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Nov 12, 2010

Antidepressants and Stoma Complications: Any Experiences?

This topic is about the experiences and side effects of using antidepressants for someone who has undergone ostomy surgery. The person is dealing with depression, which has been made worse by dietary restrictions and absorption issues. They are considering taking antidepressants and are seeking advice from others who have been in similar situations.

Here are some insights and advice shared by others:

1. Choosing an antidepressant is a personal decision. It's helpful to seek support from online communities, family, and friends to help with mood and adjustment.

2. People who have used antidepressants generally report no direct problems with their stoma or the performance of their ostomy appliances.

3. While antidepressants may not completely eliminate depression, they can make it easier to cope. Some individuals find them essential, especially when feeling very low.

4. Be aware of potential side effects:
- Tricyclic antidepressants, which are less commonly prescribed now, may cause constipation.
- Newer antidepressants like SSRIs and SNRIs might lead to sexual dysfunction and weight gain, though this isn't the case for everyone.
- There are general concerns about dependency or addiction, but these are not confirmed.

5. Some people use lorazepam, a mild tranquilizer, to help calm anxiety and settle the gastrointestinal tract.

6. It's important to try medications if needed, but keep in touch with your doctor if you experience any troublesome side effects.

7. Alternatives or complements to medication include psychological therapy, which has helped some individuals. Others prefer counseling over medication due to side effects.

8. Emotional coping tips include:
- Recognizing that feeling depressed after major surgery is understandable.
- Allowing yourself moments to feel down, but then focusing on positive activities and interests.
- Reassuring yourself that adjusting takes time and that medication can be a temporary aid while you adapt.
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