Living with an ileostomy can bring about some unique challenges, especially when it comes to medication absorption. If you've had a colectomy or ileostomy, you might find that some medications don't absorb as they should, particularly those that are time-released and typically absorbed in the colon. Here are some helpful tips and insights to consider:

1. Opt for liquid medications whenever possible, as they are generally more easily absorbed. Most pharmacies can provide liquid versions of many common drugs.

2. For pills that are not time-released or enteric-coated, you can crush them and mix them with applesauce, pudding, or yogurt to help with absorption.

3. Avoid enteric-coated tablets, as they are designed to dissolve in the colon and may pass through your system without dissolving.

4. Standard gelatin capsules (non-time-release) often break down better than compressed tablets and may be absorbed more effectively.

5. For time-released medications:
- Do not crush them, as this will interfere with their controlled-release mechanism.
- Ask your doctor for a non-time-release version that can be taken in smaller, more frequent doses, or see if a liquid or chewable alternative is available.
- Some time-release capsules contain micro-beads that can be opened and sprinkled onto soft food (without crushing the beads). Always confirm with your doctor or pharmacist first.

6. You can perform a simple home test by placing a pill in a small glass of water. If it dissolves within 30 minutes, it is likely suitable for someone without a colon.

7. Speak directly with your pharmacist for advice. If you're not satisfied with the help you're getting, consider consulting a different pharmacy for better guidance or compounding services.

8. For vitamins and minerals, chewable formulations are often effective. However, chewable Magnesium 400 mg and aspirin can be harder to find, so seek professional advice on suitable non-enteric-coated alternatives.

9. Stay hydrated, as ileostomy output can be frequent. Make sure to replace fluid losses by drinking water, following your physician’s instructions.