Meds

Ok  it's been awhile since i've been on here!! k, kwik question what kinds of meds r we supp to stay away from? I had  gastric by pass in june 2006 i've lost 120 lbs, and  maintaining. i'm having bursitis pain in shoulder! i am 34 yrs old.. thanks ,Terri

http://www.uclabariatrics.mednet.ucla.edu/recovery/recovery_discharge_offlimitmed.htm

(also, but not all inclusive)





DRUGS THAT CAN DAMAGE THE POUCH
Advil.............

Aleve............

Amigesic............

Anacin............

Anaprox................. Ansald................

Anthra-G.............. Arthropan............. Ascriptin.............. Aspirin................ Asproject............... Azolid............... Bextra ................

Bufferin............

Butazolidin...........

Celebrex........... Clinorial................

Darvon compounds................. Disalcid................. Dolobid............... Erythromycin............ Equagesic................ Feldene.............. Fiorinal.............. Ibuprofin.............. Indocin............... Ketoprofen.............. Lodine................ Meclomen...............

Midol..............

Motrin................. Nalfon...............

Naprosyn.............

Nayer...............

Orudis................

Oruval..............

Pamprin-IB............... Percodan.............. Ponstel................... Rexolate.............. Tandearil............. Tetracycline..........

Tolecin.............

Uracel............

Vioxx........

Voltaren............

ALL "NSAIDS" (*see below for the Cox 2 Inhibitors)



DRUGS THAT ARE CONSIDERED SAFE..........

Bendaryl...................

Tylenol ..............

Dimetap..............

Robitussin..........

Safetussin............

Sudafed..........

Triaminics (All).........

Tylenol (cold products).......

Tylenol Ex Strength..........

Gas-X ..........

Phazyme...........

Imodium Ad..........

Colace.......

Dulcolax-Suppositories.........

Fleet Enema..........

Glycerin-Suppositories..........

Milk of Magnesia.........

Peri-Colace...........

* copied with permission:

Bextra is the newest, next generation of NSAIDS. It is simply an
anti-inflammatory with no compound to aid in the protection of our GI systems.

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 foods that are extremely 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 band-aid and no guarantee that it will protect you.

If you are desperate to try an NSAID, my recommendation would be Arthrotec. It is an NSAID with a prostaglandin compound in it that tries to prevent the chemical chain of events I was speaking of in the above paragraph. There are still no guarantees. You are at risk for marginal ulcers any time you take an anti-inflammatory medication.

Ultram is a mild narcotic and can be habit forming, so I would not
recommend more than a six week course of it at any one time.

Michele (with one L)

Van Hook-Troesch, RN

Thanks so much!!! happy new year. Terri