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7MB pdf - American Society for Gastrointestinal Endoscopy

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Clean Freak<br />

Effective cleansing in all bowel segments, including the right colon<br />

Percent of patients with NO RESIDUAL STOOL by colon segment 1 *<br />

Colon Segment<br />

SUPREP Bowel<br />

Prep Kit split-dose<br />

regimen (n=63)<br />

4-Liter Prep<br />

same-day regimen ‡<br />

(n=66) §<br />

Cecum 91% † 67%<br />

Ascending 91% † 69%<br />

Descending 92% 84%<br />

Transverse 92% 82%<br />

Sigmoid/Rectum 94% 81%<br />

*This clinical trial was not included in the product labeling. † P≤0.02 vs 4-Liter Prep. Statistically significant difference.<br />

‡<br />

Standard 4-Liter Prep (sulfate-free PEG electrolyte lavage solution).<br />

§<br />

One patient was excluded who took the preparation but refused colonoscopy. Three patients had one or more<br />

segments that could not be evaluated because the procedure was stopped <strong>for</strong> poor preparation be<strong>for</strong>e cecal intubation.<br />

SUPREP Bowel Prep Kit achieved “excellent” bowel<br />

cleansing in patients based on investigator grading 1,2<br />

• Split-dose regimens of SUPREP Bowel Prep Kit<br />

and MoviPrep ®|| were equivalent in colon<br />

cleansing 2<br />

• Significantly more patients had “excellent” preps<br />

with SUPREP Bowel Prep Kit compared to MoviPrep<br />

(63% vs 53%, respectively; P=0.043 ) 2<br />

||<br />

MoviPrep (PEG-3350, sodium sulfate, sodium chloride, potassium chloride, sodium ascorbate<br />

and ascorbic acid <strong>for</strong> oral solution) is a registered trademark of Salix Pharmaceuticals, Inc.<br />

<br />

Statistically significant difference.<br />

Important Safety In<strong>for</strong>mation<br />

SUPREP ® Bowel Prep Kit (sodium sulfate, potassium sulfate and magnesium sulfate) Oral Solution is an osmotic laxative indicated <strong>for</strong> cleansing of the colon as a preparation<br />

<strong>for</strong> colonoscopy in adults. Most common adverse reactions (>2%) are overall discom<strong>for</strong>t, abdominal distention, abdominal pain, nausea, vomiting and headache.<br />

Use is contraindicated in the following conditions: gastrointestinal (GI) obstruction, bowel<br />

per<strong>for</strong>ation, toxic colitis and toxic megacolon, gastric retention, ileus, known allergies to<br />

components of the kit. Use caution when prescribing <strong>for</strong> patients with a history of seizures,<br />

arrhythmias, impaired gag refl ex, regurgitation or aspiration, severe active ulcerative colitis,<br />

impaired renal function or patients taking medications that may affect renal function or electrolytes.<br />

Use can cause temporary elevations in uric acid. Uric acid fl uctuations in patients with gout may<br />

precipitate an acute fl are. Administration of osmotic laxative products may produce mucosal<br />

aphthous ulcerations, and there have been reports of more serious cases of ischemic colitis<br />

requiring hospitalization. Patients with impaired water handling who experience severe vomiting<br />

should be closely monitored including measurement of electrolytes. Advise all patients to hydrate<br />

adequately be<strong>for</strong>e, during, and after use. Each bottle must be diluted with water to a fi nal volume<br />

of 16 ounces and ingestion of additional water as recommended is important to patient tolerance.<br />

Please see brief summary of Prescribing In<strong>for</strong>mation on adjacent page.

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