What Is Bupropion (Wellbutrin) Used For?
Brand names: Wellbutrin, Zyban
Bupropion is a unique antidepressant that works differently from SSRIs. It also carries the brand name Zyban when used for smoking cessation.
What is Bupropion used for?
- Major depressive disorder
- Seasonal affective disorder (SAD)
- Smoking cessation (as Zyban)
- ADHD (off-label)
- Sexual dysfunction caused by other antidepressants (off-label)
How does Bupropion work?
Unlike SSRIs, bupropion blocks the reuptake of norepinephrine and dopamine rather than serotonin. This makes it more activating and less likely to cause the sexual side effects and weight gain common with SSRIs.
Dosage information
- 75mg tablets
- 100mg tablets (immediate-release)
- 150mg extended-release tablets
- 200mg extended-release tablets
- 300mg extended-release tablets (XL)
- +1 more
Usually started at 150mg once daily, increased to 300mg (as 150mg twice daily or 300mg XL once daily). Maximum 450mg/day. Doses should be spaced at least 8 hours apart.
Side effects
Common
- Dry mouth (very common)
- Insomnia
- Headache
- Nausea
- Dizziness
- Constipation
- Increased heart rate
- Agitation or anxiety at start
โ ๏ธ Serious โ contact your doctor
- Seizures โ dose-dependent risk (contraindicated at high risk)
- Increased blood pressure
- Suicidal thoughts in those under 25 (black box warning)
- Mania in bipolar patients
- Severe allergic reactions
Important warnings
Drug interactions
These substances may interact with Bupropion. This is not a complete list โ always tell your doctor and pharmacist ALL medications and supplements you take.
Pregnancy & breastfeeding
๐คฐ Use with caution โ discuss risks and benefits with your doctor
Always consult your doctor or obstetrician before taking any medication during pregnancy or while breastfeeding.
Frequently asked questions
What is bupropion (Wellbutrin) used for?
Bupropion treats depression and seasonal affective disorder. Under the brand name Zyban, the same drug is used to help people quit smoking. It is also used off-label for ADHD and counteracting SSRI-induced sexual dysfunction.
Does bupropion cause weight gain?
Bupropion is one of the few antidepressants associated with modest weight loss rather than gain. This makes it a preferred option for people concerned about weight.
Does bupropion affect sexual function?
Unlike SSRIs, bupropion does not commonly cause sexual dysfunction โ and is actually sometimes added to SSRI treatment to counteract SSRI-induced sexual side effects.
Why can't people with eating disorders take bupropion?
Eating disorders (bulimia and anorexia) cause electrolyte imbalances that lower the seizure threshold. Bupropion also lowers it. Combined, the risk of seizures becomes unacceptably high.
How long does bupropion take to work?
Some people notice increased energy within 1โ2 weeks. Full antidepressant effect on mood typically takes 4โ8 weeks, similar to other antidepressants.
Related medications
Information on this page is sourced from general pharmaceutical references and is provided for educational purposes only. Drug information may change โ always verify with your pharmacist or prescriber. PillCodex.com is not affiliated with any pharmaceutical company.