Okay

I know I cant have NSAIDS but is this forever? My PCP didn't know the answer. I desperately need mega doses of ibuprophine once a month. My Dr gave me some tylenol with codine but I know thats not going to do the trick.

Usually I take 6-8 advil every 6-8 hours for about 3 days. If I don't I am seriously incapacitated by cramps. Does anyone know if our stomachs are strong enough for NSAIDS ever again. If so I'm sure i could get a script for 800mg instead of doing the mega dose thing.

Thanks

Stacey

Edited April 28, 201016 yr by stcyt

They are giving me Supradol (I am in the hospital now) and I thought it was similiar to an NSAID but not one. My niece said the Torodol is the same. I know it works wonderfully! I was planning on taking as needed when I get home. Not sure what the deal is. I will be checking into this too. I just had the sleeve and can take NSAIDs but plan to limit and want to wait until healed.

good luck to you!

Ahhhhh.... so the toradol is a more benign form of NSAID??? Well it worked so I'm a beliver. :lol4:

My surgeon wanted me to have the sleeve rather than the bypass specifically so that I could take nsaids or steroids in the future if necessary. I have a medical condition that requires a significant course of prednisone every now and again. He explained that nsaids and steroids are very likely to cause ulcers in the bypass pouch, but that is not the case with the sleeve. My gastroenterologist agreed.

OKAY its settled!!!!!! Next month i am taking ibuprophine!!!!!!

Are you using the subliqual (under the tonque) type? This is what I was told to use. It is absorbed differently.

my doc said to let the toradol disolve in my mouth. He probably meant sublingual. Can you get a sublingual NSAID OTC?

OTC Supradol in Mexico and I have seen where it can be ordered online.

I know about needing the NSAIDs, I have really bad headaches when I can't take my Naproxen which the dr. said I can take in 2 weeks but I am not sure how, because the pills are huge and I am not sure about crushing and taste etc. Gotta check it all out when I get home.

Finally heard back from my surgeon, he says no NSAIDS for life! He believes that they can cause an ulcer. I believe he is very conservative though because he also recommends no caffeine or alcohol, ever. I am only 8 weeks out today so I am going to wait for a few more months and see how I feel.

I have heard that many of the surgeons feel the same way. I am sure they are being on the cautious side but hey better safe than sorry.

Finally heard back from my surgeon, he says no NSAIDS for life! He believes that they can cause an ulcer. I believe he is very conservative though because he also recommends no caffeine or alcohol, ever. I am only 8 weeks out today so I am going to wait for a few more months and see how I feel.

thanks so much for posting his response. Its so hard to know what to do

First of all, I am *not* advocating going against your doctor's advice, for two reasons.

1. All else being equal, your doctor probably knows better than you do, and better than some yahoo on the internet.

2. I could get in legal trouble if I advocated you ignore your doctor!

HOWEVER, that being said, we all have to make choices and live with the consequences. I think that it's a given that:

1. Tylenol (acetaminophen/paracetamol/etc.) CAN lead to liver toxicity. It's extremely unlikely to damage your liver unless you OD or run at chronically high doses, but it's still a non-zero risk.

2. A lot of the literature is confusing, as Tiffykins points out -- a lot of surgeons take a "better safe than sorry" attitude, and much of the information is stolen whole cloth from RNY documents.

3. Different surgeons and doctors/pharmacists give different advice.

That all being taken into account, you have to use your own judgment about the risks vs. rewards. Nothing in life is perfectly safe.

Edit: my doctor responded to an email about this issue. I've omitted his name/email, but here's his response, verbatim:

Hey Tom

You are right to try to avoid NSAID’s

For my patients that really need them, I recommend getting it in a liquid form or chewable so it has much less of an opportunity to damage the stomach (NSAID’s have a potential caustic contact effect). Take it with plenty of liquids as well

Four months post op you should be able to take it in this form, but I would then remain on a PPI (like omeprazole) to buffer it somewhat

<my doctor>, MD, FACS

WOW!!!!!!! Tom you look amazing. Hadn't seen you post in a while. Thanks for following up on this question. And WOW you look great.

Anna

WOW!!!!!!! Tom you look amazing. Hadn't seen you post in a while. Thanks for following up on this question. And WOW you look great.

Anna

Thanks I live with myself every day, and I tend to downplay my gains (er, losses). But the truth is that when I look at that picture of my face compared to even the old one from here (which is me at around 285) or especially the one on my work badge (which is me at 330), I can see a HUGE difference. My face is much less round.

I need to update my weight ticker, too. Tomorrow is weigh day, and I'm hoping to (finally) be under 270.

You're looking great too! Looking at your albums, your "then and now" pictures show an incredible improvement!

What a difference a few months make, eh?

I googled this and saw saw a few medical articles saying that there was a risk of ulcers from NSAIDs, so the docs who are saying none for life are taking a "better safe than sorry" stance. "Increased risk" doesn't mean "going to happen" but if I can eliminate a risk, I'm all for it. Obviously some physicians don't feel the risk is large enough to worry about.

I have been on a prescription NSAID for years for my arthritis in my knees. I resumed it 2wks postop and haven't had any probs as of yet. Just as Tiff said, I always make sure I take it with food. I seriously couldn't live without it and over the counter medications like ibuprofen don't cut it. I am hoping I won't need it after I lose my weight.