• Announcements

    • Lindsay

      National Mental Health Awareness Month, 2016   05/01/2016

      Proclamation 9433 of April 28, 2016 National Mental Health Awareness Month, 2016 A Proclamation Nearly 44 million American adults, and millions of children, experience mental health conditions each year, including depression, anxiety, bipolar disorder, schizophrenia, and post-traumatic stress. Although we have made progress expanding mental health coverage and elevating the conversation about mental health, too many people still do not get the help they need. Our Nation is founded on the belief that we must look out for one another—and whether it affects our family members, friends, co-workers, or those unknown to us—we do a service for each other when we reach out and help those struggling with mental health issues. This month, we renew our commitment to ridding our society of the stigma associated with mental illness, encourage those living with mental health conditions to get the help they need, and reaffirm our pledge to ensure those who need help have access to the support, acceptance, and resources they deserve. In the last 7 years, our country has made extraordinary progress in expanding mental health coverage for more people across America. The Affordable Care Act prohibits insurance companies from discriminating against people based on pre-existing conditions, requires coverage of mental health and substance use disorder services in individual and small group markets, and expands mental health and substance use disorder parity policies, which are estimated to help more than 60 million Americans. Nearly 15 million more Americans have gained Medicaid coverage since October 2013, significantly improving access to mental health care. And because of more than $100 million in funding from the Affordable Care Act, community health centers have expanded behavioral health services for nearly 900,000 people nationwide over the past 2 years. Still, far too few Americans experiencing mental illnesses do not receive the care and treatment they need. That is why my most recent Budget proposal includes a new half-billion dollar investment to improve access to mental health care, engage individuals with serious mental illness in care, and help ensure behavioral health care systems work for everyone. Our Nation has made strong advances in improving prevention, increasing early intervention, and expanding treatment of mental illnesses. Earlier this year, I established a Mental Health and Substance Use Disorder Parity Task Force, which aims to ensure that coverage for mental health benefits is comparable to coverage for medical and surgical care, improve understanding of the requirements of the law, and expand compliance with it. Mental health should be treated as part of a person's overall health, and we must ensure individuals living with mental health conditions can get the treatment they need. My Administration also continues to invest in science and research through the BRAIN initiative to enhance our understanding of the complexities of the human brain and to make it easier to diagnose and treat mental health disorders early. One of our most profound obligations as a Nation is to support the men and women in uniform who return home and continue fighting battles against mental illness. Last year, I signed the Clay Hunt SAV Act, which fills critical gaps in serving veterans with post-traumatic stress and other illnesses, increases peer support and outreach, and recruits more talented individuals to work on mental health issues at the Department of Veterans Affairs. This law will make it easier for veterans to get the care they need when they need it. All Americans, including service members, can get immediate assistance by calling the National Suicide Prevention Lifeline at 1-800-273-TALK or by calling 1-800-662-HELP. During National Mental Health Awareness Month, we recognize those Americans who live with mental illness and substance use disorders, and we pledge solidarity with their families who need our support as well. Let us strive to ensure people living with mental health conditions know that they are not alone, that hope exists, and that the possibility of healing and thriving is real. Together, we can help everyone get the support they need to recover as they continue along the journey to get well. NOW, THEREFORE, I, BARACK OBAMA, President of the United States of America, by virtue of the authority vested in me by the Constitution and the laws of the United States, do hereby proclaim May 2016 as National Mental Health Awareness Month. I call upon citizens, government agencies, organizations, health care providers, and research institutions to raise mental health awareness and continue helping Americans live longer, healthier lives. IN WITNESS WHEREOF, I have hereunto set my hand this twenty-eighth day of April, in the year of our Lord two thousand sixteen, and of the Independence of the United States of America the two hundred and fortieth.  
Sign in to follow this  
Followers 0
UnstrungHarp

Wellbutrin And Bulimia Question...

17 posts in this topic

Posted

Wellbutrin seems perfect for me. I want to quit smoking, I hate that other anti-depressants **** my sex drive, I want something that won't make me gain a ton of weight or make me drowsy...

But I'm a little concerned because when I was 17/18 I would go through these bouts of ED behaviour. It's been three years since I've done anything like that, but at the time I would sometimes vomit intentionally.

I didn't purge often though...if I had to estimate, I'd say I did it maybe 20 times. During this time I was also eating less food, but on the low side of a normal intake. I only lost about 10-15 lbs (within normal range for my height) and stayed healthy and active otherwise...I felt fine and could still function.

Does this put me at risk for seizures? I've had physicals and I'm perfectly healthy, there was no effects on my teeth or health. And it was so long ago and it wasn't really severe at all.

I know no one here is a doctor, and I will discuss this with my physician of course.

But I'd like to hear from others who might have some insight on this.

Share this post


Link to post
Share on other sites
You might also be interested in:

Posted

WB is one of the meds prescribed for smoking cessation, so it will be an added help for your effort.

WB also suppresses appetite and should not be a problem as far as weight gain. However, some people will gain weight on any medication. It is all a matter of how we metabolize food and meds. If you eat a sensible diet and not overeat there should be no problem with weight. It's been some time since you had bulimia, right?

WB has anti-siezure qualities. However, some people do get siezures from taking it. I'm not sure why this happens, but discuss that with your pdoc as he/she should have a good idea about the siezure part. You may have a base EEG prescribed to see how your brain is functioning now, but there again, it would be up to your pdoc to have that done.

Like a lot of the meds we take, you may have dry mouth. That may be a source for future mouth or tooth ailments. I find chewing gum or a little zest of lemon packed in the cheek helps saliza production to keep the mouth hydrated.

Sheepwoman :hearts:

Share this post


Link to post
Share on other sites

Posted

I would also like to add that WB can definitely cause weight gain as well as loss. I am living proof and have heard of other people gaining weight on it as well (from my psychiatrist, who is the director of psychiatry at UMass) and from other forums.

I noticed as I went up from 75mg. to 150mg. that my appetite increased! I was not happy and still am not. I have been on 150mg. for one month now, and though I keep my weight steady (no gain now), I have reduced my food intake, and have upped my exercise routine to include 60 full minutes of cardio (jumping jacks, running, kicking, plyometric jumps) which in the past has helped me LOSE weight; now it just seems to keep the weight steady, no gain. NOTHING else has changed in my life, my health or activity level. So, not all people lose weight on wellbutrin and in fact is not unusual to gain! FYI.

Best wishes,

KarenMac

Share this post


Link to post
Share on other sites

Posted

There is a real risk of seizure in people who have had eating disorders, so please do discuss this with your doctor.

KA

Share this post


Link to post
Share on other sites

Posted

Thanks for the responses. Yes, it has been awhile since I've had bulimia. I don't think I could have been diagnosed with bulimia though, because I only purged a few times. Apparently the diagnosis for that is at least 2-3 times a week for 3 consecutive months.

I will discuss this with a doctor, however.

Share this post


Link to post
Share on other sites

Posted

Unstrung,

I'm glad that you were able to get through that problem with purging. :hearts:

It's always best to be as honest with your doctor as possible when they are prescribing medications so that you can avoid as many risks from medication as possible. I think you're making the right decision to discuss this with your doc.

Please let us know how it goes with your doc!

KA

Share this post


Link to post
Share on other sites

Posted

I have just been prescribed wellbutrin....I have tried celexa, effexor, and prozac; the side effects were horrendous. However, I am bulimic and purge several times a week; if not several times a day. I am nervous about starting wellbutrin after reading this thread. I am gathering my eating disorder could cause wb to give me seizures????

BookEater

Share this post


Link to post
Share on other sites

Posted (edited)

BookEater:

I wish I had a better answer for you, but the truth is I'm not certain about the risks involved with taking WB when one is bulimic. I know that there is a risk for seizure, but I don't know how great of a risk, or of any measures you can take to reduce this risk. The best thing for you to do is to ask your doc. In fact, do ask your doc. He/She needs to know of any potential problems and your entire medical history.

As for SEs...WB has pretty low SEs when compared to other meds, such as Effexor. Compared to the others, WB is pretty mild. Be sure to note any SEs that you may have and tell your doc about them.

Please keep us posted. I, for one, am particularly interested in what your doc has to say about the seizure risk.

:hearts:

-Bean

Edited by Beanchop99

Share this post


Link to post
Share on other sites

Posted

I read the info. that came with the wellbutrin and it said in bold letters not to take if you have an eating disorder...so I will wait to talk to my doctor tomorrow before taking it. I will post anything I learn...

BookEater

Share this post


Link to post
Share on other sites

Posted

I read the info. that came with the wellbutrin and it said in bold letters not to take if you have an eating disorder...so I will wait to talk to my doctor tomorrow before taking it. I will post anything I learn...

BookEater

Please do post what your doc tells you. I think your doc will have invaluable info that all of us here at DF can benefit from.

Thanks.

-Bean

Share this post


Link to post
Share on other sites

Posted (edited)

Hi Bookeater,

The reason you should be concerned is that purging increases your chances of having a seizure by lowering your seizure threshold. According to the literature, doses of 300mg/day or more of bupropion increase the seizure threshold. So by adding these two factors, this is the reason for the warning about bupropion and EDs.

Since you are actively purging, talk with your doctor.

Be Peace and BE Love.... wayne

Sabbat Shalom

I have just been prescribed wellbutrin....I have tried celexa, effexor, and prozac; the side effects were horrendous. However, I am bulimic and purge several times a week; if not several times a day. I am nervous about starting wellbutrin after reading this thread. I am gathering my eating disorder could cause wb to give me seizures????

BookEater

Edited by lambvet

Share this post


Link to post
Share on other sites

Posted

I have just been prescribed wellbutrin....I have tried celexa, effexor, and prozac; the side effects were horrendous. However, I am bulimic and purge several times a week; if not several times a day. I am nervous about starting wellbutrin after reading this thread. I am gathering my eating disorder could cause wb to give me seizures????

BookEater

hey bookeater- i know it's been a while- but i was wondering if you ever did begin taking wellbutrin. and if so- how is it working out? are you on anyother meds?

i'm an inactive (currently) bulimic, on zoloft, (of course depressed as well) and am investigating how effective wellbutrin is for bulimia- or ocd-ish relationships with food- considering adding it to my regime- because i am still compulsive with food.

thanks.

mei

Share this post


Link to post
Share on other sites

Posted

You should not take Wellbutrin if you have an eating disorder. Both fasting and purging lower the seizure threshold. Please keep your doctor informed of any ED issues.

Share this post


Link to post
Share on other sites

Posted

yea- i should've added that from my understanding- the sr and xl forms have a similar seizure threshold to other ad's but yet retains the stigma of it's ir form- i could be completely misinformed- but at the same time- i don't think the discussion should end there. my dr is well informed of my ed issues- but i'm looking for some more nuanced feedback. your concern is warranted. but i'm also an inactive bulimic- as in have the history but not the current behavior- so is the seizure threshold relevant when the triggering behavior is not present? and isn't (according to the warning) the threat particular to dosing above something like 300 or 450/day? thanks for the fast reply.

m

Share this post


Link to post
Share on other sites

Posted

Hi mei,

I don't think there would be immediate concern if you don't have an ED currently. You're right that the big seizure scare was based on the IR form. I don't really know all the nuances about WB and EDs. My psychopharmacologist asked me about EDs when she prescribed WB for me. She said that purging throws off your electrolyte balance and can lead to a seizure if you take WB (possibly other ADs, too...I'm not sure). The makers of WB state that you should not take it if you have an ED, and I assume they mean currently. Having the history is just a red flag that the behavior could start up again, especially since WB tends to decrease the appetite and cause weight loss more than gain.

Share this post


Link to post
Share on other sites

Posted

Hello all...

My pdoc did not want me to take WB after I told him I currently purge. If I wasn't actively purging, I think he would let me take it. I asked him what specifically about EDs causes the seizure threshold to lower as I'm naturally curious. He said the electrolyte imbalance was the cause. WB is known and marketed towards treating compulsions so Mei, I would talk to your doctor. I also would be interested if it helps with food-compulsions...that info could come in useful down the road....

I'm currently taking Effexor XR...it's been 2 weeks now. I can't say it is doing much yet but making me feel weird. I will give it some more time and see.

BookEater

Share this post


Link to post
Share on other sites

Posted

thanks you guys! great to come home and find your thoughts. that whole electrolyte thing makes interesting sense. vomiting specifically rids the body of potassium- interestingly through urine (not that you guys asked or anything). one would so instinctively think it was through gastric fluid or something- but apparently when the body is short on Hcl acid (because of its loss into the toilet), it rids itsself of potassium to somehow reestablish it's acid-base balance. so clever, but inconvenient!!

nighty-

m

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!


Register a new account

Sign in

Already have an account? Sign in here.


Sign In Now
Sign in to follow this  
Followers 0