The Congo Civil War, or Congo Crisis, was a complex political tumult that began just days following Belgium’s granting of Congolese independence in 1960. Lasting four years, the associated violence claimed an estimated 100,000 lives including the nation’s first Prime Minister, Patrice Lumumba, and UN Secretary Dag Hammarskjöld, who was killed in a plane crash as he attempted to mediate the crisis. Escalating with the secession of the southernmost province of Katanga, the conflict concluded five years later with a united Congo emerging under the dictatorship of Joseph-Désiré Mobutu.
On June 30, 1960, Belgium negotiated post-colonial mining rights in declaring an independent Democratic Republic of the Congo (DRC). Yet within days, soldiers of the Congolese army mutinied, demanding increased pay and the removal of white officers from their ranks. When Belgium intervened militarily, more soldiers rebelled. Many of these soldiers gravitated toward the radical nationalist Prime Minister Patrice Emery Lumumba.
Then, dominated by Belgian business interests, the mineral-rich Katanga province under the leadership of Moïse Kapenda Tshombe seceded from the DRC with Belgian support. Congolese President Joseph Kasavubu and Prime Minister Lumumba asked and received a peacekeeping force from the United Nations (UN).
The conflict also became the site of a dangerous Cold War “proxy” contest between western powers led by the United States and the Soviet Union-led Communist bloc. Under pressure from western nations and in exchange for UN support, President Kasavubu purged his government of radical elements including Prime Minister Lumumba. The ultra-nationalist Lumumba, though supported by the Congolese, was viewed by Western business leaders as an obstacle to their continued investments in Congolese diamond mines. Fearing Lumumba was secretly a Communist, the United States was particularly adamant about his removal from power.
Lumumba responded by firing Kasavubu as both leaders claimed control over the country, and Army Chief of Staff Joseph Mobutu in turn orchestrated a military coup d’état which ousted the two leaders. Mobutu’s government was supported by western governments. The Soviet Union and other Communist nations supported Lumumba who ultimately was killed by Katangan rebels.
With his chief rival removed, Mobutu pledged nominal support to President Kasavubu and the two led the successful effort to end the Katanga secession. UN forces eventually recaptured all of Katanga province. In 1964, a new rebellion began in the Eastern Congo when armed fighters (“Simbas”) began to spread across the region. Ironically, Moïse Tshombe, who had led the secessionist Katanga province, was made prime minister with the mandate to defeat these rebels and end other regional revolts. The Simbas were defeated in November 1964.
One year later, Mobutu seized power from President Kasavubu after having persuaded Western leaders that he was the most effective leader in the fight against communism. Kasavubu and Tshombe were exiled as Mobutu set up a one-party dictatorship, controlling the nation until 1997. Nonetheless, for the first time since independence, all of the country was ruled by one government.
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wellbutrin/lexapro update: holy shit i feel absolutely awful right now
i've just been completely wired all fucking day, i spent like 2 hours scrubbing the drip pans for the stove and would have kept going if my friend didn't stop me cause they wanted to eat dinner
i've just been bouncing from task to task and i feel like i can't stop, typing this now is like the second time i've sat down in hours
i'm both very energetic and also insane anxious, unexpected noises keep making my jump halfway across the room and i'm flinching at even small movements also my eyes are dilated as fuck
I would advise calling your psych or your insurances nurse line as soon as possible. It's not supposed to do that.
i don't have her number but i emailed her i hope she responds
idk if i can even sleep but if i can't and this keeps going on then i'll try calling the insurance nurse, idk the number but i bet i could find it
I am seconding Frank here as another user of (prescribed) stimulants. It is definitely not supposed to do that.
This is textbook wrong prescription of stimulants. I know because I've gone through the exact same thing multiple times. Don't panic, it will get better. Talk with your doctor and try a different one.
Yeah echoing what Frank said its not supposed to do that.
Interesting. I didn't know that these were sometimes prescribed together. I'm on my third attempt at medicating for depression, anxiety, and ADHD (undiagnosed) and started with the two scripts that youre taking now, but individually.
Escitalopram was nothing but negative side effects for me. Bupropion didn't help either, but also didn't have negative side effects and the energy boost was nice. I'm now taking Vyvanse, 30mg this week up from 20mg for the previous 3 weeks.
What's your dose of Bupropion? I was up to 300mg xl and while it did give me a boost of energy, it wasn't quite like you described. Its interesting how we all react to these treatments differently.
Sorry to hear that you're having a negative reaction to the meds.
Aside from contacting people, I would recommend creating a calm environment in your room and riding this out.
Put on some relaxing music, spend some time doing the minimum amount of stuff that you are able to. If you can sit and relax, cool. If you feel like you can't contain the energy and you need to keep busy that's okay too - don't force yourself to do nothing if that feels like torture but maybe play a video game or do some drawing or anything else. Peel some labels off off cans and bottles if it feels good and it's something that you can direct your energy towards.
If this is your first day taking the meds then I'd recommend not taking another dose tomorrow. If your doctor tells you to push through the side effects, you don't have to take their advice and you are within your rights to advocate for yourself and to say no.
Try not to worry about sleep too much right now - it will come in due time. If you're awake for 24 hours+ and you're still feeling wired then I would recommend seeking medical advice - your prescribing doctor, your pharmacist, a medical helpline etc.
If you are feeling really bad and you or the people around you are seriously concerned, seek medical advice sooner or go to the emergency department.
I would cancel any upcoming committments for the next couple of days so you can rest and recover without pushing yourself. There are very few things that cannot wait and right now the most important thing is getting you back to normal.
i can barely sit at all, i'm just keeping busy with house chores mostly. i could not just sit and listen to music at the moment
i stupidly took another this morning, i've heard that there can be really bad symptoms from stopping medication like this suddenly so i just took another but i'm already regretting that decision
this is not my first day of it, this morning's dose was day 4. my doctor still has not responded to my email, i have no idea if she's even going to check it until Monday and i do not have her number or any other way to get in contact with her quickly
i was able to sleep a little but not much, i kept waking up in the middle of the night, but that's not unusual for me in the slightest, i don't get very restful sleep
but as soon as i woke up it started ramping up again and this morning i'm right back where i was last night
idk if i need emergency shit, i mean i feel awful but idk if it is life threatening or anything like that
thankfully i've got nothing to do for the foreseeable future, my life is falling apart and i just dropped out of college recently so i've got nothing
You're not stupid, you're doing what you've been advised to do by medical professionals. I'm guessing they didn't tell you what to do if you have a serious negative reaction to the meds because they almost never do this. So you're just doing your best with info and circumstances that are far less than ideal.
If you're keeping it together then you will probably be able to taper down on the meds over the coming few days or a week, give or take. A pharmacist or doctor should be able to give you better advice on this.
The bupropion manufacturer claims that there are minimal side effects if you stop cold turkey and that you don't need to taper down. I don't believe that to be true but there doesn't appear to be any major concerns with tapering down fairly quickly.
If you're doing an emergency taper, my general advice is to drop the dose by half each day until you're at the point where you're down to a quarter of a pill or if you're noticing that you're getting bad withdrawals, at which point you can either go back up on the dose somewhat or you can plateau for a couple of doses before you continue tapering down.
If you're on a high dose or you've been on antidepressants for a long period then it's almost certainly going to need a more gentle taper, but you're probably on a fairly low dose and you haven't been on them for long so that's unlikely to be a concern.
With regards to escitalopram, that can be harder to withdraw from. I went cold turkey from a high dose due to necessity. Wouldn't recommend unless it's urgent. You might need a more gradual taper with this one but tbh it really hasn't been long enough to warrant this unless you're a very rare case.
My guess is that it's probably the bupropion that's causing you trouble. My hunch then is that tapering down on the escitalopram more gradually should be fine if the bupropion is the cause.
Glad to hear that this isn't going to really screw up your plans for the next week or two.
General advice moving forward with meds:
Go one at a time in future and if your prescribing doctor tries starting you on two meds at the same time, tell them that you aren't willing to do that again.
You could ask the prescribing doctor if you can try going back on one first to see your response, then trying the other later to see which one is the cause of the problems. Though if you're done with taking these meds and you're not interested in trying them again, that's understandable.