How do RNY post ops take RX?

I have been diagnosed with an infection, sinus plus a nasty lung thing, long story short, I got the flu in January and did not stay home to get well, just kept burning the candle at both ends.  Hard lesson learned.

Question is:  I was given a 5 day antibiotic RX, so how do I take it, having been through RNY proceedure and now have the malabsorption aspect to consider???

Specifically, do I split the pill and take half now, half in 2 hours, to get the max absorption?

Anyone know about RX & RNY together?  

Unfortunately my PA and pharmacisist do not know.  I left message with my RNY surgeons office but it will be a day or so before they can call back.

I had no problems with taking meds after my RNY. If you have any concerns you really should touch base with your doc for something more in depth.

You should be able to just take it as prescribed.

Antibiotics generally are intended to dissolve in the intestine, amd are not time-release/extended-release, so absorption of it should not be a problem.  I'm not sure what you are thinking you would gain by splitting it in half...

Lora

possibly gain more absorption i guess, lol

in my mind i have this cartoon playing of what happens to the pill after swallowing...in my mind it just passes so qucikly it does not break down or dissolve all the way...thus not giving me the full doseage

i'll get a call back tomorrow morning, in the meantime i will most likely stay on this paranoid path and take half now and half in 2 hours

what PA gave me is definitely not time released, just good old fashioned infection killing antibiotic

will be so glad when i can feel better

Most pills (but not all) are designed to be absorbed in the lower portion of your intestine, so the only way the RNY changes that is that the pills get there FASTER since they do not sit in the stomach and then have to pass through the bypassed portion of intestine.  That part of your intestine still works the way it always has.

The only time we have issues with absorption is the time-release issue (again, because of the rapidity of things passing through our system) or with pills that require the stomach acid to break down the coating (we don't have the necessary amount of acid in our pouch to break that down).  There also are some medications that start the absorption process in the upper intestine which would be a problem.

Lora

 I don't have the answers about the antibiotics but I hope that you feel better soon.

the only meds that we have a problem with going through our systems too fast are rapid release.  Antibiotics do not fit that bill.  Please do not cut them in half.  I am not sure what antibiotic you were given but they are given in one dose for a reason if you dont' follow the way they are meant to be taken they won't work.  Also, sometimes when you break things in half, you get change the way it is absorbed causing you to either get too much or not enough

I have taken my share of antibiotics since my RNY 3 plus years ago, there is no reason you can't swallow them whole.  What you do need to do is read the leaflet that comes with it because of them have specific directions like cipro can't be taken within 6 hours of iron, calcium, aluminum, magnesium and few other things, levaquin can't be taken within 2 hours of the same things.  When I go on cipro, I stop most of my supplements because it is impossible to fit them all in in one day.

 I was on antibiotics 5 times after surgery for one thing or another. Take them as prescribed, unless you are concerned about them getting stuck in your stomach. Then split them and take at the same time.


Is your regular doc going to do some homework so they'll be able to treat you in the future? It's a little disconcerting that neither the pharm or PA helped you find the answer you needed.