Did You Have Worsening Depression / Anxiety After Surgery??

That's how I got liquid Oxycidone for post surgery.

I got my liquid prozac - haven't started it yet - waiting until after surgery. THANK YOU!

Wonderful!!! Good luck! :)

Surgical resident changed cymbalta to effexor post op, YIKES!! May work for the same issues but wow!! I kept hearing buzzing and feeling zings in my head; that was rapid withdrawal. Psych said it was ok to open cymbalta in apple sauce as long as beads NOT chewed. Went back on and have done well. I also take 2 30mg instead of one 60 mg Can take 1 am and 1 pm if I felt absorption was an issue.

OMG! Zings! I KNOW THOSE! Got them with Paxil. That's a great way to take in meds... I am going to talk to my PCP and see what we can do. Thank you so much for the advice! :-)

Sheila, as a person who is almost 10 years post op RNY - let me tell yo that is really critical that you are monitoring your lab work. The docs are interested only if the results are "in range" . What we need to monitor is how they change in response to the supplements we are taking.

What is the trend of the changes, going up ? or down. Making notes beside that to see what you need to change.

What is normal -is often not enough if the numbers are borderline normal or low normal. I compare that to money and life - when you lab work show the results are low normal - is like having just enough money to pay the bills but not a penny more to have fun or to enjoy the life.

A lot of times dos don't test what we need to be tested. i.e ferritin, B6, PTH...etc... we have to be our own advocate.

Check Julie post. Very good - very useful.

http://www.obesityhelp.com/forums/amos/6031736/Tracking-your -lab-results/

YES! All that! :-)

I think because of the anxiety and depression I am hyper aware of my body and what it's doing. I KNOW when something isn't right and I've learned to be a very good advocate for myself. This is GREAT advice. I do have my last 3 years of bloodwork - but putting them in a spreadsheet (like on that link) is a super idea. Thank you so much for caring - this really does mean the world to me!

I am 16 yrs post-op RNY, and just want to second the importance of H.A.L.A.B.'s above post. I've had major struggles with worsening depression (disabling, now), but you can learn from the "oldsters". I didn't know what to expect, made inadvertent mistakes along the way which worsened my mental health conditions. #1) in the early years post op, I kept going off my antidepressant after the depression lifted. What I have discovered since, is if you are on a anti-depressant that works for you, STAY on it. Accept your MDD as a chronic condition that will always need management. Going off and on and off and on anti-depressants (for me, anyway) just set the stage for my MDD to become Treatment-resistant MDD. Also, regarding administration, of almost any medication, due to the malabsorption, I always have to be prescribed at the high end of dosages, and then split them into 2X a day, because of how rapidly I metabolize them now. Find yourself a good compounding pharmacy, which can formulate just about anything from pill to liquid form. I also had a dna test done by by my psychiatrist, which revealed that I have deficiency (genetic) in the gene that methylates folate, which is critical neurotransmitter for antidepressants. Turns out its fairly common in people with MDD, but there is a prescription, already-metholated form of folate, called Deplin, which can make all the difference in how well your antidepressant works.

You're going to do great. And I agree with others, and you...I wish people who don't really understand or experienced MDD leave off their "helpful" advice. It's beyond useless. It's painful.

I've never heard of Deplin, thanks for the info! I've got my encoded genome from 23andme, I'm going to see if I can find my status for that gene. Yay science!

Thank you! You are the second one that's mentioned a compounding pharmacy...I've never had experience with them...but you can bet I'm going to check it out!

I NEVER go on and off my meds. I know that this is my normal and I accept and embrace it...but I do like that there seems to be so much hope that if I "DID" start struggling, there are other solutions out there if it is because of the metabolism issue.

Thank you for sharing...I love that you are so far out and I love your advice. Thank you for sharing your story!