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.
Oral contraceptives and delayed emptying: what the data shows
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.
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.
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.
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.
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.
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.
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.
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.
Read the full topic (72 posts)
This topic was referenced in
- Warfarin and altered intake: the monitoring argumentPractice › Interactions · 2 replies
- Warfarin and altered intake: the monitoring argument — the long versionPractice › Interactions · 134 replies
- Anaesthesia and elective surgery: the aspiration question — does this still hold?Practice › Interactions · 27 replies
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