This topic is about taking Flomax (tamsulosin) capsules if you have an ileostomy or colostomy. The person sharing their experience has had an ileostomy for five years and is concerned about starting Flomax due to advice they received after surgery about avoiding capsules that might block the stoma. They are seeking advice from others who have been in a similar situation.

Here are some helpful insights and advice from the community:

1. Many people with ileostomies and colostomies have found that standard Flomax capsules dissolve quickly in the stomach and do not cause blockages.
- Users who have taken Flomax for periods ranging from 3 months to 12 years report no issues, even during extended hospital stays.
- Occasionally, some have noticed tiny white beads from the capsule in their pouch, but this has not led to any blockages.

2. When it comes to capsules versus coated or slow-release tablets:
- Thick-coated pills or slow-release forms, like certain ibuprofen or muscle relaxers, may pass through undigested or feel stuck.
- Fast-acting or standard-release capsules like Flomax generally dissolve quickly enough to avoid these issues.

3. General tips for taking pills with an ostomy:
- If you find a whole tablet or capsule in your pouch, consider asking for a different form, such as chewable, liquid, crushed, or fast-acting.
- Chew tablets when it's safe to do so to ensure they are absorbed properly.
- Stay well-hydrated, as many members emphasize the importance of drinking plenty of water.

4. Currently, there are no non-capsule alternatives for tamsulosin/Flomax available. The generic version is also in the same gelatin capsule form as the brand.

5. Overall, the community's experience suggests that the risk of blockage from Flomax capsules is minimal, and most users tolerate it well without any stoma complications.