leadinglady Posted July 8, 2011 Share Posted July 8, 2011 I had gastric bypass and am on 300 mg of Seroquel and 50 mg of Paxil a day and am having racing thoughts. I am also a recovering alcoholic and have been sober 13 days now. LOL Anyway, my chemical dependency counselor mentioned that because of my racing thoughts, she suspects my medication is not absorbing because of my 2009 gastric bypass. I've mentioned this to the psych before but he never takes me seriously. I don't think many have a lot of experience with gastric bypass patients. She mentioned I should be on a dissolving or liquid medication combination. This makes sense because usually 20 mg of Paxil would work for me--I've been on Paxil since I was 17. I'm 35 now. (FWIW I think the Paxil is why I ended up NEEDING gastric bypass in the first damn place) Anyway does anyone know what antipsychotic, mood stabilizers, and/or antidepressants dissolve or come in liquid form? Link to comment Share on other sites More sharing options...
leadinglady Posted July 8, 2011 Author Share Posted July 8, 2011 I am going to start doing that tonight and see if there is a difference for me. I just read about the solubility of the Seroquel being really low after RNY...Paxil too. No wonder I feel crappy. I am also taking Campral for the alcoholism to fight cravings and wonder about that now, too. I read that the lithium, Haldol, Celexa, Wellbutrin, trazodone, and Concerta pills have the same solubility whether you've had gastric bypass or not. I know Zyprexa Zydis is dissolving, Risperdal Consta is injection. I've been more manic lately for the first time in my life...or hypomanic, I should say. That's what's made me start wondering about the whole thing. Link to comment Share on other sites More sharing options...
leadinglady Posted July 8, 2011 Author Share Posted July 8, 2011 Oh funny. I'll pass on that one. LOL I read that Paxil and Prozac both come in liquid form so that's good. I can just go from Paxil pills to liquid. Hopefully my insurance will cover that. The Seroquel I'm not so sure about. Better Google I guess when I get time. Link to comment Share on other sites More sharing options...
rowen Posted July 8, 2011 Share Posted July 8, 2011 Sometimes insurance will cover compounded medication, which may be an option for you for any future rx's (I don't know how that works with psych meds, but just an FYI in case you need pain meds or antibiotics or anything else). Link to comment Share on other sites More sharing options...
Kaashii Posted July 8, 2011 Share Posted July 8, 2011 I know Sylvan mentioned Saphris already, but it does come in a Black Cherry flavor that doesn't taste anywhere near as bad as the original "jock strap and onions" flavor, especially if you place it in the right spot in your mouth. Seroquel still doesn't appear to come in liquid form, nor does Zyprexa. Risperdal apparently does come in liquid, and Lamictal comes in a dispersing tablet that can be put into water or juice. It seems to be a bit harder to find most of the antipsychotics in liquid form than it is the antidepressants. I have always had and still do have an incredibly difficult time swallowing pills (Thank you ever so much, ginormous tonsils and overactive gag reflex! >.<), so liquid meds are something I've had to research a fair bit. (The only real difference for me being that if something hasn't been available in liquid, I've just been able to have my pdoc prescribe the smallest doses possible and pray for very small tablets which I can brute force down with about a liter of water.) Don't have access to my usual bookmarks since I'm on vacation, but I think Crazymeds does list the availability of the different forms of several meds if you don't mind weeding through the walls of text, and they don't have pages for every med. Link to comment Share on other sites More sharing options...
Aurochs Posted July 9, 2011 Share Posted July 9, 2011 I think Crazymeds does list the availability of the different forms of several meds if you don't mind weeding through the walls of text, and they don't have pages for every med. I think this would be more accurate and easier to use, at least for the US. Link to comment Share on other sites More sharing options...
leadinglady Posted July 11, 2011 Author Share Posted July 11, 2011 I think Crazymeds does list the availability of the different forms of several meds if you don't mind weeding through the walls of text, and they don't have pages for every med. I think this would be more accurate and easier to use, at least for the US. Cool! Thanks! Link to comment Share on other sites More sharing options...
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