You should consult your doctor or psychiatrist to review your treatment, as your current medications are not improving your depression. Do not stop or change them on your own. Your doctor may adjust your dose, change your medication, or recommend adding psychological therapies, such as cognitive behavioural therapy, to help manage your symptoms and improve your quality of life.

After surgery for an obstructed inguinal hernia, it is common to have some lingering discomfort or weakness for a few weeks, and the medicines you are taking, Phenytoin and Levetiracetam, are for seizure prevention and are not related to infection or cancer. Based on your history, there is no clear sign suggesting cancer, and infection would usually present with fever, increasing pain, redness, swelling, or discharge from the surgical site, so if you do not have these symptoms, it is less likely. Feeling low or depressed can happen after surgery due to stress, recovery time, or medication effects, and should be addressed as part of your care. The best next step is to follow up with your surgeon to examine the operated area and with your doctor/neurologist to review your medications and symptoms, and if low mood persists, consider speaking to a mental health professional for support. Meanwhile, focus on gradual physical activity, proper nutrition, and rest, which help recovery.

Do not switch from Paxidep 25 CR to Tryptomer 25 on your own. If you are thinking about switching, talk to your doctor first. They can decide whether a different medicine is better for you and tell you how to gradually change the dose safely.