Just had Lap Band to RNY Revision...Antidepressant metabolism question...

[CyclicalLoser 155]

Kim - Thank you for doing what you do. I was in a university hospital surrounded by a number of RN's, PA's and NP's. My mother was a unit secretary. Even though the doctors get the glory for the procedure (Not downplaying what they do here) but the nurses are the ones that make the patient feel as comfortable as possible while recovering from something that is usually very painful. Out of the probably 40 (I'm not making this up, 20 alone would visit me during morning "rounds") nurses, not a single one was mean, no matter how many times I hit the call button because the IV was making a wierd noise.

[newmebithebypass 713]

Chiming in here so go see your doc lamictal is a very tricky med my mother in law who has been practicing for 35 years barely prescribes it because of the very high chance of Steven Johnson syndrome. Up until this time you were fine but just go. Also you might want to try trileptal it’s the same mechanism in the brain and safer for rny patients.

[CyclicalLoser 155]

Thank you all for all of your help. Newmebithebypass, thank you I was completely unaware of trileptal. My doctor did explain the serious rash/death side effects that sometimes can happen to people, but he said it was that or seroquil, and that the people that could tolerate lamictal were very happy with the med and were not overly drowsy, brain fog, or weight gain.

I am seeing your post after my visit, but he put me on a single 100mg sublingual dose in the morning. He gave me the option of the chewables and even if I wanted to adjust the dosage, but I am the "slow and steady" type personality when it comes to mental medications. He explained that lamictal originally came out as a sublingual, and that sublingual was the best way to get the medication into the blood. He did say (And expect) some flack from my insurance company, so it might take a week or two before I start it (My pharmacy is small and usually has to order out-of-the-ordinary meds). I will update this thread once I get on the sublingual ones.