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Wellbutrin

Overview

  • About Wellbutrin
Brand name:
Wellbutrin

Generic name: Bupropion hydrochloride


Why is Wellbutrin prescribed?

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Wellbutrin is prescribed to help relieve major depression. Symptoms include a severely depressed mood (for 2 weeks or more) and loss of interest or pleasure in usual activities accompanied by sleep and appetite disturbances, agitation or lack of energy, feelings of guilt or worthlessness, decreased sex drive, inability to concentrate, and sometimes, suicidal thoughts or behavior. Wellbutrin is thought to work by altering levels of the brain chemicals norepinephrine and dopamine.


Most important fact about Wellbutrin

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Wellbutrin is associated with an increased risk of seizures. This risk is greater at higher doses (approximately 4 in 1,000 patients at dosages of 300 to 450 milligrams a day). Certain factors increase the risk of seizure, including:

  • A history of head trauma or previous seizure
  • Central nervous system tumor
  • Severe liver disease such as cirrhosis
  • A history of eating disorders, including anorexia and bulimia
  • Excessive use of alcohol, or abrupt withdrawal from alcohol or sedatives
  • Taking medications that lower the seizure threshold (see "Possible food and drug interactions when taking this medication")
  • To minimize the risk of seizures, dose increases should be done gradually, and the total daily dose of Wellbutrin should not exceed 450 milligrams. Additionally, the doctor should be aware of all your medical conditions, and you should not take any other medications (both prescription and over-the-counter) unless the doctor approves.


    How should you take Wellbutrin?

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    Take Wellbutrin exactly as prescribed by your doctor. The usual dosing regimen is 3 equal doses spaced evenly throughout the day. Allow at least 6 hours between doses. Your doctor will probably start you at a low dosage and gradually increase it; this helps minimize side effects.

    You should take Wellbutrin SR, the sustained-release form, in 2 doses, at least 8 hours apart. Wellbutrin XL extended-release tablets should be taken once a day in the morning. Swallow Wellbutrin SR and Wellbutrin XL tablets whole; do not chew, divide, or crush them.

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