Many people using this medication do not have serious side effects. Sometimes quitting smoking can lead to worsening of mental health problems that you already have, such as depression. All patients being treated with antidepressants for any indication should be monitored appropriately and observed closely for clinical worsening, suicidality, and unusual changes in behavior, especially during the initial few months of a course of drug therapy, or at times of dose changes, either increases or decreases [see BOXED WARNING and Use in Specific Populations].
Other serious reactions reported with overdoses of bupropion alone included hallucinations, loss of consciousness, sinus tachycardiaand ECG changes such as conduction disturbances or arrhythmias.
Common side effects of Wellbutrin SR include:. A single-dose study involving 12 healthy male and 12 healthy female volunteers revealed no sex-related differences in the pharmacokinetic parameters of bupropion. The complete text of the Medication Guide is reprinted at the end of this document.
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The pooled analyses of placebo-controlled trials in adults with MDD or other psychiatric disorders included a total of short-term trials median duration of 2 months of 11 antidepressant drugs in over 77, patients. This information does not take the place of talking with your healthcare provider about your medical condition or your treatment.
Depression and certain other psychiatric disorders are themselves associated with increases in the risk of suicide. It is generally agreed that acute episodes of depression require several months or longer of sustained pharmacological therapy beyond response to the acute episode.
Stop taking bupropion and get medical help right away if you have any very serious side effects, including: However, in rabbits, slightly increased incidences of fetal malformations and skeletal variations were observed at doses approximately equal to the maximum recommended human dose MRHD and greater and decreased fetal weights were seen at doses twice the MRHD and greater.
Some people have even experienced suicidal thoughts when trying to quit smoking without medication. Data from an international bupropion Pregnancy registry first trimester exposures and a retrospective cohort study using the United Healthcare database 1, first trimester exposures did not show an increased risk for malformations overall.
In case of an overdose, provide supportive careincluding close medical supervision and monitoring. The pooled analyses of placebo-controlled trials in children and adolescents with MDD, obsessive compulsive disorder OCD or other psychiatric disorders included a total of 24 short-term trials of 9 antidepressant drugs in over 4, patients.
Deafnessincreased intraocular pressureand mydriasis. Tell laboratory personnel and all your doctors you use this drug.
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Bupropion treatment was initiated prior to the onset of symptoms in the autumn September to November. Infrequent were edema and peripheral edema.
In studies using bupropion HCl sustained-release up to mg per day the incidence of seizure was approximately 0. Take the first dose as soon as you wake up in the morning and the second dose at least 8 hours later, or take as directed by your doctor.
In addition, there have been rare, spontaneous postmarketing reports of erythema multiformeStevens-Johnson syndromeand anaphylactic shock associated with bupropion.
After at least 4 days, the dose may be increased to to mg twice a day. A major depressive episode DSM-IV implies the presence of 1 depressed mood or 2 loss of interest or pleasure; in addition, at least 5 of the following symptoms have been present during the same 2-week period and represent a change from previous functioning: Patients should be periodically reassessed to determine the need for maintenance treatment and the appropriate dose for such treatment.