Malabsorbstion of Medication

[MissCurves]

Has anyone noticed that we malabsorb not just food but medications as well. Like OTC(over the counter) drugs for colds ect.. Should we be taking larger doses? I really need to discuss this with the surgeon or his nurse... What do you think??

 

[femfrankie]

I too have wondered about this & intending to ask my surgeon at the intrim appointment next month. Uniphyllin prolonged release (amongst other meds) keeps my asthma under control and the dosage needs to be precise to maintain that control. If it is too low my asthma spirals out of control. Knowing that a bypass means malabsorbtion it is of course a concern I have and want to be prepared beforehand. Yes we all know that my asthma should get better as the weight falls off but considering that Uniphyllin was first prescribed to me when I was at my lowest ever weight a healthy 12st i wont be holding my breath on that one .... pardon the pun hehehe . It is also a bit aggressive to the stomach lining so not sure how things will play out with it with the bypass.

 

[Karlos]

Has anyone noticed that we malabsorb not just food but medications as well. Like OTC(over the counter) drugs for colds ect.. Should we be taking larger doses? I really need to discuss this with the surgeon or his nurse... What do you think??

This seems like a good course of action x

 

[Yvessa]

Femfrankie, chances are you will need to use a ppi with it to protect your pouch. And yes, I have noticed issues and doubled up on some tablets. The reason it happens because of how quickly food transits through our new stomachs. The stomach doesn't have enough time to break it down. Make sure tablets are taken a good half hour either side of meals and where possible you take tablets that are either gel capsules or medicine in liquid form if it becomes an issue. That said, capsules get stuck for me so I take all my pills as normal and seem okay. Bear in mind I did all of this after discussion with my GP, and things such as analgesics should never be doubled.

 

[femfrankie]

Thanks Yve. I kind of thought that would be the case :/ x

 

[wannabeyummi]

So you don't have to take the liquid version of meds forever after a bypass? For eg paracetamol?

 

[moomoo1]

glad someone mentioned this im on mood stabilisers and anti depressents which im not sure weather they still work same after op

 

[fjsinc]

Capsules can be a problem long term after bypass, its a good idea to avoid them completely. They dont break down enough, and its been known for patients to be scoped, and for the shells have remained in the pouch and caused a blockage.
However, tablets should be fine long term.

Also, sad to say, recent research suggests that malabsorption is not as much as previously thought. So quantities of medication shouldn't really need to be changed, especially considering as we lose weight, the effect should improve.

 

[amanda577]

glad someone mentioned this im on mood stabilisers and anti depressents which im not sure weather they still work same after op

Will depend what mood stabiliser you are on.. I was on lithium but that failed to be absorbed after my bypass as it is a mineral and not a drug so my levels were all over the place, and went through a pretty rough patch. but now since being changed to a different one then absorption is fine. Hope this helps.. xxx

 

[moomoo1]

Will depend what mood stabiliser you are on.. I was on lithium but that failed to be absorbed after my bypass as it is a mineral and not a drug so my levels were all over the place, and went through a pretty rough patch. but now since being changed to a different one then absorption is fine. Hope this helps.. xxx

im on quitiapin hoping will be ok as it works well for me

 

[amanda577]

im on quitiapin hoping will be ok as it works well for me

I have been changed now to quatiapine and its working for me thank god, so hopefully you wont have a problem...

for me the lithium thing was really bad after bypass... and had to try different mood stabilisers to get back in the zone.. You should be fine on quatiapine... xx