psych meds and malabsorption?

i take a relatively high dose of Celexa as well as Lamictal, Trazodone, and Risperidone. i've been fairly stable for a long time and go back right away when i need tweaking.

the program i'm in normally performs RNY. they also recently added VSG. i'm concerned about malabsorption of my meds - would that be an issue with the RNY? the last thing i need is to become destabilized in the middle of a major life changing surgery and recovery.

i'd love to hear your thoughts and experiences. it'll be a long time til i meet with the surgeon, psych, etc but the sooner i can learn what to expect and how to work with it, the better.

I have found that any meds that are "long lasting" or "time released" do not work with my RNY. They just go right through with out dissolving.I didn't have any problems after surgery with my meds that I had been taking.I was stable for along time after surgery.

Unfortunetly I have been having trouble the last 6 months with my depression and am trying to find a mixture of meds to help me get stablized again. The doc put me on Amblilify for 3 months and I gained 40  pounds back after staying at 155 pounds for 4 years after my RNY. I am currently researching having a revision for my RNY. I have an appointment on Monday with the doctor that did my surgery to make sure it was the Ambilify and not anything internal that caused the weight gain because I have been having pain and discomfort after eating anything solid.

Good luck with your surgery...I hope I helped you...

thank you! yes, that is very  helpful. it sounds like i am right to worry. i'll have to check with my psych to see if there are shorter-release versions of what i take, and when i go for my consult i should ask to see if i can go for the sleeve instead of the RNY. i'm not sure what the solution will ultimately be..

 

i'm sorry you've been having difficulties. i hope you get your mix right. every one of my psych meds lists weight gain as a side effect.. if i didn't need them to function i'd so like to get off them. but you gotta do what you gotta do..

My dr told me I cant be on extended release pills anymore.  I have to do immediate release now.  Im not sure what your pills are, but check.  Also, you have to stay on a regular schedule when on the immediate release, they leave your system quickly after surgery.  You need to be able to take them 12 hours apart.  I sleep too much so when i wake up i get very depressed because I havent had my pills in about 14 hours.  They will flush out of you so quickly.  Another thing is that with my program, and it might be most programs, you can only take one pill every 15 minutes.  And the pills have to be small, so I have to cut some in half.  This means that since I take about 5 prescriptions it takes me about 2-3 hours to take them all.  Just food for thought.  GL!

Just a quick note- glad you are checking into RNY. I had BPDDS 11 years ago and have had a hard time getting all of my psych meds right due to the malabsorption of my shortened small intestine. In fact, I have been on disability now for 3 years because of this. I am on several meds, just an example being that one of the particular meds , I have to take 9 of to get the amount I need into my bloodstream. I didn't know this would happen or I would have chose RNY. Good luck!

Hi, I am in the same process right now. I take several meds.  I am asking the surgeon if I can have the sleeve as it is my understanding it causes less problems with absorption.  The problem is that my clinic rarely does the sleeve.  Ultimately my surgeon will be making the decision.  Also...remember that as you lose the weight your body may not need as much medication as before so it may all work itself out.  Good luck and hope everything works out 

My drs office won't do the rny for me bc of the malabsorption issues. She said the sleeve was definitely anoptionand really the only surgery shed support me with. I do admit I'm concerned to see how meds work with this surgery. Hope I tolerate everything well.....still working on insurance approval......knock on wood. Best of luck to you!! Hope they'll do the sleeve for you if that's your decision