Bupropion extended-release tabletsPronunciation
Generic Name: bupropion (bue-PROE-pee-on)
Brand Name: Examples include Forfivo XL and Wellbutrin XL
Antidepressants may increase the risk of suicidal thoughts or actions in children, teenagers, and young adults. However, depression and certain other mental problems may also increase the risk of suicide. Talk with the patient's doctor to be sure that the benefits of using bupropion extended-release tablets outweigh the risks.
Although bupropion extended-release tablets are not used to help patients stop smoking, another brand of medicine that contains bupropion is approved for this use. Serious mental or mood problems, including depression and suicidal thoughts or actions have been reported in some patients using bupropion to help them stop smoking.
Family and caregivers must closely watch patients who take bupropion extended-release tablets. It is important to keep in close contact with the patient's doctor. Contact the doctor at once if new, worsened, or sudden symptoms such as agitation, hostility, depressed mood, or any unusual change in mood or behavior occur. Contact the doctor right away if any signs of suicidal thoughts or actions occur. Discuss any questions with the patient's doctor.
Bupropion extended-release tablets are used for:
Treating depression. Some brands of bupropion extended-release tablets are used to treat seasonal affective disorder (SAD). It may also be used for other conditions as determined by your doctor.
Bupropion extended-release tablets are an antidepressant. It works in the brain to treat depression. Exactly how it works is not known.
Do NOT use bupropion extended-release tablets if:
- you are allergic to any ingredient in bupropion extended-release tablets
- you are taking any other medicine that contains bupropion
- you have a history of an eating disorder (eg, anorexia, bulimia) or seizures (eg, epilepsy)
- you are suddenly stopping the use of alcohol, benzodiazepines (eg, alprazolam), sedatives (medicines that make you sleepy), or seizure medicines (eg, phenobarbital) after long-term use
- you are taking or have taken linezolid or a monoamine oxidase inhibitor (MAOI) (eg, phenelzine) within the last 14 days
Contact your doctor or health care provider right away if any of these apply to you.
Before using bupropion extended-release tablets:
Some medical conditions may interact with bupropion extended-release tablets. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:
- if you are pregnant, planning to become pregnant, or are breast-feeding
- if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
- if you have allergies to medicines, foods, or other substances
- if you or a family member has a history of bipolar disorder (manic depression), other mental or mood problems (eg, depression), suicidal thoughts or attempts, or alcohol or substance abuse
- if you have diabetes, kidney problems, liver problems (eg, cirrhosis), high blood pressure, heart problems (eg, congestive heart failure), or increased eye pressure or glaucoma, or have had a recent heart attack
- if you have a history of a head injury, or a tumor in the brain or spinal cord
- if you are taking nonprescription weight loss medicines or stimulants
- if you drink alcohol
- if you are taking a medicine that contains methylene blue
Some MEDICINES MAY INTERACT with bupropion extended-release tablets. Tell your health care provider if you are taking any other medicines, especially any of the following:
- Amantadine, other antidepressants (eg, amitriptyline, fluvoxamine), antipsychotics (eg, haloperidol, risperidone), clopidogrel, corticosteroids (eg, prednisone), cyclophosphamide, insulin, levodopa, linezolid, lorcaserin, MAOIs (eg, phenelzine), nelfinavir, nicotine replacement therapy (eg, nicotine patches), oral hypoglycemics (eg, glipizide), orphenadrine, sympathomimetics (eg, pseudoephedrine), theophylline, thiotepa, tiagabine, or ticlopidine because they may increase the risk of bupropion extended-release tablets's side effects
- Carbamazepine, efavirenz, lopinavir, phenobarbital, phenytoin, rifampin, or ritonavir because they may decrease bupropion extended-release tablets's effectiveness
- Antiarrhythmics (eg, flecainide, propafenone), beta-blockers (eg, metoprolol), phenothiazines (eg, thioridazine), pimozide, selective serotonin reuptake inhibitors (eg, fluoxetine), tricyclic antidepressants (eg, nortriptyline), or venlafaxine because the risk of their side effects may be increased by bupropion extended-release tablets
- Tamoxifen because its effectiveness may be decreased by bupropion extended-release tablets, which may lead to an increased risk of breast cancer recurrence in women with a history of breast cancer
This may not be a complete list of all interactions that may occur. Ask your health care provider if bupropion extended-release tablets may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.
How to use bupropion extended-release tablets:
Use bupropion extended-release tablets as directed by your doctor. Check the label on the medicine for exact dosing instructions.
- Bupropion extended-release tablets comes with an extra patient information sheet called a Medication Guide. Read it carefully. Read it again each time you get bupropion extended-release tablets refilled.
- Take bupropion extended-release tablets by mouth with or without food. If stomach upset occurs, take with food to reduce stomach irritation.
- Swallow bupropion extended-release tablets whole. Do not break, crush, divide, or chew before swallowing. If you cannot swallow bupropion extended-release tablets whole, contact your doctor.
- Several weeks may pass before your symptoms get better. Do not stop taking bupropion extended-release tablets without checking with your doctor.
- Take your doses at the same time each day, about 24 hours apart. This may help to decrease the risk of seizures with bupropion extended-release tablets.
- Continue to take bupropion extended-release tablets even if you feel well. Do not miss any doses.
- If you miss a dose of bupropion extended-release tablets, skip the missed dose and go back to your regular dosing schedule. Do not take more than 1 dose within 24 hours. Do not take 2 doses at once.
Ask your health care provider any questions you may have about how to use bupropion extended-release tablets.
Important safety information:
- Bupropion extended-release tablets may cause drowsiness, dizziness, or blurred vision. These effects may be worse if you take it with alcohol or certain medicines. Use bupropion extended-release tablets with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
- Do not drink alcohol while you are taking bupropion extended-release tablets.
- Check with your doctor before you use medicines that may cause drowsiness (eg, sleep aids, muscle relaxers) while you are using bupropion extended-release tablets; it may add to their effects. Ask your pharmacist if you have questions about which medicines may cause drowsiness.
- Bupropion extended-release tablets may increase your risk of seizures. Your risk may be greater if you also have certain medical conditions, use certain medicines, or if you drink a lot of alcohol. Talk to your doctor to see if you may have a greater risk of seizures while taking bupropion extended-release tablets.
- If you already drink alcohol or take sedatives (medicines that make you sleepy) or benzodiazepines (eg, alprazolam), do not suddenly stop them without first checking with your doctor. Suddenly stopping them may increase your seizure risk.
- Do not take decongestants (eg, pseudoephedrine), stimulants, or diet pills while you are taking bupropion extended-release tablets without first checking with your doctor. They may increase your risk of seizures.
- The risk of seizures may be greater if you take bupropion extended-release tablets in high doses or for a long time. Do NOT take more than the recommended dose, change your dose, or use bupropion extended-release tablets for longer than prescribed without checking with your doctor.
- A very bad skin reaction (Stevens-Johnson syndrome/toxic epidermal necrolysis) has happened with bupropion extended-release tablets. It can cause very bad health problems that may not go away and sometimes death. Get medical help right away if you have signs like red, swollen, blistered, or peeling skin (with or without fever); red or irritated eyes; or sores in your mouth, throat, nose, or eyes.
- Some people may be at risk for eye problems from bupropion extended-release tablets. Your doctor may want you to have an eye exam to see if you are at risk for these eye problems. Call your doctor right away if you have eye pain, vision changes, or swelling or redness in or around the eye.
- You may notice the tablet shell in your stool with some brands of bupropion extended-release tablets. This is normal and not a cause for concern.
- If you have trouble sleeping, you may be taking your dose too close to bedtime. Talk with your doctor about changing your dosing schedule.
- Other brands of medicine that contain the same ingredient as bupropion extended-release tablets (bupropion) are available. These other brands may be used to help stop smoking or to treat depression. Do NOT take bupropion extended-release tablets if you are taking any other medicine that contains bupropion. Discuss any questions or concerns with your doctor.
- Bupropion extended-release tablets may interfere with certain lab tests, including urine screenings for amphetamines. Be sure your doctor and lab personnel know you are taking bupropion extended-release tablets.
- Use bupropion extended-release tablets with caution in the ELDERLY; they may be more sensitive to its effects.
- Bupropion extended-release tablets should be used with extreme caution in CHILDREN; safety and effectiveness in children have not been confirmed.
- PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using bupropion extended-release tablets while you are pregnant. Bupropion extended-release tablets are found in breast milk. If you are or will be breast-feeding while you use bupropion extended-release tablets, check with your doctor. Discuss any possible risks to your baby.
Possible side effects of bupropion extended-release tablets:
All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:
Seek medical attention right away if any of these SEVERE side effects occur:
Constipation; dizziness; drowsiness; dry mouth; flushing; gas; headache; increased sweating; increased urination; loss of appetite; mild sore throat; mild stomach pain; muscle pain; nausea; nervousness; restlessness; ringing in the ears; taste changes; trouble sleeping; vomiting; weakness; weight changes.
Severe allergic reactions (rash; hives; itching; difficulty breathing; painful sores in the mouth or around the eyes; tightness in the chest; swollen lymph glands; swelling of the mouth, face, lips, or tongue; unusual hoarseness); chest pain; confusion; dark urine; delusions; fainting; fast or irregular heartbeat; fever, chills, or persistent sore throat; hallucinations; hearing problems; menstrual changes; new or worsening mental, mood, or behavior changes (eg, concentration problems, depression, panic attacks, aggressiveness, agitation, anxiety, impulsiveness, irritability, hostility, exaggerated feeling of well-being, inability to sit still); pale stools; red, swollen, blistered, or peeling skin; seizures; severe or persistent headache or dizziness; severe or persistent joint or muscle pain; severe or persistent nausea, vomiting, or stomach pain; severe or persistent nervousness, restlessness, or trouble sleeping; shortness of breath; suicidal thoughts or attempts; tremor; unusual swelling; yellowing of the skin or eyes.
This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.
If OVERDOSE is suspected:
Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately.Proper storage of bupropion extended-release tablets:
Store bupropion extended-release tablets at room temperature, between 68 and 77 degrees F (20 and 25 degrees C), in a tight, light-resistant container. Store away from heat, moisture, and light. Do not store in the bathroom. Keep bupropion extended-release tablets out of the reach of children and away from pets.
- If you have any questions about bupropion extended-release tablets, please talk with your doctor, pharmacist, or other health care provider.
- Bupropion extended-release tablets are to be used only by the patient for whom it is prescribed. Do not share it with other people.
- If your symptoms do not improve or if they become worse, check with your doctor.
- Check with your pharmacist about how to dispose of unused medicine.
This information should not be used to decide whether or not to take bupropion extended-release tablets or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about bupropion extended-release tablets. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to bupropion extended-release tablets. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your health care provider for complete information about the risks and benefits of using bupropion extended-release tablets.
Disclaimer: This information should not be used to decide whether or not to take this medicine or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about this medicine. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to this medicine. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using this medicine.
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