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Dr. Bob is Robert Hsiung, MD,
[email protected]Shown: posts 1 to 3 of 3. This is the beginning of the thread.
Posted by Mandybella on August 12, 2004, at 17:06:58
I had bariatic surgery two months ago and have had a very rocky course--don't do it!! My question is I take Wellbutrin, Lexapro, and Lamictal and they have kept depression in remission. Now Dr put me on Zofran for nausea and Ultram for pain. I understand they both affect serotonin like the anti-depressants. So can I take all this or am I asking for a bigger problem. My surgeon is useless and pharmacist said it is okay but I still would like opinion from some on this board who have experience with meds and reactions. Thanks so much
Posted by Sad Panda on August 13, 2004, at 3:55:43
In reply to My med combos--are they okay????, posted by Mandybella on August 12, 2004, at 17:06:58
> I had bariatic surgery two months ago and have had a very rocky course--don't do it!! My question is I take Wellbutrin, Lexapro, and Lamictal and they have kept depression in remission. Now Dr put me on Zofran for nausea and Ultram for pain. I understand they both affect serotonin like the anti-depressants. So can I take all this or am I asking for a bigger problem. My surgeon is useless and pharmacist said it is okay but I still would like opinion from some on this board who have experience with meds and reactions. Thanks so much
>
>Zofran is fine, you can actually use it to stop nausea caused by SSRI's when you first start them. Ultram, IMHO, isn't. It is a serotonin & norepinephrine reuptake inhibitor that is very closely related Effexor. Taking it & Lexapro together will likely lead to serotonin syndrome. If you are forced to use it, I would lower your Lexapro dosage to be safe. You would be much better off with oxycodone if you can get it.
Cheers,
Panda.
Posted by Racer on August 13, 2004, at 12:02:48
In reply to Re: My med combos--are they okay???? » Mandybella, posted by Sad Panda on August 13, 2004, at 3:55:43
What concerns me much more than the medication interactions is the fact that your doctor doesn't seem to be holding up his end here. Sure, the surgeon probably doesn't come up against this question every day -- but honestly, if he's prescribing these drugs, it really is his job to make sure they won't interfere with other meds you're taking. I'm assuming you didn't just spring on his *after* the surgery the fact that you were taking them? In that case, he had time to find out what the implications were.
That said, Sad Panda is a great resource for this sort of information. I'd give great weight to his advice. My own advice is much, much simpler: hie thee to the doctor who prescribed the original drugs, and get the exact information that applies to your individual needs.
This is the end of the thread.
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