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

[Guest guest]

OH MY GOODNESS! You have been busy. Time release...not good...first

off....not enough gastric juices to start the digestive process to get it

into your blood. Then...half digested it gets into a part of your small

intestines where is isn't going to be absorbed anyway....doesn't stay

THERE long...we process things pretty darn fast THROUGH our digestive

tracts...hits the large intestine and is OUT.... Pretty compelling reason to

stick with the old fashioned stuff. HECK, my Doc will tell you...even WITH

the non-time released stuff...we still don't know how much is ACTUALLY being

absorbed.

Debbie &

in Gig Harbor

(170cm medial)

ladybostons@...

http://www.cafeshops.com/copsstore

http://www.marykay.com/debbiemcneice

extended release medications--problems for us??

Hiya! I know, I know, long time no post. Well, let's see...I got

married , we moved into a new house, went on a honeymoon to

Hawaii, had the two 20something kiddos move in with us (what a

mistake that was!), I was diagnosed with breast cancer (not to worry,

I'm OK!), had a mastectomy then a hysterectomy, had chemo, my job has

moved from Dallas to Houston...am I forgiven for not having the time

to keep up with this great list and group of people? I sure hope so!

Well, I'm writing with a question. I recall reading that we RNY

folks have some problems with absorption of timed-release

medications. Can someone tell me what exactly the problem is. My

doc seems to think everything will get absorbed in the intestines,

but I have this nagging doubt.

Thanks and it's glad to be back!

Much love,

Jane Browinski in Dallas (Frisco actually)

[Guest guest]

I have a friend who has not had any WLS but has had 4 stomach surgeries over

the years and therefor shares some of our problems. She refers to her stomach

as a " wide spot in the road, " anyway she recently had a colonoscopy and was

awake for the procedure and watched all of it on the monitor. I liked the out

like a light approach myself.

She was worried when she saw lots of light colored dots all over the inside

of the intestine. The Dr. said it was UNDISOLVED Time Released beads. She

hadn't taken anything that was a timed released Rx for over a week. Her Dr.

checked them carefully to make sure none had clustered together or that they

hadn't

gotten infected in any way. What surprised her was that none of her Dr's had

ever told her NOT to take time released capsules...She is always careful to

tell each Dr. about all of her stomach surgeries as her stomach is quite

sensitive to some medications. You can be sure she will be more careful in the

future.

in TX

[Guest guest]

For some of us, even our surgeons don't know anything about the aftermath of

surgery (although mine does). He told us not to use extended release

because it just doesn't work as well. Not enough of the medication is

released at once to be effective.

However, I have never heard of the little dots getting caught up in the

intestine! That is really fascinating. That's a REAL good reason not to

take time release meds.

Barbara Jean

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

> She was worried when she saw lots of light colored dots all over the

inside

> of the intestine. The Dr. said it was UNDISOLVED Time Released beads.

[Guest guest]

My PCP is becoming well trained after 4 yrs. But he still writes Rx for

timed release. BUT at least now as he hands them to me, he grabs them back.

But says, " Are you sure? " To which I always say, " What TIME will it

RELEASE? " LOL!

Thanks,

Vitalady, Inc. T

www.vitalady.com

If you are interested in PayPal, please click here:

https://www.paypal.com/affil/pal=orders%40vitalady.com

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

> I have a friend who has not had any WLS but has had 4 stomach surgeries

over

> the years and therefor shares some of our problems. She refers to her

stomach

> as a " wide spot in the road, " anyway she recently had a colonoscopy and

was

> awake for the procedure and watched all of it on the monitor. I liked the

out

> like a light approach myself.

> She was worried when she saw lots of light colored dots all over the

inside

> of the intestine. The Dr. said it was UNDISOLVED Time Released beads. She

> hadn't taken anything that was a timed released Rx for over a week. Her

Dr.

> checked them carefully to make sure none had clustered together or that

they hadn't

> gotten infected in any way. What surprised her was that none of her Dr's

had

> ever told her NOT to take time released capsules...She is always careful

to

> tell each Dr. about all of her stomach surgeries as her stomach is quite

> sensitive to some medications. You can be sure she will be more careful in

the future.

> in TX

>

>

>

[Guest guest]

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.

---

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[Guest guest]

Ray,

This is the BEST, most helpful explanation of this topic I have ever seen.

It will be really helpful for me in discussions with my support group! Thank

you!

Beth

Houston, TX

VBG - Dr. Srungaram

05/31/00 - 314 lbs.

11/01/02 - Abdominoplasty

11/29/02 - 160 lbs.

5'10 "

In a message dated 11/15/03 5:08:20 AM Central Standard Time,

ray@... writes:

> 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.

[Guest guest]

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

For WLS nutrition info, visit

http://www.bariatricsupplementsystem.com

It will be relesed in

Jane wrote:

>

> Hiya! I know, I know, long time no post. Well, let's see...I got

> married , we moved into a new house, went on a honeymoon to

> Hawaii, had the two 20something kiddos move in with us (what a

> mistake that was!), I was diagnosed with breast cancer (not to worry,

> I'm OK!), had a mastectomy then a hysterectomy, had chemo, my job has

> moved from Dallas to Houston...am I forgiven for not having the time

> to keep up with this great list and group of people? I sure hope so!

>

> Well, I'm writing with a question. I recall reading that we RNY

> folks have some problems with absorption of timed-release

> medications. Can someone tell me what exactly the problem is. My

> doc seems to think everything will get absorbed in the intestines,

> but I have this nagging doubt.

>

> Thanks and it's glad to be back!

>

> Much love,

> Jane Browinski in Dallas (Frisco actually)

>

> Homepage: http://groups.yahoo.com/group/Graduate-OSSG

>

> Unsubscribe: mailto:Graduate-OSSG-unsubscribe

>

>

>

>