Anti Depressants (Zoloft) and Lipo/BBL surgery. Is taking anti-depressants ok or would one need to get off of them beforehand?

Question

I have been taking zoloft for a little over a year now and have been thoroughly researching the lipo sculpting/bbl procedures... but I'm wondering would I need to have my system cleared of this medication before I was allowed to schedule? What is the procedure for this?

Richard Zienowicz, MD · Answer

Generally, anti depressants shouldn't need be discontinued prior to surgery, but without your history and understanding dosage, I can't speak to your specific case. It's always very important that you disclose your complete history and medication usage to your doctor for the best care.

Ajaya Kashyap, MD · Answer

Thank you for your question.You should continue with your regular anti depressants. You should, however, have a detailed discussion with your Plastic Surgeon as well as the anesthesiologist regarding your medications as well as your health. All The Best !

Sergio Alvarez, MD · Answer

The anti depressants you currently take would not preclude you from having any surgical procedures. It is important to let your doctors know, but there is no need to de off of them prior to surgery.

Suzanne M. Quardt, MD · Answer

You will need to be careful about the medications you take for pain
after your surgery, as combining different types of medications can have a
serious impact on your day-to-day life. 
Be sure to be honest with your surgeon about all of the current
medications you are taking so he or she can monitor you carefully and ensure
that there are no additional risk of complications.

Peter A. Aldea, MD · Answer

The ONLY medicines or supplements you need to stop taking before surgery are things that increase your rates of bleeding (such as Coumadin, Aspirin, Advil, Garlic etc), are associated with blood clots (birth control pills, estrogen releasing IUDs) or those which may affect your heart rate (Ephedra etc).I would NOT stop high blood pressure, anticholesteroal or antidepressants. You can take them with a small sip of water the morning of surgery.For YOUR safety, make sure your surgeon and anesthesiologist review and approve of the COMPLETE list of medications and supplements you are taking. Keeping things a secret may lead to serious complications.

Sean Kelishadi, MD · Answer

Hello poisonX and thank you for your question.  With respect to Zoloft, our anesthesiologists are ok with you continuing your medicine to have BBL. Please make sure to seek consultation with a board certified plastic surgeon with expertise in BBL and body contouring for your optimal outcome.  Good luck to you!Sincerely,Dr. Sean Kelishadi

Arian Mowlavi, MD, FACS (license on probation) · Answer

Stopping Zoloft is not going to be critical to your lipo and BBL surgery. If it is going to make you feel more even keeled, you should not stop it.

Mats Hagstrom, MD (license on probation) · Answer

Generally taking antidepressants should not be an issue for this procedure.It's always important to review all medical conditions and medications with your plastic surgeon during the consultation.These procedures often use high doses of numbing medicine called lidocaine.antidepressants can potentially change how lidocaine is metabolized.This is unusual but it could potentially limit how much lidocaine it can be used during the procedure.This becomes much more of an issue when the procedure is done without general anesthesia.when patients are awake for liposuction with or without fat transfer high doses of lidocaine are typically used.Again discuss this with your plastic surgeon.Taking someone abruptly off an antidepressant can be a very unpleasant and potentially cruel decision that should be avoided whenever possible.Best,Mats Hagstrom M.D.

Robert A. Hardesty, MD, FACS - Account Suspended · Answer

Dear PoisonX,Thank you for your story. It's always best to ask your Plastic Surgeon these questions yourself.  Unfortunately without access to your total past medical history I can advise you in general terms, however I hope you will find them helpful.1) consult with the Doctor who is prescribing your Zoloft2) inform your chosen Plastic SurgeonZoloft is a commonly prescribed medication that I am unaware of any effect on a surgical procedure.I trust that you have chosen a Plastic Surgeons who is experienced and Certified by the American Board of Plastic Surgery. In addition ideally they are members  of the American Society for Aesthetic Plastic Surgery (denoting by membership as having met additional criteria and a focus on Cosmetic Plastic Surgery).I wish you my best and success,R. A. Hardesty, MD, FACSDiplomate and Certified by the Am. Bd. of Plastic Surgerywwwimagineplasticsurgery.com4646 Brockton AveRiverside, Ca 92506(951) 686-7600

Anti Depressants (Zoloft) and Lipo/BBL surgery. Is taking anti-depressants ok or would one need to get off of them beforehand?

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