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Bupropion sustained release: side effect profile

E C Settle1

  • 1Department of Psychiatry, West Virginia University, Charleston, USA.

The Journal of Clinical Psychiatry
|April 29, 1998
PubMed
Summary
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Bupropion sustained-release (SR) offers comparable antidepressant efficacy to immediate-release (IR) formulations with fewer side effects. This bupropion SR formulation also shows a substantially lower incidence of seizures compared to high-dose IR bupropion.

Area of Science:

  • Pharmacology
  • Neuroscience
  • Clinical Psychiatry

Background:

  • Bupropion immediate-release (IR) has been an established antidepressant since 1988.
  • A sustained-release (SR) formulation of bupropion was approved in 1996.

Purpose of the Study:

  • To compare the efficacy and side effect profile of bupropion SR with bupropion IR.
  • To evaluate the safety and tolerability of bupropion SR in antidepressant therapy.

Main Methods:

  • Comparative analysis of clinical trial data for bupropion IR and SR formulations.
  • Review of efficacy and adverse event data, including seizure incidence.

Main Results:

  • Bupropion SR demonstrates similar antidepressant efficacy to bupropion IR.

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  • Bupropion SR exhibits a comparable, and in some aspects reduced, side effect profile compared to IR.
  • Seizure incidence is substantially lower with bupropion SR than with high-dose IR.
  • Conclusions:

    • Bupropion SR is an effective antidepressant with a favorable safety profile.
    • The SR formulation offers advantages over IR, particularly regarding side effects and seizure risk.
    • Bupropion SR presents a viable alternative to other newer antidepressants, with minimal sexual side effects and drug interactions.