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Topic summary

Oral contraceptives and delayed emptying: what the data shows

This is a generated summary. It shows the 9 most-liked posts from a topic of 72, in their original order, with the accepted answer included where one exists. It is a reading aid and it will miss nuance — the full topic is the record.
BV
b.vanheckeTL25 Jul 2024#5
d.eriksen, post #3: The opening post answers the question as asked. The question underneath it is different. The most defensible general position in this subcategory: identify the plausible mechanism, check whether it has been studied, and where it has not, say that rather than filling the gap. The general answer and the answer for your case may diverge… Go to post

Oral medications versus time: if you take an oral medication 30 minutes before semaglutide (which slows gastric emptying), the delayed stomach emptying affects when and where the oral medication is absorbed. Separating by a larger interval (1 to 2 hours) usually resolves this.

29 likes in reply to #3 2.1y
VS
vial_slopeTL3Regular Solution6 Jul 2024#9

Second-hand on oral contraceptives and delayed emptying, so weight it accordingly — someone whose method I trust told me this and I have not verified it myself.

22 likes 2.1y
LA
l.aaltonenTL3Regular7 Jul 2024#14

This follows post #13 rather than contradicting it.

I have been on both sides of the oral contraceptives and delayed emptying argument in this category within eighteen months, which should tell you how strong the evidence for either side is.

32 likes 2.1y
CO
c.ostergaardTL29 Jul 2024#22

Oral contraceptive absorption has been studied specifically for some compounds in this class and the findings are compound-specific. Generalising from one to another is not supported.

29 likes 2.1y
SV
s.vogelTL213 Jul 2024#38
e.pires, post #23: Reframing oral contraceptives and delayed emptying slightly, because I think the disagreement is about the question rather than the answer. If the question is "does it happen", yes. If it is "how often", nobody here knows. Go to post

Marking my uncertainty on oral contraceptives and delayed emptying explicitly. I am confident about the direction, much less confident about the size, and not confident at all that it generalises past the case in the first post.

27 likes in reply to #23 2y
AP
ar.petrovTL214 Jul 2024 · edited#42

A supplement is a drug for interaction purposes, and the fact that it is sold without a prescription tells you nothing about whether it interacts. The paperwork is usually worse rather than better.

Two people can read the same figure differently here and both be reasonable.

32 likes 2y
JM
j.mwangiTL4 Moderator16 Jul 2024 · edited#54

Narrowing post #53, because the general version has more than one answer.

Delayed gastric emptying is the mechanism behind most of the plausible interactions in this class: anything whose absorption depends on how quickly the stomach empties can behave differently.

I would want the raw data before agreeing with my own summary of it.

30 likes 2y
ST
slow_titratorTL2Regular19 Jul 2024#70

I had written a reply contradicting post #68 and deleted it. Here is what survived.

A pharmacist can answer most questions in this subcategory in a few minutes with access to a proper interaction database, and that access is the thing a forum does not have.

For what it is worth, the same held on the two occasions I checked.

30 likes 2y
ML
m.lindqvistTL219 Jul 2024#71

I had written a reply contradicting post #67 and deleted it. Here is what survived.

Worth separating oral contraceptives and delayed emptying as a question about the compound from oral contraceptives and delayed emptying as a question about the documentation. They get answered by different people and only one of them is answerable here.

25 likes 2y

Read the full topic (72 posts)

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