I started on 200mg bupropion SR about 3 months ago and recently asked my doctor to increase to therapeutic level of 300 mg daily. Received the Rx for 150 mg tablets and started taking 2x daily. I realized that the directions on bottle as per doctor instructions read "2 tablets twice daily". The pharmacist never questioned this when I picked it up but isn't 600mg a day- especially coming from 200mg extreme? Isn't this approaching toxic levels? I've only been taking 300 mg daily which seemed to finally help me but I was pretty shocked to realize that I could have been taking twice that if I followed the bottle instructions and no one flagged it... just wondering if any thoughts? I have considered changing doctors (and pharmacist!) but not sure?
You should definitely check back with both your pharmacist and physician. Any amount above 450 mgs daily can cause you to be subject to seizures!
Years ago I was mistakenly given 4 times the dose of prednisone. After getting extremely ill, I checked back with my doctor who looked into it and concluded that it was his mistake when he wrote the prescription! The pharmacist was also supposed to flag any amount above the usual dosage amount, but didn't, so I went back to tell them to be careful from now on so that they don't accidentally kill someone by filling too large a dose on a prescription. She was supposed to check back with the doctor when in question before filling it. Protocol was not followed. Please get this cleared up immediately. I have health repercussions from this even though it happened long ago. Let us know how you're doing.
By the way, I did change both doctors and pharmacies after that...
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