For a medication to be effective, it is very important to talk to your pharmacist about the best way to take it. As ostomates, it is essential to let the pharmacist know of your condition in order that they can make sure you are getting the most effective form of medication possible. Often the same drug is available in a liquid form.
The main absorption area for many drugs is the small intestine. Only 10% of drugs are absorbed in the stomach and another 10% in the large bowel. That absorption is dependent on how well that medication can break down.
For the person with an ostomy, enteric-coated pills or timed/sustained release medications are not effective. The absorption time is just too long. These are the kind of pills that are more likely to end up in your pouch and they are not too likely to make you feel better from there! If you must take this type of pill, check with your pharmacist if they may be crushed to facilitate absorption.
Constipation is one side effect of medication that is not normally a problem for an ileostomate. Laxatives should never be taken by an ileostomate, as the output is already quite high. Should constipation develop for someone with a colostomy, there is reason for concern. Drugs such as narcotics (pain killers), iron pills, anti-depressants and blood pressure pills can all have constipation as a side effect. Bulk laxatives like Metamucil and stool softeners are safe, but the stimulants, such as Dulcolax or Senecot are not safe. Because they cause the bowel to push and move, they present a risk of causing perforation should there be any type of blockage in the intestine.
Diarrhea is often a side effect of antibiotics, chemotherapy drugs and non-steroidal anti-inflammatories (some pain killers). Because antibiotics fight bacteria, they can wipe out the good as well as the bad, leading to diarrhea. This really is a concern as it can create a potential for dehydration. If this happens, start drinking fluids like water, juice, gatorade type drinks, or rehydrating drinks such as Pedialite. Remember that because coffee and tea act as a diuretic, they will only pull the water OUT of your system. You just can't beat plain old ordinary water. Foods like applesauce, rice or crackers will also help to bulk up the stool.
Always remember that it is very important to let the pharmacist know your history. Tell them what drugs you are taking and any drug allergies you may have. Share some of your medical background with them in case you have other problems that might influence the recommended medication. Dont forget to tell them any over the counter medications or herbal remedies you are taking, because any or all of these may impact the drug you are supposed to receive.
Be responsible for your health. Never be afraid to ask your pharmacist or doctor questions.
