Topic Explanation

The discussion centers around the safety and effectiveness of taking Flomax (Tamsulosin) capsules for individuals with an ileostomy. The original poster, who has an ileostomy and no colon, inquires about the possibility of opening the 0.4 mg Flomax capsules due to concerns about the capsule size potentially causing blockages in the small intestine.

Advice and Insights

1. Consultation with Healthcare Professionals:
- It is advised to consult with a doctor or pharmacist before altering the form of medication, as the label indicates that Flomax capsules should not be crushed, chewed, or opened.

2. Purpose of Flomax:
- Flomax is used for treating symptoms of BPH and also to help pass kidney stones.

3. Doctor's Instructions:
- The original poster's urologist advised opening the capsule and taking only the granulated medicine inside, due to the capsule's size and potential to block the small intestine.

4. Medication Absorption Concerns:
- Opening the capsule may expose the medication to the stomach's acidic environment, potentially increasing side effects and reducing the duration of therapeutic benefits.
- It is suggested to discuss with a gastroenterologist about possibly using medication like loperamide to slow digestive transit times.

5. Experiences of Other Users:
- Another user with an ileostomy reported taking Flomax twice daily without issues, noting that nothing unusual appeared in their ostomy bag.

6. Pharmacological Insights:
- Tamsulosin is a sustained-release drug, designed to release medication over an extended period. If granules appear in the ostomy pouch, it may indicate incomplete absorption.
- Tamsulosin granules can be mixed with acidic soft foods like applesauce or yogurt, but are incompatible with liquids or foods with a pH above 5.

7. General Caution:
- While some users have been advised by their doctors to open the capsules, it is generally recommended to follow professional medical advice and be cautious with medication alterations.