Abstract

Drug therapy in a post-bariatric patient can be significantly different due to the changes in the patient’s anatomy and ADME process. There are very little resources available to help practitioners make adjustments to drug therapies. This presentation will provide guidance on choosing appropriate dosage forms, adjusting doses to optimize therapy, and alternative options for commercial products to meet patient-specific needs.

The learning objectives include:
Describe the ADME process for drugs and how bariatric procedures affect it
Identify dosage forms that are suitable for bariatric surgery patients
Discuss alternative compounded options for bariatric surgery patients
Make recommendations on dosing medications for bariatric surgery patients

This presentation is based on the article cited below and a presentation in 2018:
McElhiney LF. Providing Pharmacy Services to Bariatric Surgery Patients. Inter J Pharm Compounding 2018; 22(1):30-39.
McElhiney LF. Drug Therapy After Bariatric Surgery. Indiana University Health Obesity Symposium, Indianapolis, IN, October 26, 2018.

Biography

Dr. McElhiney is the Team Lead Compounding Pharmacist and a preceptor for Indiana University Health in Indianapolis, Indiana. It is one of the largest health-systems in the United States, consisting of 20 hospitals and dozens of outpatient clinics and surgery centers.
She is an author for the International Journal of Pharmaceutical Compounding and contributing author in pharmacy and medical textbooks. Dr. McElhiney is a full fellow in the American College of Apothecaries (ACA), American Society of Health-System Pharmacists (ASHP), and the International Academy of Compounding Pharmacists (IACP). She has served on several national committees and board of directors in professional pharmacy organizations and received several awards. Dr. McElhiney currently serves as the President-Elect for the American College of Apothecaries.
Dr. McElhiney earned a B.S. in Pharmacy from Purdue University in 1984. Dr. McElhiney earned a Pharm.D. (2002) and a Masters (2012) from the University of Florida.

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