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Portland Gastroenterology Center

Portland Gastroenterology Center

161 Marginal Way • Portland, Maine 04101 • 207-773-7964
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Bravo Prep

 

If you have any questions, please call 207-773-7964.

Download these Prep Instructions for Printing

About Your Appointment

Plan on being at our facility for about 90 minutes from arrival to departure (although this may vary depending on the day/procedure/location)

For appointments with a scheduled arrival time of 4:00pm or later, have your ride plan to be at the facility no later than 5:30pm.

If you are unable to keep your appointment, please call at least 3 business days prior to your procedure to reschedule. We reserve the right to charge a penalty fee for patients who “no show” or cancel without adequate notice.


Medication Instructions

  • Aside from the medications below, we recommend you take all home medications as usual with a small amount of water, at least 3 hours before your arrival time.
  • If you take blood thinners (Eliquis®, Plavix®, Warfarin, Xarelto®, etc.) and haven’t been given directions to stop them by our office or your prescribing physician’s office, please call us to clarify. It is ok to continue your Aspirin.
  • Take ½ your morning insulin Bring the other ½ with you.

7 Days Before Your Procedure

  • Stop the following medications until after your procedure:
    • Weekly dosed GLP-1 agonists: Adipex-P®/Lomaira® (Phentermine), Bydureon® BCise®(Exenatide ER), Mounjaro®/Zepbound® (Tirzepatide), Ozempic®/Wegovy®(Semaglutide), Qsymia® (Phentermine/Topiramate), Trulicity®(Dulaglutide)

Day Of Your Procedure

  • Stop the following medications until after your procedure:
    • Daily dosed GLP-1 agonists: Adlyxin® (Lixisenatide), Byetta® (Exenatide IR), Rybelsus® (Semaglutide), Saxenda®/Victoza® (Liraglutide)
    • Morning dose of oral diabetic medication (Bring it with you)

Step-by-Step Preparation Instructions

7 Days Before Your Procedure

  • Stop the following medications:
    • Aciphex, Nexium, Prevacid, Prilosec, and Protonix.

Day Before Your Procedure

  • 24 hours before your procedure:
    • Axid, Cimetidine, Pepcid, Tagamet, Zantac.
    • 1 – 8.3 oz. container of GaviLAX or MiraLAX® powder.
  • You may take antacid (Tums) until 8 hours prior to your test.
  • Call the office if you are pregnant, have an internal cardiac defibrillator or an artificial heart valve, had a recent cardiac procedure or a new cardiac health concern, or if you have an allergy to nickel.
  • Review the Medication Instructions above.

 

  • 8 hours before your procedure:
    • No solid foods until after your procedure.
    • You may drink clear liquids until 3 hours before your procedure.
    • Examples of clear liquids:
      • Popsicles
      • Coconut water (not milk)
      • Gatorade
      • Kool-Aid
      • Strained fruit juice (apple or white grape)
      • Jell-O
      • Coffee and tea without dairy products/creamer
      • Soft drinks
      • No red/blue/purple or items with sediment/solids

What are the risks of an endoscopy with Bravo test?

Endoscopy is a general medical procedure. Although rare, all procedures have some risk.

  • The instrument may team the wall of the throat, stomach, or upper intestine, and may require surgery.
  • There may be adverse drug reactions or heart/breathing complications.
  • Bleeding (bleeding may occur, usually when tissue or polyps are removed).
  • There may be discomfort during and after the procedure.

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Portland Gastroenterology Center • 161 Marginal Way • Portland, Maine 04101 • phone: 207-773-7964 • fax: 207-773-9073
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