Do people with an ileostomy metabolize medication differently?

Posted by g13 @g13, Jan 20, 2022

If we metabolize foods differently, don't we metabolize
medicines differently? I know that what I eat, passes through
my body within a few hours, I've been told that I should not be prescribed a slow-release medicine because of the speed of it passing through the body. So my question is, shouldn't the mg of the medicine be adjusted up to compensate for the speed of the foods and meds passing so quickly?

Interested in more discussions like this? Go to the Ostomy Support Group.

Karen | @duckduck2020 | Jan 25, 2022

That is what I do too because I don’t digest thrn either

kenc | @kenc | Jan 24, 2022

I pass most larger hard coated pill medication without being mostly digested. This is why, when available, I request the medicine in liquid form

Amanda Burnett | @amandaa | Jan 20, 2022

Hi @g13 and welcome to Mayo Clinic Connect. I also added your post to the Ostomy group that can be found here https://connect.mayoclinic.org/group/ostomy/ so that you can get the opinions of more members that have an ileostomy. I have gastic issues as well and my physicians stated that coated pills and time released medicines may pass to quickly depending on how much working intestine you have.
Did your doctor prescribe a time release medication for you?