Posted by gdog on November 9, 2001, at 14:02:52
In reply to Re: Wellbutrin questions/bulimia » gdog, posted by paxvox on November 9, 2001, at 13:24:15
pax,
my dx is bpII, and although i don't really believe it, i don't fight it because it helps with insurance coverage. the dose started out as a self-adjustment from 300 to 450 because i started going into severe decline and couldnt get anyone in pdoc's office to keep an appointment or return my phone calls. so i made the adjustment (which helped within 2 days, like it did when i started wb last spring) and went to see my gp. she said that dosage was alright until i could get another pdoc or a response from mine. (i left him a message telling him i had adjusted my dosage. . .still no response. . .) so, 3 months later and still not able to get in. (i've ranted about this on pbs. . .)anyway, 450 seems fine, and i've had no adverse impacts other than decreased appetite. i do take a small amount of ativan with it. are you saying that abrupt discontinuance of the benzo could cause seizure? and how dangerous is a seizure on it's own (aside from added dangers of driving, etc.)?
> gdog, why such a high dose of WB? What is your DX?
> I could not tolerate 450 mg per day.That is the "magic threshold" where seizure really CAN become a risk. I think the main reason WB is contraindicated in bulimia has to do with "small bodies" caused by A/N and bulimia. I guess, perhaps, this increases the amount of med in your bloodstream.
>
> As to your seizure risk, I would think you would have had one by now if you WERE going to have one. I would base this upon the logic that after a few weeks, the WB would have reached a steady blood serum level in your body. HOWEVER...if you have been taking certain meds, like benzos, or have been a heavy drinker, abrupt discontinuance of them COULD cause a seizure where it "normally" would not. I still think 450 mg is a high dose of WB.
>
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> PAX
poster:gdog
thread:83484
URL: http://www.dr-bob.org/babble/20011104/msgs/83684.html