Drugs That can hurt our Pouch!! (long but necessary)
Hi All,
This is very Important stuff for you to have in your files. Print it & keep
somewhere you can give to your Dr.'s They need to know as well:
FYI. Remember, we must be vigilent about our long-term health, not just focused on weight loss or gain. The percentage of incidences of ulcers post-WLS is extremely high, did you know that? I didn't know that - we don't want to ulcerate our little pouches so please read on:
DRUGS THAT CAN DAMAGE THE POUCH:
Advil
Celebrex
Motrin
Aleve
Clinorial
Nalfon
Amigesic
Darvon compounds
Naprosyn
Anacin
Disalcid
Nayer
Anaprox
Dolobid
Orudis
Ansald
Erythromycin
Oruval
Anthra-G
Equagesic
Pamprin-IB
Arthropan
Feldene
Perdocan
Ascriptin
Fiorinal
Ponstel
Aspirin
Ibuprofen
Rexolate
Asproject
Indocin
Tandearil
Azolid
Ketoprofen
Tetracycline
Bextra
Lodine
Tolecin
Bufferin
Meclomen
Uracel
Butazolidin
Midol
Vioxx
Voltaren
ALL NSAIDS are also included in the above list. (See below.)
DRUGS THAT ARE CONSIDERED SAFE:
Benadryl
Glycerin Suppositories
Safetussin
Colace
Imodium AD
Sudafed
Dimetapp
Milk of Magnesia
Triaminics (all)
Dulcolax Suppositories
Peri-Colace
Tylenol
Fleet Enema
Phazyme
Tylenol Cold Products
Gas-X
Robitussin
Tylenol Extra Strength
I want to help everyone understand the reason NSAIDS are dangerous for us. Contrary to popular belief, it is not just that they are "pouch burners" as the industry wants us to believe. It goes much deeper than that. According to an article published in the June 1999 New England Journal of Medicine, NSAIDS, once absorbed into the blood stream cause a chain of chemical reactions that affect the prostaglandins and this in
turn reduces the production of mucus in the GI system. The mucus is what lines our GI system and protects our pouch and intestines from damage.
If the mucus production is reduced, this would allow ANYTHING, including eating something with too sharp of an edge or food that are too spicy, to inadvertently begin a marginal ulcer. The best answer is to avoid
NSAIDS at all cost. Taking an H2 receptor drug, such as Prilosec, Prevacid or Nexium is only a bandaid and
no guarantee it will protect you.
If you are desperate to try an NSAID, I would recommend Arthrotec since it has a prostaglandin compound in it that tries to prevent the chemical reaction mentioned above, but you are still at risk for marginal ulcers
anytime you take an anti-inflammatory.
*By Michele Van Hook-Troesch, RN
Marilyn, the Bearlady