What we’ve said about Bupropion

“Love to throw this on on almost everyone who doesn't respond to just one medication. A-class, certainly A-class as well. Great medication, can give you a pep in your step”

“I typically consider there to be four first line in how I practice. I have pretty much four first line antidepressants that I use. As you said, it's Zoloft and Lexapro. If I'm choosing an SSRI, how I choose between those depends on how I'm feeling that day”

“But why don't I do it first line? Well... It's just enough people who respond with too much jitteriness, insomnia, or appetite decrease that they don't want. But if you have people who are not too anxious, sleeping fine, and eating too much, you know, then Wellbutrin becomes a very nice choice”

“great augmenting choice for people with energy issues and anorgasmia from the SRIs. You can actually give bupropion for anorgasmia in the absence of a mood disorder. It seems to help”

“For sexual side effects, main ones, buspar and bupropion. Those are going to be most helpful. and otherwise switching of the medication or lowering the dose are pretty much your choices”

“If I think that there is possible depressive and there's no bipolar and there is some ADHD stuff and they agree, I'll do a trial of Wellbutrin”

“Bupropion, in my opinion, worsens generalized anxiety disorder long term. It helps anxiety if the anxiety is This is a part of the depression. Depression. It doesn't help anxiety on its own, in my opinion”

“I've just seen so many times patients with OCD, PTSD, anxiety on bupropion. You pull it off and they get better”

“There are patients with depression that I'm telling you that Zoloft will be a much more effective medication for you. As you mentioned, with anxiety. Yes, it does help anxiety for some patients, but it does worsen anxiety for a lot of other patients”

“Wellbutrin is actually effective in anxiety disorders, but you have to get over the hump of the initial part. It's more activating and anxiety-provoking for anxious people at the beginning, but if they can tolerate it and stay on it, the data does show that it's effective in anxiety disorders, and in my experience, it is”

“if we are going to trial it, I recommend they try it for the first time on a weekend or something or when they have nothing to do”

“it's not a never use them. It's a use them after you've tried multiple other things. And there's a specific subset of patients for whom I think there is a potential role. And when I finally come around to that, it would be bupropion”

“What are the antidepressants that I find a little safer? Not Wellbutrin, not Bupropion. That's what kind of is out there in the community. Kind of myth, if you ask me. I don't think we have any data to demonstrate that”

“2D6 inhibitor, and thus can be used to increase effective dose of your Abilifying antenna and Aristata, which maxes out at a 15 to 20 milligram daily dose”

“sometimes I worry that medications without side effects like lamotrigine and bupropion, people will keep patients on and then not offer what the correct treatment is”