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Re: Wellbutrin and anorexia in best friend » Chairman_MAO

Posted by Racer on May 7, 2005, at 21:37:57

In reply to Re: Wellbutrin and anorexia in best friend » Angelina Jolie, posted by Chairman_MAO on May 7, 2005, at 13:18:01

> The reason they say it's contraindicated in those with eating disorders is that their body mass is so low that the rise to peak concentrations of the drug in the body could cause a seizure. (I'm pretty sure, anyway)
>

Nope. The seizure risk have nothing to do with BMI. In fact, the risk is much higher for bulimia than anorexia, despite the fact that bulimics tend to be heavier. The risk is related to electrolyte imbalances, which are common in those who purge.


> BTW: every time I hear about or see someone with an eating disorder I get slightly teary (and I'm on two "big-gun" mood boosters, haha). It's just such a horrible misunderstanding about life that those people have, you just want to tell them that everything is really FINE, you know?

I have to ask: what is the misunderstanding you're referring to? I don't get it?

Now, this is coming from someone who is most likely older than you are, who has a long history of anorexia. While I will admit that being thin is very nice, and I enjoy that part, it's not the main motivating factor, when you come right down to it. For whatever reason, I feel better when I'm actively restricting what I eat. I feel clearer, more able to focus, with more energy, etc. Thus, it is a self-sustaining cycle.

There has to be some mechanism involved, because most people who diet do not develop eating disorders. (Which is not to say that their eating is not disordered, but that's a different story...) While yes, there is a lot of pressure to be thin these days, that's not enough to trigger an eating disorder.

If I'm reading your comment wrong, please let me know. And -- because print can't show any of the non-verbal clues to mood, intent, etc -- I don't mean to come off here as though I was offended. I wanted to correct the seizure thing, and I really am curious. I am interested in what others have to say about EDs, probably because of my own -- um -- knowledge of them.


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