CLENPIQ may affect how other medicines work. Most people who have had a shot say the pain gets better quickly. 4. 8 oz LIQUIDS MUST NOT BE RED OR PURPLE. It peaks within 60 minutes, and its effects. Dose 1 is taken the evening before the colonoscopy (at roughly 4 PM to 8 PM) and dose 2 is taken the next morning (about 12 hours after the start of Dose 1). I had some ginger ale [or sprite/ white grape juice] ready to chase after each "sip". Picosalax is not for use in children under 9 years of age. CLENPIQ is ready for you to drink right from the bottle. x There are 2 different methods for taking CLENPIQ. Clenpiq is an innovative medical testing solution designed to streamline the process of testing for renal function. Factors that Affect the Duration of Clenpiq Wear OffSatisfaction. Overall, ADR was significantly higher in AM than in PM procedures. Step 4: Drink the second dose. Even though your stools•Additional fluids must be consumed after every dose of CLENPIQ in both dosing regimens. Clenpiq is taken as two separate doses over two days. Day-before dosing: Take the first dose in the afternoon or early evening. , Suite C, Mitchel Field, Uniondale, NY 11553 Phone: 516. Medicines taken by mouth may not be absorbed properly when taken within 1 hour before the start of Clenpiq. It does not need to be mixed or diluted. CLENPIQ BOWEL PREP KIT CLENPIQ Bowel Prep Kit Is taken as a split dose (2-day) regimen. Do NOT refrigerate or freeze CLENPIQ. It’s cranberry flavored. Safely buy discount Clenpiq at our Canadian International Pharmacy Association (CIPA) certified online drugstore. Expect to move your bowels at least 5-10 times, although some people do not have multiple bowel movements after this initial dose of preparation. An enema will take up to an hour to work but will typically take effect after 5 minutes. The amount of inflammation, the type of injection, and other factors can all. Prescription and OTC lidocaine patches are both available as lower-cost generics. If adverse effects occur, it is important to see a doctor before they worsen. I started the first Clenpiq at 3:15 pm Tuesday. Excursions permitted at 15°C to 30°C (59°F to 86°F). SECOND DOSE: You will begin your second dose Clenpiq the evening before at (Please contact GI MD). of Miralax (14 doses bottle) with the Gatorade in a large pitcher or bowl. Obtain Clenpiq Bowel Prep from your pharmacist (NOTE: this requires a prescription). Started working within an hour and I stayed on the toilet for the next 4 hours. For example, the beta-blocker metoprolol tartrate 410 (Lopressor) starts working within one hour of taking the oral tablet, with effects lasting about six to 12 hours depending on the dose. Please be aware that your scheduled procedure time is tentative and may change. Seroquel IR can be taken with or without food. Do not refrigerate or freeze CLENPIQ. This popular prep regimen involves drinking a solution made up of polyethylene glycol and electrolytes. It does leave a nasty after taste but it’s nothing like the other prep I had. any of the ingredients listed atColonoscopy 2 Day Prep Instructions – CLENPIQ AM (arrivals 6:30am - 11:30am) Please follow the General Colonoscopy instructions along with your prep instructions. Starting at 5 P. Second bottle I drank at 3am. It did take a little while to work for me (6 hours) which my doctor said was longer than normal, but once it worked it did its job well. Lidocaine patches should start working about 30 minutes after you apply them. Remove any jewelry, including body piercings. The CLENPIQ will be given as a SPLIT DOSE regimen. It is a laxative. 1, 5. Most people do not continue to experience diarrhea after they've gone to bed. 5 g magnesium oxide, and 12 g anhydrous citric acid. 63, 95% confidence interval [CI] 0. Two small bottles the first I took at 4pm the day before. The above information is intended to. ˜ 30 minutes before starting 2nd dose take 1-Reglan or Zofran tablet. You can take a cab, medical transport or bus only if an adult is. , 5:00 PM to 9:00 PM). If return is not clear, take a Fleets. Leave valuable items. However, in general, it is thought that clenpiq (a medication used to treat diabetes) takes around 2-4 weeks to start working effectively. may wear a ainder of th ke any t time. It does not need to be mixed or diluted. 16. DO NOT CONSUME ANY ALCOHOL, JUICE PULP, MILK, CREAM, SOY OR NON-DAIRY CREAMER, OR. How long will the colonoscopy take/how long will I be at the facility? The procedure itself takes about 30-45 minutes, however, plan on being at the Surgery Center for approximately 2. 5. Prep: Sodium picosulfate, magnesium oxide, and citric acid (Prepopik). How to take it: Two 12-ounce doses, each followed by a quart of water. 21. ˜ ndDrink all of 2 bottle of the ClenPiq prep straight from the bottle do not add liquid ˜ Follow the ClenPiq prep with 3 glasses (8-ounces) clear liquid drinks using the cup supplied in kit over the next 30-45 minutes. 5 hours after the 1st dose. A fecal-occult blood test once every year; this checks for signs of blood in three consecutive fecal samples. With slow-release or extended-release (ER) forms, the drug may take longer to start because it’s gradually released over 12 or 24 hours, but pain relief lasts longer. Women often have longer colons due to childbirth or hysterectomies, so it can take more time for material to travel through the colon. I barely made it through the 40-minute ride to the colonoscopy center. Immediately follow with 40 ounces of water over the next hour. If you don’t have frequent and progressively looser bowel movements within 3 hours of taking the preparation you will likely need something else to help it to work properly. You will return it, forcefully, but this transaction should not take place at the pharmacy. Clenpiq; Prepopik; Descriptions. Note that it says that you should refrigerate CLENPIQ so that it tastes better. Clenpiq ** Please READ FIRST ** Important Information if you require COVID-19 Test and Procedure To keep you safe, there are procedures and policies we have added to our normal preparation. 2 liters of PEG solution: The evening before your colonoscopy, you drink the first liter of solution spread out over an hour, drinking about 8 ounces every 15 minutes. —. NO MIXING OR DILUTING1. You check in 1 hour early and recovery time is about an hour. 1868 Fax: 516. Your doctor will view the colonoscopy on a television. This is usually between 5-8 PM. Take the first dose (1 bottle) of CLENPIQ in the afternoon or early evening before the colonoscopy (e. Patients typically drink a total of four liters of the solution over a period of several hours. Consume the solution slowly in 10 to 20-minute intervals over the course of three hours. Do not drive for 8 hours after your procedure. It’s an individualized answer with many factors to consider. Serotonin and norepinephrine reuptake inhibitors (SNRIs): One to four weeks. Adderall and Adderall XR (amphetamine and dextroamphetamine): Adderall starts to work in approximately 30 minutes to one hour. Complete steps 1 through 4 using one packet in your CLENPIQ kit. It’s a split-dose regimen, where you take one dose between 4-6 pm the evening before your procedure, and the second dose 5 hours before your procedure. 1 Important Administration Instructions • Correct fluid and electrolyte abnormalities before administration of CLENPIQ. We recommend starting before 6 PM. You take 12 pills along with water the day before the colonoscopy and 12 pills the morning of the procedure. Administer tetracycline and fluoroquinolone antibiotics, iron, digoxin, chlorpromazine and penicillamine, at least 2 hours before and not less than 6 hours after administration of CLENPIQ to avoid chelation. Clenpiq has an average rating of 5. Clenpiq has a laxative effect to clean the large intestine before surgery or certain procedures such as colonoscopy. 7 out of 10 from a total of 277 reviews for the treatment of Bowel Preparation. Zofran can start working in as little as 30 minutes, but it can take up to 2 hours to reach its full effect. Drink an additional 5 cups (8 oz each) of water or clear liquids. You should not use this medicine if you are allergic to citric acid, magnesium oxide, or sodium picosulfate, or if you have: kidney disease; a bowel obstruction, ileus, colitis or toxic megacolon;This article will discuss how long it takes for Clenpiq to wear off and any factors that might affect its duration. MoviPrep. take any medicines by mouth (oral) within 1 hour of starting Clenpiq. Clenpiq has an average rating of 5. Do not refrigerate or freeze the CLENPIQ Bowel Kit. If you take insulin, please take your regular AM insulin dose and ½ dose of any PM insulin. CLENPIQ may affect how other medicines work. It also looks at the pros and cons of taking Clenpiq, and offers tips for getting the most out of the supplement. I drank the 2nd bottle Clenpiq at 9pm. . Take your usual dose. Pour it in a glass over ice. • Purchase Miralax OTC (or generic polyethylene glycol 3350) and take 1 capful mixed in 8 oz. nausea. Your Perfect Clenpiq Prep 5 days prior to procedure Stop all blood thinning medications, vitamins, and herbal supplements. Is clobetasol propionate expensive?If you are taking both doses of the medication the day before your colonoscopy, you will take your first dose between 4:00-6:00 p. Upon waking, eat or drink nothing but clear liquids. Do not put the other half of the bowel prep solution in the refrigerator. I would not worry about it. 91, P=0. Do not drive for 8 hours after your procedure. Drug information provided by: Merative, Micromedex® US Brand Name. eat solid foods, dairy such as milk, or alcohol while taking. 2. For others it can take a little more than an hour, but that’s about the most someone usually has to wait. Biomarkers may lag behind these more subjective responses. I had some ginger ale [or sprite/ white grape juice] ready to chase after each "sip". ColPrep Kit; Suprep Bowel Prep Kit; Descriptions. The second half of your prep should be started 4-5 hours before the time of your colonoscopy. The prep started to work before I finished the 32 oz of water. Managed to drink the bottle at 5 pm (took 30 min to get it down). Manhattan Gastroenterology Locations: Manhattan Gastroenterology (Upper East Side) 983 Park Ave Ste 1D, New York 10028. Pain relievers: After 3 days if using for a fever or 10 days if using for pain. You need to stay hydrated throughout the process. Most colonoscopy preparations are liquid solutions that. The most common side effects of Clenpiq in children 9 to 16 years of age include: nausea. Antidepressants may take a while to kick in. 66; p<. Here’s what our. Then 3 more in the clinic at 7:30am I had no cramping or pain. m. Yes, you still have to take the second dose. Expect to move your bowels at least 5-10 times, although some people do not have multiple. Please follow recommendations for the 3 days prior and the 1 day prior. 2. Official answer. You may notice an improvement in your sleep, energy and appetite in the first week or two of taking Wellbutrin and this can be an important sign that the drug is working. Generally, people need to spend 30-60 minutes in the bathroom. Can I brush my teeth? Yes, please do. The dosage is usually 10 ounces for adults and 5 ounces for children age 6 to 12, but instructions will be on the medicine bottle. , 5:00 PM to 9:00 PM). m. The Miralax can be mixed into Gatorade or another clear liquid to make the solution tastier. You will be asked to take the colon prep in two doses: the first dose, 3-6 pm the night before your procedure; the second dose, 6-8 hours before your procedure. long, flexible instrument that has a light and a camera at the tip, will be passed through the rectum and around the colon. Cleaning the colon. Rapid-acting insulin: This type starts to work just 15 minutes after you take it. If you don't like it (you won't), don't worry. This copyrighted material has been downloaded from a licensed data provider. Do NOT take products that contain iron, such as multivitamins (the label lists what is in the products). However, it is thought to work by increasing the activity of norepinephrine, a chemical messenger that. It was a rough night and barely slept. THE DAY OF COLONOSCOPYThe approximate length of time it may take before you notice a reduction in your pain if Tylenol is taken on an empty stomach are: Orally disintegrating tablets, oral Tylenol liquid: 20 minutes. Ondansetron belongs to the class of medicines known as 5-HT3. You then drink 16 ounces of any clear liquid. How long does it take for famotidine to work? Famotidine starts to block stomach acid within 15 minutes to 1 hour of taking the medicine. Just before 5, I drank the first bottle of Clenpiq. 1. It works by increasing muscular contractions in your lower intestine (bowel). e. How much does Clenpiq cost without insurance? Clenpiq prices without. It typically takes about 3 days for Clenpiq to wear off completely. 5 hours before you leave home. You then repeat 5-8 hours before the procedure. The MoviPrep container is divided by 4 marks. Tramadol — a synthetic opioid — generally starts to relieve pain within an hour in its fast-acting forms, which are used for short-term pain management. But once they start working, the relief can last for 8 to 12 hours. Remember even while taking split prep you cannot have any liquids, ice chips, water or food THREE hours before your procedure. Use the dosing cup to measure your clear liquid and fill to top line (8 oz mark). You take the first 6-ounce ounces bottle of CLENPIQ the evening before your colonoscopy at 5:00 PM. The neurotransmitter, serotonin, appears to play a role in ondansetron's effect. Felt nauseous trying to drink it. CLENPIQ Instructions. An option that can be purchased without a prescription is Miralax liquid and Dulcolax tablets, often taken together. 1, 5. Most blood pressure medications start working within hours and continue to gradually improve blood pressure over time. I mean, for those of you who've taken the liquid, you know how bad it is. Take 4 tablespoons of Milk of Magnesia after dinner. g. Most blood pressure medications start working within hours and continue to gradually improve blood pressure over time. The long answer is that it can be shorter. For some, the answer to how long does colonoscopy prep take to work, happens in about an hour. Higher doses may deliver greater decreases in blood pressure, but they can also increase the risk of side. For this reason, nasal steroids like Flonase are most effective when used on a regular basis for long-term relief. Remember to stay hydrated. 8 out of 10 from a total of 288 reviews on Drugs. We want you to drink plenty of liquids during the preparation as long as they are clear. You take the first 6-ounce ounces bottle of CLENPIQ the evening before your colonoscopy at 5:00 PM. Urine tests can detect Xanax for up to four days. take CLENPIQ the right way. DO NOT take any ORAL Diabetic medication on the day of your prep or the day of your procedure. Additional liquids must be consumed after every dose of CLENPIQ: five or more 8-ounce cups of clear liquids after the first dose and four or more 8-ounce cups of clear liquids after the second dose. Oral decongestants: After 7 days of use. rkway te 204 27518 -0041 -0049 s. The Day Before Your Colonoscopy. The colon needs to be as clean as a whistle before the doctor can insert the 5-to-6-foot long flexible scope into the colon. (2. Take your time. puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue. Do not take oral medications within one hour of starting CLENPIQ. If you’ve taken your antidepressant for at least 4 weeks with no improvement, let your healthcare provider know. com day ou l le in r p ic e . If you wear contact lenses, wear your glasses instead. You may continue to drink clear liquids until midnight. 1. • One CLENPIQ box (box includes two bottles of CLENPIQ, 5. TO OPEN THE CLENPIQ BOTTLE, BREAK THE SEAL FIRST, THEN TURN TO OPEN CAP 6:00pm First Dose: 1. It does not need to be mixed or diluted. Take only the medications you were told to take the morning of your colonoscopy. If you have any questions, please feel free to call your doctor’s office. It is a central nervous system stimulant that works by increasing the activity of certain chemicals in the brain. CLENPIQ is a prescription that cleans your colon. Moviprep or Clenpiq. Instruct patients to consume only clear liquids (no solid food or dairy) on the day before the colonoscopy up until 2 hours before the time of the colonoscopy. x Take CLENPIQ exactly as your healthcare provider tells you to take it. 3. , 4:00 to 6:00 PM). 4. Drink an additional 5 (8 ounce) glasses (total of 40 ounces) of water, at your own pace. Typically, bowel prep medication is a solution that you will need to drink starting one day before your procedure. At 6 PM, drink one bottle of clenpiq. . Drink CLENPIQ right from the bottle. People considering using an. If someone does not have a bowel movement after consuming all of the prep drink and taking other. For example, levofloxacin is in the. Your healthcare provider may do blood tests after you take CLENPIQ to check your blood for changes. I did not find this to be the case at all. Long-term studies in animals to evaluate carcinogenic potential or studies to evaluate mutagenic potential have not been performed with CLENPIQ. Do not take any medicine by mouth within 1 hour before using citric acid, magnesium oxide, and sodium picosulfate combination. It usually takes about 30 minutes to. If your procedure is in the morning, do not drink anything after midnight. Official answer. How does Clenpiq work? And how long does it take to start working? Clenpiq cleans out your bowel before a colonoscopy. do. Felt slightly bloated with the water intake and Clenpiq. 5 grams of magnesium oxide, and 12 grams of anhydrous citric•Administer oral medications at least 1 hour before starting CLENPIQ. Typical Time Frame for Clenpiq to Take Effect. for as long as possible. GameStop Moderna Pfizer Johnson & Johnson AstraZeneca Walgreens Best Buy Novavax SpaceX Tesla. Continued to drink 8 oz of liquid every hour and then took the 2nd bottle starting at 2 am and. Prep: Polyethylene glycol, sodium sulfate. 794. 1. Do not take CLENPIQ if your healthcare provider has told you that you have:. Tip #1: Expect about 5 hours for the first dose of Clenpiq from when you finish the bottle to the required five 8-oz glasses afterwards. It can take anywhere from 18 to 254 days for a person to form a new habit and an average of 66 days for a new behavior to become automatic. Other Information. Common prednisone side effects include elevated blood sugar, upset stomach, and trouble sleeping. Choosing the best time for a cortisone shot could be the difference between success and failure. 1) •Do not take oral medications within 1 hour of start of each dose. In children 6 to 11 years old using Dupixent or placebo plus a topical corticosteroid for severe eczema, studies at 16 weeks show that. Do not refrigerate or freeze CLENPIQ. It’s important to be patient and give Clenpiq time to work. Patients typically take the DULCOLAX tablets the evening before the procedure. The bowel-preparation solution can work quickly and will cause multiple bowel movements. It’s important to be patient and give Clenpiq time to work. The afternoon or evening before your colonoscopy, you’ll begin taking your laxative bowel prep. Generation 1 poisons (warfarin, chlorophacinone, diphacinone) work best when the toxic dose is built up gradually over 2 to 3 nights of feeding. Once-daily doses are best taken at bedtime to help limit daytime drowsiness. However, you may be asked to remove them prior to the procedure. 55% of reviewers reported a positive experience, while 28% reported a. Day of the Exam : q 3 Hours prior to leaving your house: Drink the other bottle of CLENPIQ. I drank the first bottle of clenpiq at 5pm and started feeling the effects almost 3 hours later. Plus applicable sales tax. If the prep is why you are hesitating to have a colonoscopy, I hope my experience helps. I took my first dose at 6:15 pm and the prep started working. To use Clenpiq®: Clenpiq® is ready to drink and is equal to one dose. It is important to drink the additional water as recommended in the instructions for use. Some people notice improvement right away. Atorvastatin can reduce LDL levels by up to 45-60%. You must have nothing to drink 3 hours prior to your procedure time. A flexible sigmoidoscopy to check the rectum and lower part of the colon once every five years. Clenpiq is a prescription medication used for bowel cleansing. You will need to take two doses of Clenpiq to be fully prepared for a colonoscopy. 2. Consume at least five 8. The procedure uses a colonoscope (“scope”) — a long flexible tube with a light and camera at the end — to examine the inside lining of the colon. It does not need to be mixed or diluted. Multivariate analysis demonstrated that ADR for females was lower in PM than in AM colonoscopies (odds ratio [OR] 0. patients, if patients failed to take the required clear liquids after ingestion of a dose of clenpiq. ttbet1028. 5 hours. CLENPIQ is a prescription medicine that cleans your colon. Dr. (212) 427-8761 Manhattan Gastroenterology (Midtown) 56 W 45th St, Ste 802, New York 10036. grains, including brown rice, oatmeal, and wheat bread. However, this timeframe may vary depending on a variety of factors, such as your age, weight, and overall health. Beginning at least 5 hours prior to your procedure start time, drink the 2 nd dose of Clenpiq right from the bottle . that use melatonin supplements has markedly risen over the last 20 years. There are two available methods for using Clenpiq, and the most recommended way is the “Split-Dose” method. of liquid). Tell your healthcare provider about all the medicines you take, including prescription and non-prescription medicines, vitamins, and herbal supplements. 2 mm Hg, depending on the dosage. It typically causes frequent watery bowel movements for a few hours. Do not take oral medications within 1 hour of start of each dose. Just an update. For best results, take the medicine 2 to 4 hours after you last ate. It allows the doctor performing the test to find and remove precancerous polyps and early colorectal cancers. Five (5) days before your colonoscopy Do NOT take medicines that stop diarrhea, such as loperamide (Imodium®) or bismuth subsalicylate (Kaopectate®, Pepto-Bismol®). Question: How long does the procedure take? Answer: The colonoscopy can be 30 to 45 mins long. Pour the contents of dose 1 into a measuring container that can hold 500 ml of fluid. It usually takes about 30- 60 minutes after drinking the solution to begin having bowel movements You may notice. Keep your acetaminophen in a dry area below 77 degrees Fahrenheit and away from sunlight. Magnesium citrate is mild when used in the recommended amounts. not broken or chewed because this would release the peppermint oil too early. 7 mm Hg and diastolic (lower) pressure by as much as 10. It's used to treat constipation and acid indigestion. Do not wear any lotion, cream, makeup, powder, perfume, or cologne. clear liquid : clear liquid : clear liquid : clear liquid : clear liquid : q At 10 pm: Take evening medications as directed. CLENPIQ BOWEL PREP . It typically takes 1 to 2 weeks for doxycycline to fully clear an infection, but some infections can take as long. The exact way that Clenpiq works to treat ADHD is not known. Selective serotonin reuptake inhibitors (SSRIs): About six weeks. "Paid $90 with insurance for Clenpiq. CLENPIQ can reduce the absorption of co-administered drugs. It peaks within 60 minutes, and its effects last for 3 to 5 hours. Inflammation usually improves within a few days. Do not take other laxatives while you are taking this medicine. You will need two doses of this medicine. Start the Miralax preparation between 2pm and 4pm. In a clinical research study, over half of the people who responded to treatment with Prozac had a positive benefit by the. If you have been taking prednisone regularly, it should not be stopped suddenly. 17. However, this can vary depending on individual factors such as age, body weight, and metabolism. stomach area (abdominal) pain. How long will the colonoscopy take/how long will I be at the facility? The procedure itself takes about 30-45 minutes, however, plan on being at the Surgery Center for approximately 2. Start the Miralax preparation between 2pm and 4pm. Take this medication by mouth. You may feel some depression symptoms improve within the first couple weeks, but it can often take 4 to 8 weeks to feel the full effects of your medication. If you take any of the following medicines, take them at least 2 hours before or not less than 6 hours after you take Clenpiq: It really depends on what time this happens. 3 steps for a good colonoscopy prep. You must be on a clear liquid diet the entire day before your colonoscopy. I felt fine by around 6 so hung out with the family. Orlando FL. Then, the majority of our patients elect to have IV sedation. If you wear contact lenses, wear your glasses instead. Here are the lengths of time different types of drug tests can detect Xanax in your body. Hydration is important and it's part of the prep. Clenpiq day #2, dose #2: Drink the last 5. They work by stimulating the muscles in the walls of the intestines to move stool through the bowels. 00 to $46. − Continue drinking clear liquids up until you go to bed. However, this can vary depending on individual factors such as age, body weight, and metabolism. I took zofran an hour before each prep and listened to all instructions with no vomiting or pain. 44-0. Check your blood sugar often throughout the day. take 1/2 of prescribed dose if your surgery is scheduled. 4 oz bottle of clenpiq right out of bottle step 2: fill cup provide to the 8oz mark with water and drink. Finished the first dose before the 3. When taking Clenpiq, it’s important to be aware of the typical time frame for the medication to take effect. Drink the first bottle of Clenpiq. 11 ± 1. For eczema in adults and adolescents, Dupixent (generic name: dupilumab) can start to work as quickly as 2 to 4 weeks to relieve itching and in 16 weeks for a clear or almost clear skin improvement. For the average patient prep takes about 6-8 hours to complete, and often women can take longer than men. But typically, it takes 2 to 3 months to experience its full effects. SUPPLIED IN TWO 5. 7304 LONG ISLAND CENTER Once you ingest the colon cleanser (or do the enema) and the initial dumping of your bowel occurs, things may slow a little. Two days before your exam, you’ll. I did the same thing but I took it out of the fridge earlier in the day so no worries at all. Within the next two hours: Drink at least five 8-ounce glasses of clear liquids. To use, unwrap the suppository and insert it pointed-end first. At 11pm it started to work I had a few explosive watery diarrheas, went to sleep at 2am. 001), Moviprep® (7. step 1: drink one whole 5. For insulin, please take your insulin the morning prior to your procedure. (2. Both require a prescription. It peaks within 60 minutes, and its effects last for 3 to 5 hours. If you notice that you are not clear the morning of the procedure, you can still drink magnesium citrate but really need to finish drinking. cups (cup provided) of clear liquids (40 oz. Long story short, I used the Clenpiq as instructed and it worked. Take 4 tablespoons of Milk of Magnesia after dinner. seeds, including poppy or sesame seeds. Information last revised January 2023. Day of Test. M. Clenpiq is a combination sodium picosulfate-based colonoscopy prep kit. Keep taking the medicine until you have completed all doses prescribed by your doctor. Lunch must be completed at least 3 hours prior to the start of the first Plenvu dose. Of course, there are always exceptions. While you take a break, you may put your prep liquid in the refrigerator if you prefer it cold.