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Mar 23, 2011

Importance of Communicating Medication Preferences to Doctors and Pharmacists

This topic is about the importance of communicating with healthcare providers about avoiding time-release medications if you have an ileostomy. After ileostomy surgery, the way your body processes medications can change, and time-release medications might not work as intended. Here are some helpful tips and insights to consider:

1. Request alternative formulations:
- Ask your doctor or pharmacist for medications in liquid, chewable, crushable, or immediate-release forms. Many medications have liquid versions for children that can be adjusted for adult use.

2. One size does not fit all:
- Some people with an ostomy might still absorb time-release medications. This can depend on your individual anatomy, how much of your bowel remains, and the type of stoma you have.

3. Understand the anatomy/physiology differences:
- If you have a colostomy, you might still have enough of your colon to absorb time-release medications. However, with an ileostomy, this might not be the case. Even if you have an ileostomy, parts of your colon might remain, which can improve absorption over time.

4. Double-check every prescription at the pharmacy:
- Make sure your medications are not labeled with terms like XR, SR, ER, CR, LA, Contin, etc., unless you are certain you can absorb them.

5. Test pill dissolution:
- If you're unsure whether a pill will dissolve properly, you can test it by placing it in warm water. If you find undissolved tablets in your pouch, it might indicate poor absorption.

6. Communicate clearly with healthcare providers:
- Always inform each new doctor or pharmacist about your ostomy and the need to avoid time-release medications. Don’t assume they are already aware of your specific needs.
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