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    Includes Expert Content
    Gastric Bypass and Anti-Depressant
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    mremillard posted:
    My mother is on Celexa for depression and she is a gastric bypass patient. She was told by her PCP that this is the only medication for depression that she can take. She hates the effect it has on her it makes her want to sleep 24/7 and she cannot function during those days because she is exhausted. Does anyone have experience with any other depression meds that she might be able to take???
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    mremillard responded:
    Please help!!
     
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    rohvannyn responded:
    The trouble you are running into here is that everybody's body works differently. Even if someone else found another medication that worked, it wouldn't necessarily work for her. If she hates the effect that much, she is going to have to be firm with her doctor. The doctor may not be willing to change because they may be waiting for the Celexa to take proper effect. They may also want to look at dosing. If she has just lost a lot of weight, she may need less medication at this point.
     
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    Thomas L Schwartz, MD responded:
    hmm. I am not sure why it is the only antidepressant she can take... celexa is not FDA approved for bypass patients who are depressed, so I am not sure what the link is... it would make sense to use longer half life antidepressants (meaning each pill that is taken lasts longer in the body). celexa, lexapro, prozac are a few of the longer acting ones available.the longer each pills lasts in the system may make up for poor gut absorption from the bypass. There is a riskier antidepressant patch called EMSAM which goes through the skin and could be used easily by bypass patients. So- your mother needs to get a better explanation as to why..


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