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Portland Gastroenterology Center

Portland Gastroenterology Center

161 Marginal Way • Portland, Maine 04101 • 207-773-7964
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Upper Endoscopy Prep – GLP1

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

Download these Prep Instructions for Printing

About Your Appointment

A responsible adult will need to drive you home. Taxis, Ubers, buses, medical ride services, or walking are not options unless a responsible adult accompanies you. You will not be able to drive for the rest of the day.

Plan on being at our facility for about 1 1⁄2 hours from arrival to departure (although this may vary depending on the day/procedure/location – ex. approx. 2.5 hrs for MMC)

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

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 (Plavix®, warfarin, Eliquis®, 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 1⁄2 your morning insulin dose. Bring the other 1⁄2 with you.

Stop the following medications until after your procedure as directed below

7 days before your procedure

  • Iron supplements, Fiber supplements (e.g. Citrucel®, Metamucil®)
  • Adipex-P®/Lomaira® (Phentermine), Qsymia® (Phentermine/Topiramate)
  • If you take a GLP-1 agonist such as: Adlyxin® (Lixisenatide), BCise®(Exenatide ER), Bydureon®, Byetta® (Exenatide IR), Trulicity®(Dulaglutide), Ozempic®/Wegovy®(Semaglutide), Mounjaro®/Zepbound® (Tirzepatide), Rybelsus® (Semaglutide), or Saxenda®/Victoza® (Liraglutide), contact the office for additional prep instructions.

The day of 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)

24 Hours Prior to your Procedure

  • Stop eating solid food until after your procedure.
  • Continue drinking clear liquids* until 3 hours prior to your procedure.

3 Hours Prior to your Procedure

  • Nothing by mouth until after your procedure.

Examples of clear liquids

  • Popsicles
  • Coconut water (not coconut milk)
  • Gatorade®
  • Kool-Aid®
  • Strained fruit juice (apple or white grape)
  • Jell-O®
  • Coffee and tea (without dairy products/creamer)
  • Soft drinks
  • Water

 


What are the risks of an endoscopy?

Endoscopy is a standard medical procedure. Although rare, all procedures have some risks.

  • The instrument may tear 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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