Do Medications Affect Your Upcoming Endoscopy and Colonoscopy? - Gastroenterology and Hepatology

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Medications for Peptic Ulcers


Thank you for your previous response, doctor.
I have scheduled an upper gastrointestinal endoscopy and colonoscopy for February 28.
I have been taking these three medications for three months (from the end of January to the end of April).
Will this affect the results of the examinations? Should I stop taking the medications a few days before the tests? (1) PERISCON 5 mg/tablet, (2) TAKEPRON OD 30 mg, (3) SPLOTIN 50 mg.

Liao Xiansheng, 40~49 year old female. Ask Date: 2023/01/31

Dr. Cai Anshun reply Gastroenterology and Hepatology


Hello: You can continue taking it without interruption.
Changhua Hospital cares about your health.
Dr.
Tsai An-shun.

Reply Date: 2023/01/31

More Info


When preparing for an endoscopy or colonoscopy, it is crucial to consider the medications you are currently taking, as they can indeed affect the results of the procedure and your overall safety. The three medications you mentioned—PERISCON (5 mg), TAKEPRON OD (30 mg), and SPLOTIN (50 mg)—are commonly used for gastrointestinal issues, and understanding their implications is essential.

1. PERISCON: This medication is typically used to treat symptoms of gastroesophageal reflux disease (GERD) and other conditions related to excess stomach acid. It works by neutralizing stomach acid and providing a protective barrier. While it is generally safe to continue taking this medication, it is advisable to inform your healthcare provider about its use, as it may affect the visibility of the gastrointestinal lining during the procedure.

2. TAKEPRON OD: This is a proton pump inhibitor (PPI) that reduces stomach acid production. PPIs are often prescribed for conditions like GERD, peptic ulcers, and Zollinger-Ellison syndrome. There is some evidence suggesting that long-term use of PPIs can alter the gastric environment, potentially affecting the results of an endoscopy. It is generally recommended to stop taking PPIs at least 1-2 weeks before an endoscopy to ensure that the stomach is adequately prepared for examination. However, this should be done under the guidance of your physician.

3. SPLOTIN: This medication is used to treat ulcers and may also have effects on stomach acid secretion. Similar to TAKEPRON, it is advisable to discuss with your healthcare provider whether you should discontinue this medication prior to your procedure.


Recommendations:
- Consult Your Physician: Before making any changes to your medication regimen, it is crucial to consult with your healthcare provider. They will consider your specific medical history, the reasons for taking these medications, and the potential risks of discontinuing them.

- Timing of Medication Discontinuation: If your physician advises stopping any of these medications, they will provide specific guidance on when to do so. Generally, stopping PPIs like TAKEPRON a week before the procedure is common practice.

- Inform the Medical Team: On the day of your procedure, ensure that the medical team is aware of all medications you have been taking, including over-the-counter drugs and supplements. This information is vital for your safety and the accuracy of the procedure.


Additional Considerations:
- Dietary Restrictions: In addition to medications, follow any dietary restrictions provided by your healthcare provider in preparation for the endoscopy and colonoscopy. This may include avoiding certain foods and beverages in the days leading up to the procedure.

- Hydration: Stay well-hydrated, but be mindful of any instructions regarding fluid intake, especially if you are required to fast before the procedure.

- Allergies and Reactions: If you have a history of allergic reactions to medications, ensure that your healthcare provider is aware of this, as it may influence the choice of sedation or anesthesia during the procedure.

In summary, while your current medications can affect the outcome of your endoscopy and colonoscopy, proper communication with your healthcare provider will help ensure that you are adequately prepared for the procedures. Always prioritize safety and follow professional medical advice regarding medication management before any medical procedure.

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