why we don't take extended release meds

poet_kelly
on 4/25/12 10:36 am - OH
I posted earlier about why we don't take NSAIDS and thought this would be good to post about, too.

Extended release meds are not recommended because they are designed to be absorbed over 12 to 24 hours.  But since we don't have a pyloric valve anymore, they don't stay in our pouch as long as they would stay in a stomach, and since part of our small intestine has been bypassed, they get through the small intestine faster in us than in other people.  That means the pill may be out of our system before it gets fully absorbed.  It won't hurt us to take an extended release med but we just won't get the full benefit from it.


View more of my photos at ObesityHelp.com          Kelly

Please note: I AM NOT A DOCTOR.  If you want medical advice, talk to your doctor.  Whatever I post, there is probably some surgeon or other health care provider somewhere that disagrees with me.  If you want to know what your surgeon thinks, then ask him or her.    Check out my blog.

 

pattymac65
on 4/25/12 10:42 am
Thanks Kelly!
             
Lady Lithia
on 4/25/12 10:48 am
This is why I have to see my PCP, so we can discuss if the extended release pain meds are really the best course of pain management or if we should switch, or increase dosage etc.

~Lady Lithia~ 200 lbs lost! 
March 9, 2011 - Coccygectomy!
I chased my dreams, and my dreams, they caught me!
giraffesmiley.gif picture by hardyharhar_bucket

tahoelady1958
on 4/25/12 11:19 am - reidsville, NC
RNY on 01/16/12
thanks for this...its all clear to me now...i guess i kinda grasped the time release thing, but, you can explain it so anyone can understand...thanks Kelly...your posts are so informative!
JaneJetson
on 4/25/12 2:56 pm
RNY on 05/07/12
 Ok, so much for my Ambien Cr, which this one is time released. Crap.
Sonogrrl
on 4/25/12 9:54 pm
RNY on 05/22/12
Huh. So my migraine prevention med (propranolol ER) might not be as effective...met with my neurologist all ready & he didn't mention it. Thanks fir the heads up-I'll have to stay on top of him!
RNY 5/22/12      27.5.bs lost pre-op      
beth1010
on 4/26/12 12:22 am
RNY on 08/01/11 with

It's very timely that you mentioned this.  I had a discussion with my PCP weeks ago about how I cannot be prescribed time release meds anymore due to the absorption.  If I want to take medications, which I don't, I'd at least like to absorb them.
 

He shook his head and was completely unaware of this and told me it was incorrect.  After going back and forth I finally told him "Irregardless of who is right or wrong here. I no longer want to be prescribed time release meds as that's my choice."
poet_kelly
on 4/26/12 1:00 am - OH
Sometimes that's what you have to do.  I've done that with doctors before.  In the end, it is up to you. 

View more of my photos at ObesityHelp.com          Kelly

Please note: I AM NOT A DOCTOR.  If you want medical advice, talk to your doctor.  Whatever I post, there is probably some surgeon or other health care provider somewhere that disagrees with me.  If you want to know what your surgeon thinks, then ask him or her.    Check out my blog.

 

gsibley1977
on 4/26/12 4:04 am - LA
RNY on 02/27/12
So the surgeon gave me time released Omeprazole after my 2nd trip to the hospital after surgery. Is it possible Im not getting the full effect?

Also we had a vitamin post earlier....if I have taking Centrum Silver, 2000mg biotin, 65mg iron & 1500 mc calcium citrate...have I covered it or do I need Vitamin K?
                  
poet_kelly
on 4/26/12 4:16 am - OH
It is possible you are not getting the full effect, yes.  I take time released omeprazole too - I could not find it in a non-time released form.  It is helping me.  I was having a lot of discomfort after eating and now I don't.  So even if you don't get the full effect, you may get enough of a benefit from it.  But if you're not sure, ask your surgeon about it.

If you use Centrum Silver, you may need to add vitamin K.  Vitamin K deficiency is not real common, but any deficiency can happen, especially after RNY.  What I personally would do is just make sure you get your vitamin K checked when you have labs done and if/when you see it getting low, then add some.

You'll need B12, too, with those other vitamins you're taking.  I know there is B12 in your multi but we don't absorb B12 from pills (chewable or ones we swallow) because we don't have enough intrinsic factor in our pouch.  We need a sublingual that dissolves under the tongue, or shots, or the nasal spray.

View more of my photos at ObesityHelp.com          Kelly

Please note: I AM NOT A DOCTOR.  If you want medical advice, talk to your doctor.  Whatever I post, there is probably some surgeon or other health care provider somewhere that disagrees with me.  If you want to know what your surgeon thinks, then ask him or her.    Check out my blog.

 

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