.wpscdn.com/davatar_276721f389ce27ea32af1340a28f341c","# PREPARING FOR YOUR COLONOSCOPY\n\nA colonoscopy isan endoscopic procedure that enables your physician to examine the lining of thecolon for abnormalities. If you have polyps, these can often be removed atthe time of theprocedure. Colonoscopy decreases your risk of colon cancer and can save your life.  \n## ONE WEEK BEFORE YOUR PROCEDURE\n\n• Those on Diabetic Medications: Discuss the clear liquid diet with your diabetes physician and see if youneed to adjust your insulin. Canagliflozin (Invokana), dapaglifloxin (Farxiga), orempagliflozin (Jardiance),are often STOPPED 3 days prior to the procedure. Ertuglifloxin (Steglatro) is often STOPPED 4 days priorto the procedure.  \n• Those on GLP1 medications for diabetes and/or weight loss: Due to risks of delayed gastric emptying andincreased risk for regurgitation and aspiration, GLP-1 medications such as liraglutide (Victoza, Saxenda),dulaglutide (Trulicity), semaglutide (Ozempic, Rybelsus, Wegovy), tirzepatide (Mounjaro, Zepbound), andexenatide (Bydureon BCise, Byetta) should be STOPPED 1 week prior to the procedure. Check with yourprescribing physician to see if holding your medicine is safe or if you need to use another  \nmedication. Please contact usassoon as possible if you are unable to stop these medications.  \n• Those on Blood Thinners: Warfarin (Coumadin), Heparin, and Plavix are frequently stopped 5 days priorto the procedure. Eliquis, Pradaxa, and Xarelto are frequently stopped 2 days prior. Lovenox is frequentlystopped 24 hours prior. Check with your prescribing physician tobe sure itis safe for you todo so.  \n## FIVE DAYS BEFORE YOUR PROCEDURE\n\n• Avoid all high fiber foods such nuts, seeds, broccoli, cabbage, popcorn, corn. No oral iron supplements.  \n• Obtain the Bowel Prep from your Pharmacy: A bowel prep has been prescribed. Pick this up from yourpharmacy. You can flavor the prep with something such as Crystal Light. Do not use flavorings witha redor purple color.  \n## THE DAY BEFORE YOUR PROCEDURE\n\n• Drink CLEAR liquids ONLY forthe ENTIRE day. ALLOWED clear liquids include water, bouillon, broths, tea(no creamer), black coffee (no creamer), Jell-O, popsicles, clear juices (apple or white grape), sportsbeverages, and soft drinks. Avoid anything red or purple in color. DO NOT EAT ANY SOLID FOODS. Do NOTconsume dairy products or alcoholic beverages.  \n• Prepare the bowel prep according to the package directions. Chill theprep in the refrigerator. Late in theafternoon (we suggest 5pm), begin your bowel prep and use the SPLIT PREP OPTION. Expect to completethe first portion of the prep the evening before your procedure. For patients taking a low volume prep,follow the prep instructions that come in the package.  \n## THE DAY OF YOUR PROCEDURE\n\n• In the morning, continue the remainder of the bowel prep. Start the morning part of the prepat least 4hours before the procedure. Take all routine blood pressure, heart, and seizure medications with asip ofwater. STOP all clear liquids 3 hours before the procedure and take nothing else by mouth.  \n• A RESPONSIBLE ADULT (18 years or older) MUST accompany you and must remain with you andACCOMPANY YOU HOME duetothe sedation. You anda responsible adult can take a taxi/Uber/Lyft toyour procedure, but the responsible adult must remain with you and must accompany you home.  \n(continued on next page)  \n• Arrive at least one hour prior to your procedure. When you arrive foryour procedure, you will be askedto showa government-issued driver’s license, passport, or identification card. Your procedure will beCANCELLED if you do not have your ID with you.  \n## FREQUENTLY ASKED QUESTIONS\n\nWhat isa SPLIT PREP?  \n• Ina split prep, you take the first part of the bowel prep the evening before andthe second part in the earlymorning on the day of the procedure. This may be easier than drinking all the prepat onetime.Importantly, multiple trials have shown that a split prep is much better than prepping only the day before.In some studies, 30–40% more patie","cbCaitP9oeEUQ7UK","https://ap.wps.com/l/cbCaitP9oeEUQ7UK","pdf",249755,"English","# One Week Before Your Procedure\n## Five Days Before Your Procedure\n## The Day Before Your Procedure\n## The Day of Your Procedure\n# Frequently Asked Questions\n## What is a Split Prep?\n## How should I take the PEG 3350 prep?\n## How should I take Suprep/Moviprep/Clenpiq/Sutab/Suflave?\n## What time do I need to start the morning part of the prep for an 8am procedure?\n# What can I do to make it easier to prep?\n# Our Locations","[{\"question\":\"Which GLP-1 medications should be stopped, and when, before the procedure?\",\"answer\":\"GLP-1 medications such as liraglutide, dulaglutide, semaglutide, tirzepatide, and exenatide should be STOPPED 1 week prior. Confirm with the prescribing physician whether holding is safe and ask about an alternative if needed.\"},{\"question\":\"What diet and intake rules apply the day before and the day of the procedure?\",\"answer\":\"The day before, drink CLEAR liquids ONLY for the entire day and avoid solid foods, dairy products, and alcoholic beverages; avoid anything red or purple. The day of the procedure, stop all clear liquids 3 hours before the procedure and take nothing else by mouth.\"},{\"question\":\"What is split prep, and how does it differ from taking all the bowel prep the day before?\",\"answer\":\"In a split prep, the first part is taken the evening before and the second part is taken early in the morning on the procedure day. The guidance notes split prep can be easier and is much better than prepping only the day before, with studies showing higher rates of excellent or adequate prep.\"}]","Preparing for Your Colonoscopy - Instructions for GLP-1 and Medication Hold Timing | PDF",1790542538]