Question: Can people with an ileostomy take slow-release medications, and how does absorption work?
Answer: Based on the forum discussions, individuals with an ileostomy often face challenges with absorbing slow-release medications due to the shortened intestinal transit time. Here are some key points and advice from the discussions:
- Absorption Issues: Slow-release medications, including those labeled as XR, SR, ER, CR, or enteric-coated, often pass through an ileostomy undigested, leading to inadequate absorption and reduced effectiveness.
- Alternative Formulations: It is generally recommended to switch to immediate-release formulations, liquids, or chewable forms when possible. These alternatives are more likely to be absorbed effectively in the absence of the colon.
- Consult Healthcare Professionals: Work closely with your prescribing doctor, pharmacist, or stoma nurse to explore suitable alternatives. They can provide guidance on whether your current medication can be safely switched to a different form.
- Monitoring and Testing: Monitor your symptoms closely to assess the effectiveness of any medication changes. Some individuals use a simple home test by placing a pill in water to see if it dissolves within 30 minutes, indicating potential suitability for absorption.
- Professional Advocacy: If your current healthcare provider is not responsive to your concerns, consider seeking a second opinion or consulting a pharmacist who understands the specific needs of ostomates.
- Practical Tips: Some individuals have found success by opening capsules and mixing the contents with food, but this should only be done with medical approval to avoid potential risks of dose dumping.
Given these insights, it is advisable to discuss your specific situation with your healthcare team to determine the best course of action for managing your medication with an ileostomy.
Check out these links for more information:
- Struggling with Slow-Release Meds & Ileostomy (February 20, 2020)
- Slow-release Medications & Ileostomy - Absorption Concerns? (September 24, 2021)
- Medication Absorption Issues with an Ileostomy (May 06, 2013)
- Importance of Communicating Medication Preferences to Doctors and Pharmacists (March 22, 2011)
- Absorption of Medication with Ileostomy? (January 23, 2024)
- Medication absorption issues with ileostomy (March 01, 2012)
- Medication Absorption with Ileostomy? (September 03, 2018)
- Pills not dissolving in stoma bag - seeking advice! (July 17, 2022)
- Medication Not Dissolving Properly with an Ileostomy (January 17, 2009)
- Absorption of Mirtazapine and Pregabalin with an Ileostomy (February 18, 2025)
