Flexible-sigmoidoscopy with anesthesia | veterans affairs

------------------------- 7 DAYS BEFORE YOUR PROCEDURE STOP taking blood thinners: EFFIENT (Prasugrel), BRILINTA (ticagrelor), PLAVIX (Clopidogrel). STOP weight loss meds such as: OZEMPIC,

WEGOVY, MOUNJARO, PHENTERMINE. 5 DAYS BEFORE YOUR PROCEDURE STOP taking blood thinners: WARFARIN (Coumadin), ASPIRIN, and NSAIDs (Ibuprofen, Advil, Naproxen, Meloxicam, Diclofenac). STOP

taking NUTS, SEEDS, FISH OIL, FIBER, and IRON supplements. 2 DAYS BEFORE YOUR PROCEDURE STOP taking blood thinners: PRADAXA (dabigatran), XARELTO (rivaroxaban), ELIQUIS (apixaban),

CILOSTAZOL (Pletal). FOLLOW THESE ENDOSCOPY INSTRUCTIONS EXACTLY AS DIRECTED THE DAY BEFORE YOUR PROCEDURE * Take your normally prescribed medications, EXCEPT for those instructed to NOT

take. * DO NOT take oral diabetes medication the night before the procedure * DO NOT TAKE ANY FAST-ACTING INSULIN THE NIGHT BEFORE PROCEDURE. * Take only ½ of your evening dose of

Long-acting insulin. DO NOT EAT OR DRINK ANYTHING AFTER MIDNIGHT THIS INCLUDES: * No oral tobacco * No marijuana * No chewing gum * No mints * No coffee * No ice-chips THE MORNING OF YOUR

PROCEDURE * Take your blood pressure meds, heart meds, and/or seizure meds as prescribed with ONLY a sip of water. * DO NOT take any oral diabetic medication. * DO NOT take ANY insulin. *

Administer your FLEETS ENEMA at home 1 to 1 ½ hours prior to departure from your home. YOU AND YOUR LICENSED DRIVER MUST CHECK-IN TOGETHER. YOUR DRIVER MUST STAY AT THE CLINIC UNTIL YOU ARE

DISCHARGED. THEY CANNOT DROP YOU OFF AND LEAVE OTHERWISE, YOU WILL BE RESCHEDULED.