This means that it blocks receptors where nicotine normally binds, making it useful in smoking cessation. Wellbutrin is taken by mouth as a milligram mg tablet, a mg tablet, or a mg extended release XR tablet. The mg XR tablet is more popular. A person who is using the mg SR tablet will take one tablet twice a day.
No single dose should exceed mg, and the daily dose should not exceed mg. The tablet should be taken in the morning and, in the case of the XR tablet, swallowed whole.
Breaking or chewing an XR tablet increases the risk of an overdose, and possibly seizures. Wellbutrin has been trialed for use in ADHD , weight loss, and bipolar depression, but, so far, significant evidence only supports depression and smoking cessation.
Wellbutrin has been found to be at least as effective as other popularly prescribed antidepressant medication. There is also less chance of weight gain, sleepiness, and sexual dysfunction than with other forms of treatment. It may even work actively against sexual dysfunction resulting from previous antidepressant use. It can take weeks or months for Wellbutrin to relieve the symptoms of depression. There is no fixed length of time for using it, but the patient may be advised to continue taking it, even when they feel better, to prevent the symptoms from recurring.
Patients with major depressive disorder who do not respond fully to SSRIs are sometimes prescribed Wellbutrin as an additional medication. Bupropion has been found to significantly reduce nicotine cravings. A course of treatment normally takes 7 to 12 weeks, but by day 10, the individual has often stopped smoking.
A person who wants to stop smoking may be prescribed a mg tablet of Zyban, or possibly Chantix, twice a day. It is best to use it without nicotine replacement therapy NRT.
In the first days after starting treatment, the person may experience agitation, restlessness, and insomnia. Reducing the dose temporarily or avoiding bedtime doses may help relieve sleeping problems. Around 1 in 1, people who use Wellbutrin are at risk of a seizure. Wellbutrin is not suitable for people who are susceptible to seizures, as it can lower the seizure threshold, making it easier for a seizure to occur.
Anyone who has a seizure while using Wellbutrin should stop taking the medication and inform their doctor. Psychological effects may occur, such as feeling restless or hostile or experiencing delusions or a sense of depersonalization. A risk of suicidal thinking and behavior has been linked to the use of several antidepressants, but it is not clear that the drugs increase the risk.
The patient should be monitored for any worsening of the symptoms of depression. The doctor will work closely with the person to find a suitable alternative. Depression is not always preventable, but some tips may help manage symptoms or reduce the risk of a recurrence. Here, we provide some tips that may…. People with depression can experience a variety of symptoms, some of which may be harder to recognize than others.
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Learn more. Wellbutrin: Can it cause anxiety? Medically reviewed by Alan Carter, Pharm. What it is Does it cause anxiety? Other side effects Contacting a doctor Alternatives Summary Wellbutrin is the brand name of a drug called bupropion hydrochloride. What is Wellbutrin?
Does Wellbutrin cause anxiety? Other side effects. When to contact a doctor. Latest news Scientists identify new cause of vascular injury in type 2 diabetes. Adolescent depression: Could school screening help? Related Coverage. What to know about avoiding depression. Medically reviewed by Marney A. If your doctor prescribes Wellbutrin for you, it's important to be aware of what symptoms to look out for. Some are merely bothersome and likely to disappear as your system gets used to the medication, but others may be serious and should prompt you to call your doctor right away to let them know that you're having problems.
Side effects may occur but they usually go away within a few weeks as your body adjusts. Some side effects of Wellbutrin can be severe or even potentially life-threatening. Get medical help right away if you experience any of the following while taking any version of Wellbutrin:. Seizures and suicidal thoughts are two of the most serious potential side effects of Wellbutrin. Seizures are rare with this drug but may affect up to four out of every 1, people currently taking Wellbutrin.
For that reason, it's especially important to let your doctor know if you have or have had a seizure disorder; you take any other medications that contain bupropion, such as Zyban for quitting smoking ; or you have or have had an eating disorder such as anorexia or bulimia, as seizures are more likely to occur with these disorders. Antidepressant drugs like Wellbutrin may increase the risk of suicidal thoughts and behavior in children, teens, and young adults up to age 24, especially when they first start taking the medication or when there's a change in their dose.
If you have a child taking Wellbutrin or another medication for treating depression, keep a close eye out for signs of self-harm or suicidal thinking. There are a number of potential interactions that can occur when other substances are taken at the same time as Wellbutrin. Other medications may influence how bupropion works or increase the risk of side effects. These include:.
Using Wellbutrin with alcohol may also influence the frequency and severity of side effects, including seizures and suicidal thoughts. Check in with your doctor about any side effects you're experiencing with Wellbutrin if they're severe, bothersome, get worse, or don't go away. Again, the most common ones are the least serious and are likely to be temporary. Get help right away if you have any side effects that could be serious or life-threatening.
If you are having suicidal thoughts, contact the National Suicide Prevention Lifeline at for support and assistance from a trained counselor. If you or a loved one are in immediate danger, call For more mental health resources, see our National Helpline Database. In either case, don't stop taking Wellbutrin until you've checked with your doctor first. Going cold-turkey off of any antidepressant can cause your symptoms to come back or get worse.
Also, stopping abruptly can lead to discontinuation syndrome , an array of flu-like symptoms such as stomach upset, headache, strange sensations, and muscle aches.
If you need to stop taking Wellbutrin, your doctor will guide you in gradually tapering off of it. Everything feels more challenging when you're dealing with depression. Get our free guide when you sign up for our newsletter. Wellbutrin bupropion hydrochloride tablets. Updated October Bupropion for attention deficit hyperactivity disorder ADHD in adults. Cochrane Database Syst Rev. Wellbutrin SR bupropion hydrochloride sustained-release tablets. Wellbutrin XL bupropion hydrochloride extended-release tablets.
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