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05-18-2008, 06:35 PM
| #1 (permalink) |
| Guru In Training  Join Date: Feb 2008 Location: Mira Loma, CA 91752
Posts: 346
Blog Entries: 1 Weight Statistics April 15, 2006 Start Date:
May 10, 2006 Surgery Date:
6' 3" Height: 345 lb Start Weight:
189 lb Current Weight:
200 lb Goal Weight:
156 lb Weight Loss:
-11 lb Lb Left to Lose:
45.2173913043 % % Lost:
anytime Goal Date:
Body Mass Index 43.1173333333 BMI Start:
23.6208 BMI Current:
24.9955555556 BMI Goal:
Weight Loss Method Roux en Y Gastric Bypass    |  For Doc S., sleep medications I've noticed that my sleep medication does not work as well as a post op. I use Restoril, and I've heard from other RNY post ops with similar problems with other sleep medications. Does the malabsorptive part of RNY lessen the effectiveness of sleep medications??? DAVE 
__________________ Dave Chambers  Dave in 2005, a few months prior to surgery   liquid vitamins:www.bariatricliquidvitamins.com  liquid vitamins: www.liquidbariatricvitamins.comDried peas-high protein snack: www.dried-peas.com , 1/4 cup has 6 grams of protein. Roasted Edamame:*** www.dried-edamame.com , 1/4 cup has 14 grams of protein Feeling fatigued or need appetite control help? Go to epicnrg.com/nopillvitamins  |
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05-18-2008, 09:39 PM
| #2 (permalink) |
| Super Moderator  |  A few things that can affect the effectivity of medication, any medication, with gastric bypass. 1) where it is absorbed can affect it e.g is the area where it is most absorbed inculded in the bypassed portion of the intestinal tract? 2) is the time it takes to be absorbed longer because the portion of the digestive tract where the medication first is broken down (as in the pills melting) in preparation for absorbtion is bypassed, so it has to be broken down in the area where it is normally absorbed. 3) as with alcohol, does it hit the blood stream faster then get out of your system faster? Which of the 3 will depend on the type of medication.
__________________ "In every job that must be done, there is an element of fun."   Just a li'l bit 'bout myself |
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05-18-2008, 09:54 PM
| #3 (permalink) |
| Guru In Training Join Date: Feb 2008 Location: Mira Loma, CA 91752
Posts: 346
Blog Entries: 1 Weight Statistics April 15, 2006 Start Date:
May 10, 2006 Surgery Date:
6' 3" Height: 345 lb Start Weight:
189 lb Current Weight:
200 lb Goal Weight:
156 lb Weight Loss:
-11 lb Lb Left to Lose:
45.2173913043 % % Lost:
anytime Goal Date:
Body Mass Index 43.1173333333 BMI Start:
23.6208 BMI Current:
24.9955555556 BMI Goal:
Weight Loss Method Roux en Y Gastric Bypass | Specifically, how is Restoril or Ambien affected? I take Restoril and I have a friend who takes Ambien, and we both note that these sleeping aids do not work as well on us past RNY surgery. DAVE
__________________ Dave Chambers Dave in 2005, a few months prior to surgery liquid vitamins:www.bariatricliquidvitamins.com liquid vitamins: www.liquidbariatricvitamins.comDried peas-high protein snack: www.dried-peas.com , 1/4 cup has 6 grams of protein. Roasted Edamame:*** www.dried-edamame.com , 1/4 cup has 14 grams of protein Feeling fatigued or need appetite control help? Go to epicnrg.com/nopillvitamins |
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05-18-2008, 10:13 PM
| #4 (permalink) |
| Super Moderator | I can't really say on that, sorry, it most likely depends on the characteristics of the main chemical agent. A pharmachologist will be able to better answer that. Ambien is a sleep inducer, so the blood level is meant to be brought up quickly, then shot out of your system as quickly, so it may be 1). Restoril acts slower and longer. so it may be 2) or even 3).
__________________ "In every job that must be done, there is an element of fun." Just a li'l bit 'bout myself |
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05-18-2008, 11:42 PM
| #5 (permalink) |
| Whipper Snapper  Join Date: May 2008 Location: Mississippi
Posts: 37
Weight Statistics 06/03 Start Date:
07/03/03 Surgery Date:
6' 1" Height: 385 lb Start Weight:
184 lb Current Weight:
185 lb Goal Weight:
201 lb Weight Loss:
-1 lb Lb Left to Lose:
52.2077922078 % % Lost:
Body Mass Index 50.7890786264 BMI Start:
24.2732219929 BMI Current:
24.4051416776 BMI Goal:
Weight Loss Method Roux en Y Gastric Bypass | Hey Dave, From others who take these "I have Heard" (so take with a grain of salt) The Ambien utilizes the same receptor sites as Iron, So one could reason it could be somewhat effected by RNY. (same as iron absorption issues) The claim of the folks at Restoril that it bypasses the typical Interactions (via CYP450 enzymes) and should metabolize very similarly to Trazadone (or Methadone for that matter) Same for all of the Benzodiazepines: alprazolam diazepam midazolam triazolam. They all binds multiple receptor sites. If its effect seems to be reduced by the RNY It could be that simply the length of bypassed intestines decreases It’s over all early absorption. (Doesn’t "hit" quite as soon…) Just my knee jerk thoughts based on my Trazadone use And other’s comments concerning Ambien. Glad to see you "out and about" Hope you get some rest! Best Wishes- Dx |
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