Thanks for your reply. First, I'm curious why Effexor "going generic" led you to DC? Or were you going to change to pristiq anyway? I've read that Cymbalta is often used for fibromyalgia, and I have been using Lyrica for my leg pain after stopping Tramadol. Lyrica works okay but is so darn expensive because it won't go generic until next year.
Yes, the surgery is related to cancer treatment but not actually for the cancer. It's a fairly simple implant basically, but will change how I live everyday life forever, and admittedly I'm scared. Post op depression is often due to extended anesthesia. I did have a 6 hour surgery a decade ago and know about that. Many procedures today are same day or overnight and use Propofol - "milk of amnesia", which has hardly any SE's.
Anyway, after the surgery, assuming no complications, I will finally be able to begin radiation for the residual cancer. In the meantime I'm on hormone blockade intended to starve the cancer, which is what's causing the SE's. By the time I actually begin radiation I will hopefully be stabilized by the SNRI.. So I had to get the ball rolling now.
The cancer is something I can handle, it's the crying over stupid stuff that I worry about. And my wife is doing well, thanks. We get her final scan results next week. It was a big concern for a while as hers was stage 4 metastatic and mine only stage 3, but "locally advanced" and high risk.
I'm assuming that once I start an SNRI such as Effexor I can possibly switch to Cymbalta if the Effexor does not provide adequate OA pain relief... assuming it adequately addresses the other therapeutic needs. Again, I'm all new to this. My world is about to change all over again, so would like to have a road map before going in.
2014-15: PSA 9,12,20,25 Neg DRE, Neg TRUS biopsy
2016: MRI Fusion biopsy, Rt Base, 2x 100% G8 (4+4)
8/16: DaVinci RP, PNE, 6mm EPE, 2xSVI, pT3b N0M0
2017: Lupron ADT, AMS800 AUS scheduled 5/15/2017
IMRT SRT postponed til that heals, PSA's ~.03
Age 66, recently retired to Florida 'just in time'