Posted by seldomseen on January 17, 2009, at 14:45:05
In reply to Welbutrin disaster, posted by rho on January 17, 2009, at 12:19:42
I think there are a lot of issues going on here, some of them drug related, some of them not.
From my own personal experience with prozac, 40 mgs of the drug induced tremors so bad that I could hardly hold a coffee cup. I can't imagine how a surgeon could deal with 120 - even with valium. :)
Seriously though, as a smoker who has quit before and suffered the consequences, I can not overestimate how crappy nicotine withdrawal is and how long it lasts. His entire brain chemistry changed when he put down that last cigarette and he may never be the person you knew before. I hope that he is still quit, but wowsa! it's a full on assault 24/7. Even if he starts smoking again things might be different.
Chantix is, IMO, not a safe drug and I'm glad he stopped.
As I'm sure you know, surgeons are IMO a rare breed of human. I'm not at all surprised to hear that a surgeon is manic. From my experience, various shades of bi-polar disorder are endemic in the surgical specialties.
Now add to that the fact that, physicians can be the hardest patients to treat, I doubt he will opt for some of the drugs that will most likely bring his mania under control (like seroquel, depakote, risperidol) because of the sedation they induce. Lamictal is a pretty good drug (IMO) and I hope that he is still on it.
Wellbutrin, with its activating properties, seems to be one of the favs with the medical profession because of it activating properties. But, well, you see the result when it is managed incorrectly.
As far as your relationship, 10 years is a long time to just walk away from, on both of your parts. However, whether in the relationship or not, his behaviour and his choices are ultimately his responsibility. There is only so much you can do. For whatever reason, it appears as though he's decided to go this alone.
I would most likely at this stage focus on myself, my grief and hope for the best from and for him.
Peace to you.
Seldom
poster:seldomseen
thread:874509
URL: http://www.dr-bob.org/babble/20090104/msgs/874540.html