Drugs that can damage the pouch

Aug 31, 2009

I am way behind on posting and since I am suffering from a sinus infection I thought this would be a good time to post a reminder about drugs that can damage the pouch.  I have also had a bacterial infection on my right foot so have not been able to walk much.  I am fighting a gain of about 7 pounds.  I think I have been eating too many carbs lately so I will be watching this more carefully.  I have my 3 year checkup with Dr. Juarez's office in three weeks.  I am excited about coming up to my 3 year surgiversary.  It is hard to believe that three years had gone by already. 

DRUGS THAT CAN DAMAGE THE POUCH:  

Advil		Motrin
Aleve	Clinorial	Nalfon
Amigesic	Darvon compounds	Naprosyn
Anacin	Disalcid	Nayer
Anaprox	Dolobid	Orudis
Ansald	Erythromycin	Oruval
Anthra-G	Equagesic	Pamprin-IB
Arthropan	Feldene	Percodan
Ascriptin	Fiorinal	Ponstel
Aspirin	Ibuprofen	Rexolate
Asproject	Indocin	Tandearil
Azolid	Ketoprofen	Tetracycline
	Lodine	Tolecin
Bufferin	Meclomen	Uracel
Butazolidin	Midol	Voltaren

ALL NSAIDS are also included in the above list. (See below.)   Bextra                                     Celebrex                                Vioxx Also OK is 81 mg daily of enteric coated aspirin if prescribed by your PCP   DRUGS THAT ARE CONSIDERED SAFE:  

Benadryl	Glycerin Suppositories	Safetussin
Colace	Imodium AD	Sudafed
Dimetapp	Milk of Magnesia	Triaminics (all)
Dulcolax Suppositories	Peri-Colace	Tylenol
Fleet Enema	Phazyme	Tylenol Cold Products
Gas-X	Robitussin	Tylenol Extra Strength

  I want to help everyone understand the reason NSAIDS are dangerous for us. Contrary to popular belief, it is not just that they are “pouch burners” as the industry wants us to believe. It goes much deeper than that. According to an article published in the June 1999 New England Journal of Medicine, NSAIDS, once absorbed into the blood stream cause a chain of chemical reactions that affect the prostaglandins and this in turn reduces the production of mucus in the GI system. The mucus is what lines our GI system and protects our pouch and intestines from damage.   If the mucus production is reduced, this would allow ANYTHING, including eating something with too sharp of an edge or food that are too spicy, to inadvertently begin a marginal ulcer. The best answer is to avoid NSAIDS at all cost. Taking an H2 receptor drug, such as Prilosec, Prevacid or Nexium is only a bandaid and no guarantee it will protect you.   If you are desperate to try an NSAID, I would recommend Arthrotec since it has a prostaglandin compound in it that tries to prevent the chemical reaction mentioned above, but you are still at risk for marginal ulcers anytime you take an anti-inflammatory.

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