Pills And Irritation
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I found this post today -- maybe it will help someone else?
TAKING PILLS
You may have to crush or break up some of your medications. But you can not do this with all kinds of pills. So go down your list of pills with your physician to make sure that it is OK. Large pills can get stuck in your stoma, and you may throw them back up.
Remember to take your pills on an empty stomach and follow them with food. This will help push the pill through the band and avoid an irritated pouch. If you do it the opposite way, food in your pouch will not allow the pill through until it dissolves. The risk or irritation increases in these cases.
Never take medications directly before lying down at night. This does not allow enough time for the pill to pass through the stoma and empty into the larger stomach