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Absorption of Antidepressants?



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I’m pre revision surgery to bypass. I have a question about post op. I’m kind of freaking out because I had some problems in the hospital with my sleeve getting my anti depressant meds. There was no extended release but finally they just let me open the capsule and take it. I’m wondering with bypass if I’m going to have more extreme and long term challenges because of absorption?!

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Prior to RNY, I was taking buproprion (Wellbutrin) extended release. My doctor changed my prescription to regular buproprion twice a day. I've had no problems with absorption in the four months since I switched to regular dosage.

There may be others who are much further along post-surgery who can share their experiences, too.

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I've posted about this in the past, so you may want to do a search, but the answer is, yes, you may indeed have problems absorbing antidepressants. I did. At first we switched from extended release Effexor to immediate release and it wirked for a few months. Suddenly I started experiencing withdrawal symptoms and realized I was not absorbing the Effexor. Switched to liquid Prozac and it seems to be absorbing well. I had bypass.

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I have severe clinical depression and had a gastric bypass.

You can no longer take extended release meds after gastric bypass.

I take bupropion and Zoloft twice a day.

I found a good mix of meds long before surgery and have been pretty consistent though I am sure I have raised the levels at times.

Definitely discuss this with your surgeon and psychiatrist.

I hope this helps.

I know how scary med changes can be.

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I found my med mix in 2010.

Had surgery 2012.

Lowest weight was 200 lbs.

Had weight gain due to loss of control over my environment. I had to move in with my mother to take care of her after an accident and she had goodies. Needless to say I gained due to being unable to ignore food that ws sitting right by my bed. I was staying in her combo livingroom, kitchen, diningroom. Moved out and the weight gain stopped. A year later I got a grip on losing at least a lb a month. Now I am considering revision.

bupropion is great. I find it not only combats depression but deals with compulsive behavior I.e. compulsive overeating.

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      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
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      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
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      1. summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

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        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

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