Re: things we should not have post-op

[Guest guest]

OK, found the medication list, courtesy of Michele (with one L):

DRUGS THAT CAN DAMAGE THE POUCH

Advil.............

Aleve............

Amigesic............

Anacin............

Anaprox................. Ansald................

Anthra-G.............. Arthropan.............

Ascriptin.............. Aspirin................

Asproject............... Azolid............... Bextra ................

Bufferin............

Butazolidin...........

Celebrex........... Clinorial................

Darvon compounds................. Disalcid.................

Dolobid............... Erythromycin............

Equagesic................ Feldene..............

Fiorinal.............. Ibuprofin.............. Indocin...............

Ketoprofen.............. Lodine................

Meclomen...............

Midol..............

Motrin................. Nalfon...............

Naprosyn.............

Nayer...............

Orudis................

Oruval..............

Pamprin-IB............... Percodan..............

Ponstel................... Rexolate..............

Tandearil............. Tetracycline..........

Tolecin.............

Uracel............

Vioxx........

Voltaren............

ALL " NSAIDS " (*see below for the 2 Inhibitors)

DRUGS THAT ARE CONSIDERED SAFE..........

Bendaryl...................

Tylenol ..............

Dimetap..............

Robitussin..........

Safetussin............

Sudafed..........

Triaminics (All).........

Tylenol (cold products).......

Tylenol Ex Strength..........

Gas-X ..........

Phazyme...........

Imodium Ad..........

Colace.......

Dulcolax-Suppositories.........

Fleet Enema..........

Glycerin-Suppositories..........

Milk of Magnesia.........

Peri-Colace...........

* copied with permission:

Bextra is the newest, next generation of NSAIDS. It is simply an

anti-inflammatory with no compound to aid in the protection of our

GI systems.

I want to help everyone understand the reason NSAIDS are dangerous

for us. Contrary to popular belief, it is not just that they

are " pouch burners " as the industry wants us to believe. It goes

much deeper than that. According to an article published in the June

1999 New England Journal of Medicine, NSAIDS, once absorbed into the

blood stream cause a chain of chemical reactions that affect the

prostaglandins and this in turn reduces the production of mucus in

the GI system. The mucus is what lines our GI system and protects our

pouch and intestines from damage.

If the mucus production is reduced, this would allow ANYTHING,

including eating something with too sharp of an edge or foods that

are extremely spicy, to inadvertently begin a marginal ulcer. The

best answer is to avoid NSAIDS at all cost. Taking an H2 receptor

drug such as Prilosec, Prevacid or Nexium is only a band-aid and no

guarantee that it will protect you.

If you are desperate to try an NSAID, my recommendation would be

Arthrotec. It is an NSAID with a prostaglandin compound in it that

tries to prevent the chemical chain of events I was speaking of in

the above paragraph. There are still no guarantees. You are at risk

for marginal ulcers any time you take an anti-inflammatory

medication.

Ultram is a mild narcotic and can be habit forming, so I would not

recommend more than a six week course of it at any one time.

Michele (with one L)

Van Hook-Troesch, RN