Mer, it certainly sounds like pain med withdrawal, to me. I've been through it--years ago when I had a Percocet addiction. That accounts for his irritability, throwing up, hurting (he's feeling it now w/o the med.) Talwin, of all things. I didn't think they prescribed that anymore. Is he taking anything in place of this med? Is he tapering off the Talwin slowly or doing it "cold turkey?" His behavior does not sound like encephalopathy from increased amonia. Sounds strictly like withdrawal. Don't be afraid to call his doctor, though, to confirm that. In fact, you probably should so that your husband understands that is what is happening. I'm no doctor, but I've been through various types of withdrawal more times than I can remember (not in decades, though, thank goodness.) If he has been on the Talwin a long time, it's a physical dependency. It takes longer for the body to metabolize pills...and even longer than normal when one has a bad liver...than it does IV meds. Therefore, it takes quite awhile to get out of one's system.
Take a deep breath.
Post Edited (hep93) : 10/4/2008 12:54:58 PM (GMT-6)