Talk to your doctor about the risks and benefits of taking bupropion. Your doctor will probably start you on a low dose of bupropion and gradually increase your dose. Other uses for this medicine.
What special precautions should I follow? Before taking bupropion, tell your doctor and pharmacist if you are allergic to bupropion, any other medications, or any of the ingredients in bupropion tablets. Ask your pharmacist or check the Medication Guide for a list of the ingredients. Your doctor will probably tell you not to take bupropion. You could receive too much medication and experience severe side effects. Your doctor may need to change the doses of your medications or monitor you carefully for side effects.
Also tell your doctor if you drink large amounts of alcohol but expect to suddenly stop drinking or you take sedatives but expect to suddenly stop taking them. If you become pregnant while taking bupropion, call your doctor. Do not drive a car or operate machinery until you know how this medication affects you.
Alcohol can make the side effects from bupropion worse. Your doctor may check your blood pressure before starting treatment and regularly while you are taking this medication, especially if you also are using nicotine replacement therapy. Talk to your doctor about having an eye examination before you start taking this medication.
If you have nausea, eye pain, changes in vision, such as seeing colored rings around lights, and swelling or redness in or around the eye, call your doctor or get emergency medical treatment right away.
The role of bupropion in causing these mood changes is unclear since people who quit smoking with or without medication may experience changes in their mental health due to nicotine withdrawal. However, some of these symptoms occurred in people who were taking bupropion and continued to smoke.
Some people had these symptoms when they began taking bupropion, and others developed them after several weeks of treatment or after stopping bupropion. These symptoms have occurred in people without a history of mental illness and have worsened in people who already had a mental illness.
Tell your doctor if you have or have ever had depression, bipolar disorder mood that changes from depressed to abnormally excited , schizophrenia a mental illness that causes disturbed or unusual thinking, loss of interest in life, and strong or inappropriate emotions , or other mental illnesses. If you experience any of the following symptoms, stop taking bupropion Zyban and call your doctor immediately: suicidal thoughts or actions; new or worsening depression, anxiety, or panic attacks; agitation; restlessness; angry or violent behavior; acting dangerously; mania frenzied, abnormally excited or irritated mood ; abnormal thoughts or sensations; hallucinations seeing things or hearing voices that do not exist ; feeling that people are against you; feeling confused; or any other sudden or unusual changes in behavior.
Your doctor will monitor you closely until your symptoms get better. Unless your doctor tells you otherwise, continue your normal diet. Bupropion may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away: drowsiness anxiety excitement difficulty falling asleep or staying asleep dry mouth dizziness headache nausea vomiting stomach pain uncontrollable shaking of a part of the body loss of appetite weight loss constipation excessive sweating ringing in the ears changes in your sense of taste frequent urination sore throat Some side effects can be serious.
These issues include:. You may need to have blood tests during your treatment with this drug. The cost of these tests will depend on your insurance coverage. Many insurance companies require a prior authorization for certain brands of this drug. This means your doctor may need to get approval from your insurance company before your insurance company will pay for the prescription.
There are other drugs available to treat your condition. Some may be better suited for you than others. Talk with your doctor about other drug options that may work for you. Disclaimer: Healthline has made every effort to make certain that all information is factually correct, comprehensive, and up-to-date.
However, this article should not be used as a substitute for the knowledge and expertise of a licensed healthcare professional. You should always consult your doctor or other healthcare professional before taking any medication.
The drug information contained here in is subject to change and is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. The absence of warnings or other information for a given drug does not indicate that the drug or drug combination is safe, effective, or appropriate for all patients or all specific uses.
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Major depressive disorder is a mood disorder that interferes with daily life. Learn about symptoms, causes, and treatment. Many medications can help treat depression. If you're curious about your options, check out this list of antidepressants. Health Conditions Discover Plan Connect. Bupropion, Oral Tablet. Important warnings About Side effects Interactions Other warnings Dosage Take as directed Important considerations Alternatives Highlights for bupropion Bupropion oral tablet is available as brand-name drugs and as generic drugs.
Bupropion comes only as an immediate-release tablet or an extended-release tablet. You may have nicotine withdrawal symptoms when you stop smoking, including: increased appetite, weight gain, trouble sleeping, trouble concentrating, slower heart rate, having the urge to smoke, and feeling anxious, restless, depressed, angry, frustrated, or irritated. These symptoms may occur with or without using medication such as Zyban.
Smoking cessation may also cause new or worsening mental health problems, such as depression. This medicine may affect a drug-screening urine test and you may have false results.
Tell the laboratory staff that you use bupropion. Skip the missed dose and use your next dose at the regular time. Do not use two doses at one time. Health Topics. Health Tools. Wellbutrin Bupropion. Generic Name: Bupropion. Reviewed: June 23, You should not take bupropion if you are allergic to it, or if you have: a seizure disorder; an eating disorder such as anorexia or bulimia; or if you have suddenly stopped using alcohol, seizure medication, or a sedative such as Xanax, Valium, Fiorinal, Klonopin, and others.
Tell your doctor if you have ever had: a head injury, seizures, or brain or spinal cord tumor; narrow-angle glaucoma; heart disease, high blood pressure, or a heart attack; diabetes; kidney or liver disease especially cirrhosis ; depression, bipolar disorder, or other mental illness; or if you drink alcohol.
Side Effects. Side Effects What are the side effects of Wellbutrin Bupropion? Call your doctor at once if you have: a seizure convulsions ; confusion, unusual changes in mood or behavior; blurred vision, tunnel vision, eye pain or swelling, or seeing halos around lights; fast or irregular heartbeats; or a manic episode --racing thoughts, increased energy, reckless behavior, feeling extremely happy or irritable, talking more than usual, severe problems with sleep.
Common side effects may include: dry mouth, sore throat, stuffy nose; ringing in the ears; blurred vision; nausea, vomiting, stomach pain, loss of appetite, constipation; sleep problems insomnia ; tremors, sweating, feeling anxious or nervous; fast heartbeats; confusion, agitation, hostility; rash; weight loss; increased urination; headache, dizziness; or muscle or joint pain.
Based on FDA pregnancy categories. The dose for smoking cessation is bupropion SR mg once daily for 3 days and then twice daily for 7 to 12 weeks. You should not take more than one product that contains bupropion, including the products that are used to quit smoking. Do not take more than your prescribed dose since higher doses may increase your risk of having a seizure. Since quickly increasing the dose of bupropion can cause seizures in some people, your doctor will slowly increase your dose.
You can take bupropion on an empty stomach or with food. The SR and XL forms should be swallowed whole — not chewed, crushed, or broken — so that the medication can work correctly in your body and to reduce the risk of serious side effects. The tablet shell from the SR and XL forms may appear in your feces. Consider using a calendar, pillbox, alarm clock, or cell phone alert to help you remember to take your medication.
You may also ask a family member or friend to remind you or check in with you to be sure you are taking your medication.
For bupropion IR or SR, if you miss a dose, take it as soon as you remember. Take the remaining doses for the day at evenly spaced times at least 4 hours apart. DO NOT take 2 doses at once. You should not take more than your prescribed dose and doing so may increase your risk of having a seizure.
For bupropion XL, do not take an extra tablet to make up for the dose you forgot. Wait and take your next dose at your regular time the next day. Avoid drinking alcohol or using illegal drugs while you are taking bupropion because the beneficial effects of the medication may be decreased and the risk of seizures may be increased.
If you are dependent on drugs or alcohol and would like to stop, consult your healthcare provider for help. Abruptly stopping these substances can result in a seizure, especially when taking bupropion. If an overdose occurs, call your doctor or You may need urgent medical care. You may also contact the poison control center at Headache, weight loss, dry mouth, trouble sleeping insomnia , nausea, dizziness, constipation, fast heartbeat, and sore throat.
These will often improve over the first week or two as you continue to take the medication. Unlike many antidepressants, bupropion does not commonly cause sexual side effects and may be selected as an alternative treatment when antidepressant-induced sexual side effects are problematic. Sexual side effects include such problems as difficulty achieving orgasm or ejaculatory delay. In general the risk of seizures due to bupropion is low.
The risk of having a seizure increases with higher than recommended doses of bupropion, a history of seizures or head injury, tumor in the brain, severe liver disease, an eating disorder, alcohol or drug dependence, or taking other drugs that can also increase your risk of having a seizure.
There is a low risk of cardiovascular adverse events associated with stimulating agents, including bupropion. This risk increases if you have heart disease, high blood pressure, previous heart attack, or irregular heartbeat, or when used with transdermal nicotine replacement products.
In these cases, a thorough cardiovascular evaluation is recommended before starting this medicine.
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