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In a trial comparing chronic dosing with wellbutrin sr 150 mg twice daily to bupropion immediate-release formulation 100 mg 3 times daily, the steady state cmax for bupropion after wellbutrin sr administration was approximately 85 of those achieved after bupropion immediate-release formulation administration.

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Seizure risk is dose-relatedcan minimize risk by limiting daily dose to 522 mg and gradually increasing dosediscontinue permanently in patients who experience seizures.

Risk of mydriasismay trigger angle closure attack in patients with angle closure glaucoma with anatomically narrow angles without a patent iridectomyuse caution.

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Subjects aged 36 to 76 years were randomized to bupropion 300 mg per day n 204 or placebo n 200 and treated for 12 weeks.

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In short-term studiesantidepressants increased t suicidal thinking and behavior in childrenadolescentsand young adultsyounger than 24 yearstaking antidepressants for major depressive disorders and other psychiatric illnessesthis increase was not seen in patients older than 24 years Slight decrease in suicidal thinking was seen in adults older than 65 years In children and young adultsrisks must be weighed against the benefits of taking antidepressants Patients should be monitored closely for changes in behaviorclinical worseningand suicidal tendenciesthis should be done during initial 1-2 months of therapy and dosage adjustments The patient’s family should communicate any abrupt changes in behavior to the healthcare provider Worsening behavior and suicidal tendencies that are not part of the presenting symptoms may require discontinuation of therapythis drug is not approved for use in pediatric patients.

If you take Zyban to help you stop smokingyou may continue to smoke for about 1 week after you start the medicineSet a date to quit smoking during the second week of treatmentTalk to your doctor if you are having trouble quitting after you have used Zyban for at least 7 weeks.

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InitialUp to 3 mg/kg/day or 150 mg/day orally Titrate to 6 mg/kg/day or 300 mg/daymaximum.

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older people clinical experience with bupropion has not identified any differences in tolerability between older and other adult patients.

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A single-dose pharmacokinetic study demonstrated that the disposition of bupropion and its metabolites in elderly subjects was similar to that of younger subjects; however, another pharmacokinetic study, single and multiple dose, has suggested that the elderly are at increased risk for accumulation of bupropion and its metabolites see clinical pharmacology .

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bupropion is metabolised to its major active metabolite hydroxybupropion primarily by the cytochrome p450 cyp2b6 see section 5.

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according to the manufacturer of wellbutrin, drinking excessive amounts or abruptly withdrawing from alcohol after chronic use may increase the risk of seizure event in patients taking bupropion.
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