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For Healthcare Professionals Only
In order to obtain samples of SUPREP® Bowel Prep Kit (sodium sulfate, potassium sulfate and magnesium sulfate) Oral Solution, please click on the link below to view the Sample Request Form, print the form, fill out completely, and fax back to the number given below.
Click here and fill out our form to download a sample request form
Once this form has been completed, please fax to 781-843-7932. You may also mail your request in to the following address:
Braintree Laboratories, Inc.
Attn: SUPREP Sample Department
PO Box 850929
Braintree, MA 02185-0929
Personalized Prescription Pads
Braintree Laboratories also provides complimentary personalized prescription pads. If you would like to obtain them, please complete the following instructions:
- Submit a voided prescription form. Be sure all information listed on the form is accurate and up to date.
- On the voided form, indicate that you would like personalized pads made for the SUPREP® Bowel Prep Kit.
- Fax your request to 781-843-7932. Please write "Attention Personalized Prescription Pads" on your faxed request.
You will receive your order approximately 3-4 weeks from date of request.
SUPREP ® Bowel Prep Kit (sodium sulfate, potassium sulfate and magnesium sulfate) Oral Solution is an osmotic laxative indicated for cleansing of the colon as a preparation for colonoscopy in adults. Most common adverse reactions (>2%) are overall discomfort, abdominal distention, abdominal pain, nausea, vomiting and headache. Use is contraindicated in the following conditions: gastrointestinal (GI) obstruction, bowel perforation, toxic colitis and toxic megacolon, gastric retention, ileus, known allergies to components of the kit. Use caution when prescribing for patients with a history of seizures, arrhythmias, impaired gag reflex, regurgitation or aspiration, severe active ulcerative colitis, impaired renal function or patients taking medications that may affect renal function or electrolytes. Use can cause temporary elevations in uric acid. Uric acid fluctuations in patients with gout may precipitate an acute flare. Administration of osmotic laxative products may produce mucosal aphthous ulcerations, and there have been reports of more serious cases of ischemic colitis requiring hospitalization. Patients with impaired water handling who experience severe vomiting should be closely monitored including measurement of electrolytes. Advise all patients to hydrate adequately before, during, and after use. Each bottle must be diluted with water to a final volume of 16 ounces and ingestion of additional water as recommended is important to patient tolerance.
Click here for Full Prescribing Information and Medication Guide
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