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Welbutrin disaster

Posted by rho on January 17, 2009, at 12:19:42

My Bf ( a surgeon) believed for many years he suffered from unipolar depression. He self treated with high dose Prozac (up to 120 mg) plus PRN Valium for many years. for years ago he went off and went into a hypomanic state. He later saw a pscyhopharm who dx'd agitated depression and tx'd him with Welbutrin 300 mg alone. After again becomming hypomanic Lamictal was added and he was somewhat stabilized until last spring when he self prescribed Chantix to stop smoking. This thru him into acute Mania complete with affairs, promiscuity, irritablity, violence etc... He stopped the Chantix, saw a new pdoc who added lo dose prozac to control his psychomotor agitation. 6 months later and the Mania returned. I finally got him to a new psych to dx'd him as Mixed Mania, rapid cycling exacerbated by the Welbutrin. He is now slowly being tapered off the Welbutrin but still seems agitated and somewhat hypersexual (again on the internet looking for other women). Two weeks ago he broke off our 10 year relationship I think because he believes if I go away; so will his diagnosis. In the interim he is putting in well over 70 hour work weeks often operating all nite and now he wont have anything to do with me. Ive been in touch with his doctors (now 3) who say last week his affect changed and he became very dogmatic although 2 days ago he was tearful
What should I expect and
is he ever going to return to the wonderful loving partner he was or will he always blame me for this awful problem. Lastly why is insight such an issue and is there anything I can do to help him. he is stuggling so much I am afraid once he realizes what he has been doing he may get suicidal


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Psycho-Babble Medication | Framed

poster:rho thread:874509
URL: http://www.dr-bob.org/babble/20090104/msgs/874509.html