Hi! I'm new to this board, I am usually over on the ostomy board. I've had bouts of depression in the past and I've been on Lexapro 20 mg for about 7 years or so. I've recently had several major surgeries and have slipped into a deep depression where I sleep till 10 everyday, don't want to fix myself up, sit and watch tv everyday all day and never want to leave the house. I haven't left the house in weeks and if I have an appointment or something I simply dread it because I know I'll have to actually get dressed and leave the house, etc.
I think my hormones may be out of whack or something (I take an estrogen/testosterone combo since my hysterectomy in 05) due to my surgeries so I have an appointment on Tuesday with my primary care doctor. I'm also going to have her check my B12 levels because I had my large intestine removed and I've heard low vitamin b12 can cause depression also. I'm thinking a combination of these things might be the reason for my severe depression. My question, however, is this: can you develop a tolerance to an antidepressant like you can to other drugs? I've been on the lexapro same dose for several years, is it possible I need a higher dose or something more? I'm going to ask my doctor about that to but I want to know what to expect. I have tried other AD in the past and none of them have worked as well for me as Lexapro and it is the only one that does not give me sexual side effects (inability to orgasm.)
Are there new anti-depressants out there that work just as well without the same sexual side effects? Is there something I should ask about taking in addition to Lexapro? I always worry about changing meds but I don't know if I have a choice right now. Something has got to change. This is not me!! I am not happy and I used to be happy all the time. I want to WANT to get out of bed and do things. I want to be me again.
Can someone please help me or give me some suggestions?
35 years old
Chronic Lifetime Constipation
Diagnosed IBS - 1995
Rectal Prolapse - February 2007
Rectosigmoid Colectomy w/low anterior Anastomosis - March 13, 2007
Diagnosed with Colonic Inertia - June 08
Total Colectomy - September 22, 2008
Temporary Ileostomy due to small bowell perforation Septepmber 29, 2008
Ileostomy Reversal - December 15, 2008
Multiple Small Bowel Abscesses-December 22, 2008
Leak at original Anastamosis -December 25, 2008
JP Drain removed - January 23, 2009
The whole world is at your feet; so paint your toenails Red!