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Medications: Crushing versus Swallowing Pills Whole



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I'm three months post-RNY surgery and have been crushing my non-WLS medications since surgery (and opening capsules). I take three pills in the morning and four at night.

Yesterday my nutritionist said I could try swallowing the capsule I take, but should now chop my pills into little pieces. I guess I'd rather just keep crushing them because it's easier.

For those who are taking daily medications, how long before you were able to swallow pills whole? Did you feel nauseous (one poster wrote she felt sick for two hours after swallowing capsules)? Or are you not having any problems?

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I was personally never advised to crush pills... even the day after surgery my nurses gave me whole pills. (I had the sleeve though, not sure if it's different with RNY.) My only issue was with tolerating the Iron in Multivitamins, so I use vitamin patches now. I would of course suggest to follow your nutritionist's advice and ask their office for clarity if you don't understand their instructions. With that said I'm surprised by the crushing advice.

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I started taking whole pills as soon as I got home from the hospital. There were only two that were too big to take - those giant Calcium tablets and one other one that escapes me, but the PA at the surgeon's office said it was fine to wait a couple of weeks before starting the "other one" (for calcium, I just took a chewable one instead of the big tablets). So in summary, I never crushed pills.

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I crush my psych meds, sleep meds per my psychiatrist. I take a PPI twice a day, and swallow them whole with no problem. I also take Crestor and swallow that whole. I crush the psych meds to aid in absorption.

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I swallowed pills whole 2 days after surgery. No problem.

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Initially I cut them in half with a pill cutter and waited 5-10 minutes between pills. Now at 5 months I can swallow them whole but still space them out

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As well as others as soon as I got home I was taking whole pills. My dr approved it for me as it was the only way I was getting my medicine in me. I'm glad to see the others do too.

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I had an RNY, the same night as my RNY I was taking all my meds without crushing. First day I could only swallow one tablet or capsule at a time, that lasted about two weeks. By two weeks I was swallowing all 4 of my daily meds in one go. Yesterday I switched from chewable vitamins to tablets and I am only swallowing them one at a time.

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I had RNY and was given protonix the first day and that fricken hurt so they made all my liquid except the Tylenol. They wanted me to try Norco for long term pain but I know how big those are and said no way because the protonix hurt. They sent me home with hycet (liquid Norco) for pain but I think now I'd be ok to take whole pills.

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    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 0 replies
      1. This update has no replies.
    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

    • CaseyP1011

      Officially here for a long time, not just a good time💪
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    • KimBaxleyWilson

      Three months and four days ago... I was in Costa Rica having a life changing surgery! Yesterday we had a followup visit with Dr. Esmeral via video chat and this morning my middle number changed.  I'm down 47lbs and two pants sizes. I can wear a Large tshirt for the first time in like... 14 years! Woot!! Everything is going great. I have zero regrets. I went down to the riverwalk with a friend and walked 2 miles on Monday without even getting fatigued. And no more snoring or chugging pickle juice for crazy leg cramps! I need to go to the gym more... I'm making new shirts next week so that will motivate me. LOL But I'm also just not as TIRED all the time! I have a LONG way to go...but seeing the progress on the scales and in the mirror is a huge motivator!! Thank you all for cheering me on and supporting me!!
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      https://alluniqueguide.com/java-burn-coffee-reviews/
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