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Re: Depression and Medications

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I started taking Effexor XR after surgery and both my PCP and my surgeon said it

was o.k. for me considering it is a time released drug, but my surgeon said that

it fine. So far I have not had any problems and I've been on this for over a

year now. I hope this info helps.

Tina T (aka The Elf w/jelly bean toes)

Spanaway, WA

Dr. Oh (Federal Way)

08/28/01 60 " distal RNY

03/03/03 hernia repair/TT

starting weight 230

current weight 120

AMOS website:

http://www.obesityhelp.com/morbidobesity/profile.phtml?N=T988383498

Depression and Medications

Has anyone any experience with taking Efexor XR prior to surgery and

then after? I was on a lot of pysch meds prior to having an open RNY

(6/12/01.) I was able to get down to 2 EFFEXOR (75mg) within 6

months of my surgery. Last Oct it was increase to 3. Then, I had to

increase it to 4 in June of this year. Now, currently (this week)

I'm trying 6 (2AM, 2 Noon, 2 PM)

I know that with our pouches being so smaller and the rerouting done

to the stomach that things pass through us more quickly. Could this

be the reason that I'm having to increase the dossage.I have ask my

DR. (PSYCH) he not sure since I'm his only patient that has had RNY.

I told him that I felt like a failure for having to increase the

meds. Also,I just had all of blood work done and all is normal.

Would appreciate any ideas or thoughts anyone miht have. Thanks

BBC (7/03 170 lbs:6/01 343 lbs)

Homepage: http://groups.yahoo.com/group/Graduate-OSSG

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Hi -

I'm going though a similar situation. I'm taking Zoloft, and after

speaking with my surgeon, he recommended that I take 50 mg. in the

morning, and 50 mg. in the evening, which would keep an even dosage

in my body at all times.

I had to explain this at least three times to my psychiatrist,

because she just couldn't get her head wrapped around the fact that

because I have been " re-routed, " meds don't stay in my system long

enough to break down completely. So in order to keep a 50 mg. dosage

in my body all the time, I had to take 100 mgs. a day.

And I'm really going through this with every doctor I see. I have to

explain to them, over and over again, that I need more medication,

more frequently, because of breakdown and absorbtion. My OB/GYN was

the only one who " got it " right off the bat, and she recommended

that I go on the Ortho Evra birth control patch, which would deliver

a constant stream of hormones to my system without ever having to

pass through my stomach. GENIUS!! I only wish every medication that

I take came in a patch form... I feel like I need to carry around a

diagram of my system, and surgical notes, to every doctor

You are NOT in this alone.

skbryan@...

(Open RNY 01/15/01: 304 lbs. -- 07/10/03: 185 lbs.)

> Has anyone any experience with taking Efexor XR prior to surgery

and

> then after? I was on a lot of pysch meds prior to having an open

RNY

> (6/12/01.) I was able to get down to 2 EFFEXOR (75mg) within 6

> months of my surgery. Last Oct it was increase to 3. Then, I had

to

> increase it to 4 in June of this year. Now, currently (this week)

> I'm trying 6 (2AM, 2 Noon, 2 PM)

> I know that with our pouches being so smaller and the rerouting

done

> to the stomach that things pass through us more quickly. Could

this

> be the reason that I'm having to increase the dossage.I have ask

my

> DR. (PSYCH) he not sure since I'm his only patient that has had

RNY.

> I told him that I felt like a failure for having to increase the

> meds. Also,I just had all of blood work done and all is normal.

> Would appreciate any ideas or thoughts anyone miht have. Thanks

> BBC (7/03 170 lbs:6/01 343 lbs)

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Yeah, I fired a Family Practice Doctor because she just didn't get this. And

when I went through my knee replacements.....once they took me off the IV

and I didn't have a pump...pain control was a nightmare! They gave me

hydrocodone (two of them every 4-6 hours)....well....two made me TERRIBLY

queasy and lasted two hours tops! What I wanted to do was take ONE every two

hours, but NOOOO they couldn't do this. And actually once I got home, I took

a half ever hour. Worked wonders, but the hospital staff and my doc just

couldn't work with me on this. EVEN though, my Ortho Surgeon KNEW I had

malabsortion issues, because cummidin didn't work for me and he had me on

Heparin shots for the second knee! Why they thought that pain meds would

work better then cummidin I don't know. Some times you WONDER where their

brains are!

Debbie in Gig Harbor (170cm medial)

ladybostons@...

http://www.cafeshops.com/copsstore

-----Original Message-----

From: skbryan

Hi -

I'm going though a similar situation. I'm taking Zoloft, and after

speaking with my surgeon, he recommended that I take 50 mg. in the

morning, and 50 mg. in the evening, which would keep an even dosage

in my body at all times.

I had to explain this at least three times to my psychiatrist,

because she just couldn't get her head wrapped around the fact that

because I have been " re-routed, " meds don't stay in my system long

enough to break down completely. So in order to keep a 50 mg. dosage

in my body all the time, I had to take 100 mgs. a day.............

You are NOT in this alone.

skbryan@...

(Open RNY 01/15/01: 304 lbs. -- 07/10/03: 185 lbs.)

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OMG, I'm going through the same thing, only my doctor is willing to

learn. She says whatever I learn from the group here, I have to share

with her. I had been taking 50 mg of Zoloft and 300 mgs of Wellbutrin

SR.... well, I crashed and burned for the past few weeks. Luckily I

had an appointment with my PCP on Monday. I asked her to switch me to

the regular Wellbutrin.... but I didn't think about the Zoloft.

Maybe I better call her tomorrow. I had the same thing happen with

the GYN. Suddenly after the surgery I started getting horrible

ovarian cysts... wasn't absorbing my birth control pills. She put me

on the patch and I'm not sure yet (only week 3), but so far no pain.

What a learning process it all is. The only problem is, if all the

meds came in patch form I would look like a mummy wrappend in band-

aide. lol Glad to know others share the same problems.

Hugs,

Tigger

> > Has anyone any experience with taking Efexor XR prior to surgery

> and

> > then after? I was on a lot of pysch meds prior to having an open

> RNY

> > (6/12/01.) I was able to get down to 2 EFFEXOR (75mg) within 6

> > months of my surgery. Last Oct it was increase to 3. Then, I had

> to

> > increase it to 4 in June of this year. Now, currently (this week)

> > I'm trying 6 (2AM, 2 Noon, 2 PM)

> > I know that with our pouches being so smaller and the rerouting

> done

> > to the stomach that things pass through us more quickly. Could

> this

> > be the reason that I'm having to increase the dossage.I have ask

> my

> > DR. (PSYCH) he not sure since I'm his only patient that has had

> RNY.

> > I told him that I felt like a failure for having to increase the

> > meds. Also,I just had all of blood work done and all is normal.

> > Would appreciate any ideas or thoughts anyone miht have. Thanks

> > BBC (7/03 170 lbs:6/01 343 lbs)

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