Paxil and Sleeve

[Johanna1 0]

Anyone take Paxil and have any problems with needing a dosage increase or decrease?

[ShoppGirl 5,067]

I don’t take Paxil but I do take a mood stabilizer and an antidepressant so I asked about meds and i was told that with sleeve typically it is only the extended release medications that cause issues. Of course there is always the outliers so you should stay in close touch with your doctor if you don’t feel the same but typically dosage will stay the same. After they lose weight, some people are able to reduce their dosages of antidepressants.

[Arabesque 7,532]

It’s a good idea to talk to your surgeon & your prescribing doctor about any meds you take before your surgery. It depends upon where the medication is absorbed in your body: stomach, intestines, kidneys, etc. As you’re having a sleeve the only ones you may have to change are those that are absorbed in your tummy. But it is something you need to talk with your doctors about.

[lizonaplane 1,613]

I take a number of psych meds but not Paxil. I'm 4 months post sleeve and I have not had any issues. I didn't have any extended release or slow release meds, but those can be an issue.

I didn't have to change any doses.

Some people have mood issues after surgery due to the fat releasing estrogen during weight loss, but I haven't had any issues.

[SoCalEm 54]

I'm glad I found this post. I also take psych meds and confirmed with my physiatrist that there shouldn't be a problem with absorption. She brought up the extended release meds being problematic. I think it also depends on how the medication is processed in the system (kidneys, liver).

My concern is having room for them in my stomach (at first, anyway).

[ShoppGirl 5,067]

1 minute ago, SoCalEm said:

I'm glad I found this post. I also take psych meds and confirmed with my physiatrist that there shouldn't be a problem with absorption. She brought up the extended release meds being problematic. I think it also depends on how the medication is processed in the system (kidneys, liver).

My concern is having room for them in my stomach (at first, anyway).

I am on two smaller pills and I took them in the hospital along with Tylenol the next day.

[lizonaplane 1,613]

18 hours ago, SoCalEm said:

I'm glad I found this post. I also take psych meds and confirmed with my physiatrist that there shouldn't be a problem with absorption. She brought up the extended release meds being problematic. I think it also depends on how the medication is processed in the system (kidneys, liver).

My concern is having room for them in my stomach (at first, anyway).

You will have room for the pills in your stomach! I have to take 10 pills every evening, and I was able to take all of these a few hours after surgery. I had to take one pill a time and it took me an hour to take all of them at first, but now I'm back to taking all ten in one go.

[Robert S. Libberton 22]

I take it and I needed to increase the dosage from 10 to 20 post sleeve

[SoCalEm 54]

On 1/11/2022 at 8:01 AM, lizonaplane said:

You will have room for the pills in your stomach! I have to take 10 pills every evening, and I was able to take all of these a few hours after surgery. I had to take one pill a time and it took me an hour to take all of them at first, but now I'm back to taking all ten in one go.

That's such good news. I take 6 pills daily and the size of them concerned me. From what I hear, there can be mood changes during recovery so the last thing I need is to have difficulty ingesting psych meds...