Drugs Therapy for Ostomy Patients

A digestive system plays a vital role in the absorption of drugs. Therefore, a compromised bowel can alter the sucking up time and procedure of the medicines. There are many factors involved in taking the pills in the stomach and other digestive canals. The length of the bowel is a necessary factor in absorbing the procedure. Moreover, during ostomy, a section of the bowel, colon, and ileum can remove. Thus, it affects the consumption of drugs. It also matters that which portion of the bowel has been eliminated. For proper absorption of the medicines the small bowel, including its large surface portion is highly necessary. Moreover, high blood flow matters too. Thus, if a large area of the bowel has removed, then the soaking up pf the drugs will suffer a lot. A few more elements are involved in the absorption of the drugs of the digestion time of food. The movement of food and emptying the intestinal canals matter a lot. The transition time of the waste material plays a vital role.

These are some grounds that can cause problems for ileostomy patients in the absorption of the drugs. The distal colostomy persons are at low risk as their bowel is safe. The removal of the small bowel can generate issues in absorbing the medicines. Moreover, some patients do not have an ostomy, and doctors eliminate their small bowel, they are also at high risk.

How Can an Ileostomy Patient Absorb Drugs?

The persons who have ileostomy need care and instructions for proper absorption of the medicines. As they are at high risk because of the small bowel removal. Thus, they need guidance and slightly different coats of pills to absorb them in a better way. The general principle is to take tablets and capsules who have gelatine coating. Moreover, they should consume liquid medicines, like syrups and injections. If a tablet does not have a gelatine coat, then it is better to eat a noncoated pill. The dissolving tablets are best for bowel removal or ileostomy patients. The medicines that have enteric coated and sustained release should not consume because these have poor digestion and absorption.

Narcotic Analgesics

The medicines, including Demerol (meperidine), Dilaudid (hydromorphone), Talwin (pentazocine), Percodan (oxycodone), Percocet (oxycodone), and Tylenol 1, 2, 3, (containing codeine) are narcotic analgesics. They cause slow absorption because of the steady intestinal peristalsis property. In the sucking up these medicines, the muscles of the bowel contract. Thus, they cause constipation for ostomy patients. However, these are a few drugs used to treat loose motion and diarrhea in ileostomy persons.

Antibiotics

Several antibiotics can generation absorption problems in bowel removal patients. The oral antibiotic medicines that can develop significant problems for ostomates are Broad-spectrum antibiotics such as Amoxil (amoxicillin trihydrate), Keflex (cephalexin), Septra (trimethoprim-sulfamethoxazole), and Cipro (ciprofloxacin). These are drugs that can kill the bacteria present in the body; however, they can also eliminate the good ones that are necessary for bowel and ostomy patients. Moreover, it can create an alteration in the flora and it can cause diarrhea in the patients. The constant loose motion can eliminate the electrolytes and leads to dehydration.

Antacids

The outcome of the antacid drugs depends on the type of ostomy and the class of antacids.

Classes of antacids:

1. Calcium carbonate (Tums).
2. Aluminum hydroxide gels (Amphojel).
3. Magnesium/aluminum hydroxide combinations (Maalox, Mylanta, Riopan).

Calcium carbonate antacids can develop constipation problems in the ostomates. And the drugs that have magnesium antacids can cause loose motion, this is the biggest problem in ileostomy persons. The aluminum hydroxide gels also create the problem of constipation in colostomy patients.