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Does anyone know about how Extended Release pain meds and the Lap Band work?
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nowthis posted:
I haven't been on in a while but thought this & the diet community would be good places to get some information.

I will be having the lap band within the next month and I have heard that I cannot take extended release pain meds due to the absorption issue and/or getting stuck since you can't crush them like an IR.

Anyone have any experience with this or any nurses out there that know anything about this?

I did post this in the diet forum as well but wanted to check here too.

Thanks everyone!

Johnathan

Ps- Sorry I haven't been online in so long. My life has been just turned upside down! A lot of you know i cared for my brother and he was very sick over the past 6 months and he passed in march So it's been very hard and i've just been keeping myself busy with other things(trying to anyway). Anyway i just wanted to let you all know why I had not been on in so long!
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TDXSP08 responded:
Yes i would say if you have a Lap Band then you will need your basal med to be Fentanyl Transdermal or you are going to be constantly having to take pills, and just after the surgery your stomach is going to be the size of a grape so think about how much food and pills you can put into a grape.

I'm sorry for the loss of your Brother, but it is very admirable that you stood in the role of carer at the same time as needing care yourself,i am not saying your nuts or anything like that but being in that dual role can lead to unfinished feeling's and seeing a therapist or grief therapist for a short time can often be very helpful . Good Luck with your surgery and let us know how you are.

Peace
i have no small step for man, but i have 6 tires for mankind,Watch your Toes!
 
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romyvg responded:
Johnathan, I apologize for replying to this thread with this, but i saw you mentioned you knew a couple of PM docs in Atl. I was in a train v/s auto wreck in 01', and i am moving from Asheville, NC to Atlanta. I desperately need a name! I must start somewhere, right? If you could help, i would apreciate it! my email is rgeissler@gmail.com
 
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annette030 responded:
My sympathy for the loss of your brother.

I do not know specifically from research or anything, but I have read posts from patients that they no longer absorb many different medications in the same way they did prior to their bariatric surgery.

If you take any RX meds, I would discuss this thoroughly with the prescribing doctors and the bariatric specialists. Write down your questions and their answers, discuss with family and friends.

Take care, Annette
 
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David Maine, MD responded:
The ability to use extended release medications in bariatric surgery is variable. It depends on the type of procedure performed. The gastric pouch is one variable but principally it depends on functional intestinal length. The reduction in functional intestinal length makes it likely that extended release preparations will have passed through the GI tract before absorption is complete. You should discuss all of these issues with your surgeon to make a plan going forward. Best of luck.


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