Upper
EUS

Upper EUS Preparation Instructions

Upper Endoscopic Ultrasound (EUS) preparation requires a little organization but is an extremely important part of your procedure. If you do not follow these directions, your EUS may be cancelled.

Key Information:

• Bring a list of all your MEDICATIONS (including over-the-counter medications), photo ID, insurance card, co-pay/co-insurance/deductible with you to your procedure.
• DO NOT bring unnecessary belongings. We are not responsible for lost or misplaced items.
• Stop all clear liquids two hours before your procedure arrival time.

Transportation on the day of your procedure:

• A responsible adult MUST BE PRESENT (18 years or older) with you at check-in before your procedure and MUST BE ABLE to pick you up IMMEDIATELY when you are discharged. You are NOT ALLOWED to drive, take a taxi or bus, or leave the Endoscopy Center alone. If you do not have a responsible driver with you to take you home, your procedure WILL BE CANCELLED.
• Because of the sedation, you are NOT ALLOWED to use a bus, taxi, Uber/Lyft, Access-a-Ride, walk home, etc. alone.

Medications:

• Blood thinners: including Coumadin (warfarin), Plavix (clopidrogel), Ticlid (ticlopidine hydrochloride), Brilinta (ticagrelor), Aggrastat (tirofiban), Agrylin (anagrelide), Xarelto (rivaroxaban), Pradaxa (dabigatran), Eliquis (apixaban), Lovenox (low molecular weight heparin), Innohep (heparin) or Effient (Prasugrel), You must follow the instructions provided by our nurses.
• Diabetes/Weight Loss medication: See instructions below.
• ACE Inhibitor Blood Pressure medications: Do NOT take medications ending ‘pril’ the day of your procedure. Examples: lisinopril, benazepril, ramipril, captopril, enalapril, quinapril
• ARB Blood Pressure medications: Do NOT take medications ending in ‘sartan’ the day of your procedure. Examples: losartan, irbesartan, candesartan, valsartan, telmisartan, olmesartan
• All other medications: Including aspirin, should be taken the day of the exam with a sip of water.​

Weight Loss/Diabetes Medications:

• GLP-1 Agonists (Injectable): including Mounjaro (tirzepatide), Zepbound (tirzepatide), Trulicity (dulaglutide), Victoza, Saxenda (liraglutide), Adlyxin (lixisenatide), Ozempic (semaglutide), Wegovy (semaglutide), Bydureon BCise (exenatide), Byetta (exenatide), Stop one week prior to your procedure.
• GLP-1 Agonists (Oral): including Rybelsus (semaglutide tablet), Stop 24 hours prior to procedure.
• Anorectics: including Adipex-P, Lomaira, Suprenza (phentermine hydrochloride), Qsymia (phentermine hydrochloride/topiramate), Stop 5 days prior to your procedure.

If you have diabetes, follow these instructions:

• Long-Acting Insulins (ex. Lantus, Basaglar, Semglee, Toujeo, Insulin Glargine): Decrease basal rate by ½ the day before and the day of your procedure.
• Rapid-Acting and Regular Short-Acting Insulin (ex. Lispro, Humalog, Admelog, Regular Insulin): If your blood sugar is high and you need to take a correction, take ½ or 50% of your usual correction.
  This applies to the day before and the day of your procedure.
• Insulin Pump: Decrease basal rate by ½ the day before and the day of your procedure. Do not administer bolus doses.
• SGLT2 Inhibitors: including Jardiance (empagliflozin), Brenzavvy (bexagliflozin), Glyxambi (empagliflozin/linagliptin), Invokamet (canagliflozin/metformin), Invokana (canagliflozin), Qtern (dapagliflozin/saxagliptin), Segluromet (ertugliflozin/metformin), Steglatro (ertugliflozin), Steglujan (ertugliflozin/sitagliptin), Synjardy (empagliflozin/metformin), Inpefa (sotagliflozin), Trijardy (empagliflozin/linagliptin/metformin), Xigduo (dapagliflozin/metformin), Farxiga (dapagliflozin), Stop these medications four days prior to your procedure.
• Other Diabetic Oral & Injectable Medications: including Glucophage (metformin), Glucotrol/Glynase Pres Tab/Micronase (glipizide), Amaryl (glimepiride), DiaBeta (glyburide), Tradjenta (linagliptin), Januvia (sitagliptin), Nesina (alogliptin), Onglyza (saxagliptin), Zituvio (sitagliptin), Actos (pioglitazone), Avandia (rosiglitazone) or any combination of these medications, Stop these medications the day before your procedure.
• Check your blood sugar at same intervals as usual, and additionally, if needed: If your blood sugar is less than 60, please take glucose tablets at any time before your procedure with a sip of water.