Joyce any more info on pain meds?

All NSAID's and COX-2 inhibitors have a high possiblity of causing ulcers if you consume them into your pouch. Malabsorption is most profound in the fat-soluble type medications and vitamins because our bodies don't absorb fat well. The base that a drug is delivered in will greatly affect it's absorption rate, aquatic based medications are the best, sublinguals & chewed meds are fine but discusting sometimes. The more soluble it is in the stomach acid, the faster it will absorb. Drugs made to dissolve in an alkolotic state will take longer to disolve because they need the enzymes in our small intestine (which is half gone now) and won't start the process until they are in your intestine, these drugs pass before we (RNY) can use the whole thing, we lose part of it. Time release or extended release shouldn't be used at all, they are mostly wasted by our body. Your physician should be consulted prior to starting, stopping or altering any of your medications. Don't mix, chew or change your prescription without talking with them first please.