Nsaids

[katie.brooks 10]

Are all NSAIDs no good forever after being sleeved?

[Threetimesacharm 1,400]

Yes

[lollyfidy1965 402]

According to my surgeon, yes....along with oral steroids (like Prednizone).

Walgreens makes a tasty grape chewable acetaminophen.

[doxieville 799]

Celebrex is approved by my doctor

[RickM 1,752]

The NSAID ban is mostly an RNY thing, carried over by RNY docs when they move into doing sleeves. NSAID use has long been one of the advantages of the DS (which uses a sleeved stomach as its basis) and now the stand alone sleeve over the RNY. There are specific structural issues with the RNY that contraindicates the use of NSAIDs and other stomach irritating medications that doesn't apply to the sleeve which is structured quite differently. This factor has been used many times in the successful appeal of insurance decisions favoring the RNY over the DS or sleeve.

There are some systemic issues with the use of NSAIDs for the population in general that may be exacerbated by our smaller stomachs but those are generally mitigated by use of PPIs if the NSAIDs are going to be used routinely, but caution should be applied to this class of drugs for anyone needing to use them long term. Some sleeve docs will not recommend their use for some period of time after surgery out of healing concerns while others will recommend their use shortly after surgery for pain relief after the narcotic pain relievers are no longer appropriate.

So we have yet another topic where there is little consensus amongst surgeons, though from my observation, the surgeons with the most specific sleeve experience have little problem with NSAID use for their sleeve/DS patients. YMMV

[katie.brooks 10]

Rick M, this is completely one of those situations with the differing opinion. I have a follow up with my primary care doctor but part of me doesn't feel to safe with what his answer will be. I think the best answer will have to be from my surgeon. I have long time back issues, which was the need for the surgery but along with that I have to treat the pain and inflammation I have now until that weight comes off.

So we will see what the consensus is....

[swizzly 901]

The NSAID ban is mostly an RNY thing, carried over by RNY docs when they move into doing sleeves. NSAID use has long been one of the advantages of the DS (which uses a sleeved stomach as its basis) and now the stand alone sleeve over the RNY. There are specific structural issues with the RNY that contraindicates the use of NSAIDs and other stomach irritating medications that doesn't apply to the sleeve which is structured quite differently. This factor has been used many times in the successful appeal of insurance decisions favoring the RNY over the DS or sleeve.

There are some systemic issues with the use of NSAIDs in for the population in general that may be exacerbated by our smaller stomachs but those are generally mitigated by use of PPIs if the NSAIDs are going to be used routinely, but caution should be applied to this class of drugs for anyone needing to use them long term. Some sleeve docs will not recommend their use for some period of time after surgery out of healing concerns while others will recommend their use shortly after surgery for pain relief after the narcotic pain relievers are no longer appropriate.

So we have yet another topic where there is little consensus amongst surgeons, though from my observation, the surgeons with the most specific sleeve experience have little problem with NSAID use for their sleeve/DS patients. YMMV

This is exactly true and one of the most factually accurate answers I've seen on this topic, thanks!

NSAIDS being okay was another one of the reasons I chose the sleeve; I had to take them (800mg at that) already two weeks post-op and it was approved by my surgeon and my bariatric specialist physician both, just had to double-up on the Protonix while I was taking them. Now I use ibuprofen 2-5 times per week (400mg) and that is also on my record at the clinic and approved by them.