Re: Re: extended release medications--problems for us??

[Guest guest]

, my psychiatrist feels the exact same way about the regular Wellbutrin.

She says the SR works a little bit better. I am on 300 mgs per day, they

are in pill form (aren't yours?), and I take them all at the same time in the

morning. I did this by accident, cause I forgot to space them out, and since

it hasn't been affecting me Dr. told me it was okay. That's just me, don't

do it because I do it, okay? I am seeing Dr. on Tuesday and I intended to

ask her about the regular Well versus the SR and that whole dissolvability

issue.

Lucille

In a message dated 11/14/2003 9:25:24 PM Eastern Standard Time,

Graduate-OSSG writes:

> Re: extended release medications--problems for us??

>

> My one doctor insists that the non-time released Welbutrin is not as good as

> the time released. What he wants me to do is take two instead of one. One

> in the morning and one at bedtime, figuring that between the two I will get

> enough of the medication.

>

> Now though from the recent posts I am getting worried that it may be doing

> me harm. " Time released beads in the stomach? "

> When I did the " spit test " with the Welbutrin it dissolved fine. So now I

> am confused. At one point earlier this summer the carb cravings were bad

> and I didn't feel the Welbutrin was working well but I noticed that the

> sample bottles the doctor had given me had passsed their expiration date in

> May. When I got the actual prescription filled I thought I noticed a big

> difference. But that could be placebo effect.

>

> Now I don't know. What do you guys think? Could I be doing myself harm by

> taking the time-release.?

>

> BTW, he says that the time-release and Extended release are two different

> things. He won't prescribe the extended release. According to him, the new

> extended release is more a " gimmick " from the drug company because the

> patent is soon to run out and they are trying to keep customers from being

> prescribed the generic Welbutrin. BUT he thinks that there is a definite

> difference between regular Welbutrin and the SR. Even before WLS he would

> only prescribe the SR for me because of what he felt was lacking in the

> regular.

>

>

>

[Guest guest]

Okay I am gonna print this out and give it to psychiatrist on Tuesday!

Thanks Ray!

Lucille

In a message dated 11/15/2003 10:17:42 AM Eastern Standard Time,

Graduate-OSSG writes:

> Re: extended release medications--problems for us??

>

> Extended release medications assume that the medication will go into a

> fully functioning stomach. When food or nutrients enter a fully

> functional stomach, they are released through the pyloric valve into the

> intestinal tract. The pyloric valve releases material that is less that

> 1/8 inch in diameter. The timed released medications are designed so

> that they will slowly reduce in size while releasing the medication. It

> will take them 6-10 hours to be reduced to the size that will go through

> the pyloric valve. The gastric pouch allows the medications to directly

> enter the intestine because the stoma is only 10-12 mm wide. As soon as

> the medications is reduced to that size, it passes through into the

> intestinal tract. In a fully functioning stomach, which includes BPD/DS

> patients, a timed released medication will be fully released into the

> intestinal tract in 6-8 hours. A gastric bypass patient will release it

> into the intestinal tract in 10-20 minutes. This will not allow the

> medication to fully release it contents. Hence, it will pass through

> the gastric bypass system before the full medication has had an

> opportunity to be released.

>

> Ray Hooks

>

[Guest guest]

Lucille... are we writing each other's emails today or what? *LOL* that's

what I was going to say.

Re: Re: extended release medications--problems for

us??

> Okay I am gonna print this out and give it to psychiatrist on Tuesday!

> Thanks Ray!

>

> Lucille

>

>

> In a message dated 11/15/2003 10:17:42 AM Eastern Standard Time,

> Graduate-OSSG writes:

>

>

> > Re: extended release medications--problems for us??

> >

> > Extended release medications assume that the medication will go into a

> > fully functioning stomach. When food or nutrients enter a fully

> > functional stomach, they are released through the pyloric valve into the

> > intestinal tract. The pyloric valve releases material that is less that

> > 1/8 inch in diameter. The timed released medications are designed so

> > that they will slowly reduce in size while releasing the medication. It

> > will take them 6-10 hours to be reduced to the size that will go through

> > the pyloric valve. The gastric pouch allows the medications to directly

> > enter the intestine because the stoma is only 10-12 mm wide. As soon as

> > the medications is reduced to that size, it passes through into the

> > intestinal tract. In a fully functioning stomach, which includes BPD/DS

> > patients, a timed released medication will be fully released into the

> > intestinal tract in 6-8 hours. A gastric bypass patient will release it

> > into the intestinal tract in 10-20 minutes. This will not allow the

> > medication to fully release it contents. Hence, it will pass through

> > the gastric bypass system before the full medication has had an

> > opportunity to be released.

> >

> > Ray Hooks

> >

>

>

>

>

>