• Continue all aspirin and anti-inflammatory medications including ibuprofen, Motrin, Aleve, naproxen, Naprosyn, sulindac, piroxicam, Feldene, indomethacin, diclofenac, and Voltaren. Tylenol (acetaminophen) is also safe to continue.
• If you take a prescribed blood thinner you will need holding instructions from our office.
• Arrange to have a driver take you home after the procedure. You will not be allowed to drive after receiving sedation.
• If you have diabetes or are taking medications for weight loss, use the following instructions:
  • Fasting (going without food) is required for this procedure, monitor your blood sugar and follow these directions
    • GLP-1 - STOP 7 days prior to your procedure. (ex: Ozempic, Wegovy, Mounjaro, Zepbound, Trulicity, Semaglutide, Tirzepatide)
    • SGLT2 - Stop 3 days prior to procedure (ex: Jardiance, Farxiga, Invokana, Steglatro, Brenzavvy, Glyxambi, Synjardy, Xigduo, Qtern)
    • Other oral diabetic medication: do not take the morning of your procedure.
    • Insulin Pump: Leave on, if you have questions refer to your endocrinologist.
    • Long-acting Insulin: half dose the evening before procedure. Do not take the morning of your procedure.
    • Short-acting insulin: dose as necessary with blood sugar monitoring.
    • If you are concerned about your blood sugar dropping, consider purchasing glucose tablets.

Preparation focuses on fasting for sedation, medication planning, and arranging transportation. You’ll avoid eating and drinking for a period of time before the procedure and will need a responsible adult to drive you home afterward. Detailed instructions and timing are provided below.