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Wellbutrin how does it make you feel


Wellbutrin (bupropion) gets me wired!

Dear Reader, 

While it’s great that your new medication has improved your mood and restored your sex life, feeling like your body is racing a mile a minute can be a frustrating side effect. Wellbutrin (generic name: bupropion) is a treatment for major depressive disorder, seasonal affective disorder (SAD), and smoking cessation (quitting smoking). Many patients report a similar experience on the medication of reduced depression symptoms and increased libido. However, it’s also been known to cause restlessness, anxiety, insomnia, agitation, excitement, and shaking. In most cases, though, starting with a low dose and gradually increasing over a period of time can allow you to adjust, making the effects mild enough to manage. Talking with your health care provider about your symptoms and your dosage may help you continue to reap the benefits of treatment while alleviating the more unpleasant effects.  

To give you some background, antidepressants are often grouped into categories based on the chemicals they influence in the brain. Bupropion is a norepinephrine-dopamine reputable inhibitor (NDRI), while others include monoamine oxidase inhibitors (MAOIs) or selective serotonin reuptake inhibitors (SSRIs), such as Celexa (brand name: citalopram). Bupropion works a bit differently than these other antidepressants — rather than regulating the mood-affecting chemical serotonin, bupropion affects levels of norepinephrine and dopamine, two other brain chemicals that impact stress, motivation, and pleasure. The medication works by blocking the absorption of these chemicals in the brain’s cells, so that they continue to stay in the brain. Some studies have found that this can increase the brain’s grey and white matter, as well as brain volume (all of which are tied to depressive symptoms). Given the way bupropion operates in the brain, it’s often the medication of choice for those who’ve lost their sex drive on more common serotonin-based antidepressants. 

Some of the more common side effects people who take bupropion report are the jitters, some sort of agitation, anxiety, or insomnia. Less than ten percent of people taking bupropion experience less common or rare side effects. The most common reason reported for these side effects is that the dose is increased too quickly or wasn’t taken as prescribed. Sometimes, people are temporarily prescribed sedative drugs for about a week for particularly strong cases of the "bunny-nose" effect. Health care providers may also recommend taking the medication at a different time of day to see how that impacts jitters. While the medication is considered low risk and effective when taken as prescribed, there are also some serious side effects that are rare but possible. Some side effects that people taking bupropion could experience include: 

  • More common symptoms: anxiety, dry mouth, irregular heart rate, rapid breathing (hyperventilation), irritability, restlessness or trouble sleeping, shaking, decreased appetite, weight loss, constipation, increased sweating  
  • Less common symptoms:  Buzzing or ringing in the ears, severe headache, skin reaction (rash, hives, or itching), blurred vision, sore throat, frequent urination, blurred vision, changes in taste 
  • Rare symptoms (some of which may require medical attention): confusion, fainting, seizures, trouble concentrating, changes in thinking or sensory effects (such as intense distrust or seeing objects that aren’t there)  

Adapted from Mayo Clinic and National Alliance on Mental Illness.  

Since people react to medicines differently, chatting with your health care provider about your jitteriness may be a good place to start. They can work with you to find the right dose, time for you to take bupropion, or the combination of medications (or other treatments) to hang onto your libido and still treat your depression. One last factor to consider: while your bupropion could certainly be the explanation, it might also be worth taking inventory of other possible reasons for feeling wired. Too much caffeine, withdrawal from smoking or alcohol if you’ve recently quit, low blood sugar, and stress are among a few additional culprits to consider. Good luck as you and your health care provider investigate the best strategy to shake off (or at least minimize) your jitters! 

6 Signs Wellbutrin® is Working

Medically reviewed by Kristin Hall, FNP

Written by Our Editorial Team

Last updated 7/1/2022

If you’ve been diagnosed with major depressive disorder (MDD), your healthcare provider may prescribe the medication Wellbutrin® to help you gain control over your symptoms and improve your quality of life.

Wellbutrin is effective at reducing the severity of depression symptoms for most people, but like other antidepressants, it doesn’t always start working right away.

Thankfully, there are early signs that you can look for after starting Wellbutrin to check that your medication is working.

Below, we’ve covered what Wellbutrin is, as well as how long it usually takes to treat depression symptoms. We’ve also listed six easy-to-notice signs Wellbutrin is working that you can look for if you recently started using it as a depression treatment.

Finally, we’ve shared some signs that Wellbutrin might not be working for you, as well as simple steps that you can take if Wellbutrin isn’t the right antidepressant for your needs.

What Is Wellbutrin?

Wellbutrin is an antidepressant that contains the active ingredient bupropion. It’s part of a class of drugs called atypical antidepressants. Wellbutrin works by increasing levels of certain natural chemicals, called neurotransmitters, in your brain and body.

More specifically, Wellbutrin increases the levels of dopamine and norepinephrine in your body, both of which are important neurotransmitters for your moods, thoughts and mental health.

The FDA first approved Wellbutrin as a treatment for depression in 1985. The active ingredient in Wellbutrin, bupropion, is also used as a smoking cessation treatment and as an off-label form of treatment for seasonal affective disorder (SAD).

Wellbutrin is sold as a sustained-release or extended-release tablet. Your mental health provider may recommend taking it one to four times each day, based on your needs and the dosage form of Wellbutrin you’re prescribed.

Our guide to depression medications provides more information about how Wellbutrin and other antidepressants work. 

How Long Does Wellbutrin Take to Work?

It’s common for antidepressants to require several weeks to start working, and Wellbutrin is no exception. 

Most of the time, the therapeutic effects of Wellbutrin start to occur in the second week of using the medication. However, it’s far from uncommon for Wellbutrin to take longer than this to show real benefits. 

If you’re prescribed Wellbutrin, make sure to continue taking it as prescribed by your healthcare provider, even if you don’t immediately feel better during the first weeks of treatment. Over time, you may start to notice improvements as Wellbutrin becomes more effective. 

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6 Signs Wellbutrin is Working

Because of its effects on neurotransmitter levels, Wellbutrin can help to lift your mood and make the symptoms of depression less severe. 

After starting treatment with Wellbutrin, you should begin to gradually notice changes in the way you think, feel and behave. Many of these changes are similar to those that can occur with other antidepressant medications. 

Look for the following six signs that Wellbutrin is improving your mental health and reducing the severity of your depression symptoms.  

You Find it Easier to Fall Asleep

Depression can affect your sleep patterns, making it more difficult for you to fall asleep at night and maintain normal sleeping habits. It can also cause you to feel fatigued, which may end up making your sleep habits even worse.

It’s normal for symptoms like insomnia and early awakening to improve before other symptoms of depression after starting treatment with an antidepressant. If you feel like you can fall asleep easier than before, it may be a good sign that Wellbutrin is starting to work for you.

Your Moods and Feelings Start to Improve

Another common sign that Wellbutrin is working is that your moods, feelings and thoughts may start to become less negative. 

Depression can affect your moods, causing you to feel sad, anxious or empty. It can also affect the way you think, resulting in feelings of helplessness and a perception that your situation may never get better. 

If you’ve recently been prescribed Wellbutrin and notice that your moods, thoughts and feelings begin to improve after a few weeks, it’s likely a sign that the medication is working.  

You Feel More Interested in Your Hobbies and Activities

One of the most common symptoms of depression is a reduced level of interest in your normal hobbies, passions and activities.

When you’re depressed, things that normally bring you joy and satisfaction may no longer feel pleasurable. This can create a vicious cycle, in which you feel less interested in taking part in certain aspects of life, leading to isolation and more severe depression.

As Wellbutrin starts to work, you may notice that you feel more interested in your usual hobbies and activities again. This may change your behavior and cause you to spend more of your time with friends and family or participate in social activities.

You’re More Able to Focus and Remember Things

Depression can affect your mental function, making it more difficult for you to focus on specific activities and remember information. This can potentially have an impact on your educational progress, work abilities and even your ability to function on a day-to-day basis.

After taking Wellbutrin for several weeks, you may notice that you find it easier to pay attention, remember information or simply take care of your daily tasks. 

Making Decisions No Longer Feels Impossible

Not only can depression affect your ability to focus, think effectively and remember information — it can also prevent you from being able to make decisions.

When you’re depressed, making even small decisions can be a real challenge. For this reason, many experts recommend delaying important life decisions, such as changing jobs or ending a relationship, until you’re no longer depressed.

If you’ve been taking Wellbutrin for several weeks, you may find that it’s easier for you to make decisions than before. 

You Have Fewer Physical Depression Symptoms

Depression isn’t solely a mental illness — it can also have a real impact on your physical health and wellbeing. 

Many people experience physical symptoms while they’re depressed, including slower physical movements and speech, aches, joint pain, muscle pain and even digestive issues. These may improve after you start taking medication for depression, such as Wellbutrin.

Side Effects of Wellbutrin

Like other medications for depression, Wellbutrin can potentially cause side effects. Most of the adverse effects of Wellbutrin are mild and transient, although a small percentage of people who use this medication experience more severe or longer-lasting side effects.

Common side effects of Wellbutrin include:

  • Agitation

  • Dry mouth

  • Insomnia

  • Headaches/migraines

  • Nausea and/or vomiting

  • Constipation

  • Tremor

  • Dizziness

  • Excessive sweating

  • Blurred vision

  • Auditory disturbances

  • Tachycardia (fast heart rate)

  • Cardiac arrhythmia

  • Confusion

  • Rash

  • Hostility

Wellbutrin can also interact with some medications, including other antidepressants, clopidogrel and medications that reduce the seizure threshold.  

To reduce your risk of drug interactions, make sure to inform your healthcare provider about any medications you currently use or have recently used before taking Wellbutrin.

When stopped abruptly, Wellbutrin can cause withdrawal symptoms. If you develop side effects, it’s important not to make changes to your dosage or stop using Wellbutrin without first talking to your healthcare provider. 

For more side effects, you can read our blog on Wellbutrin sexual side effects.

Signs Wellbutrin Is Not Working

Wellbutrin is generally an effective medication with mild side effects, but it’s not always the right antidepressant for everyone. It’s normal to try several antidepressants before finding the optimal one for you, and in some cases, Wellbutrin may not be that one.

Look for the following signs that Wellbutrin isn’t working:

  • You don’t notice any changes in your mood, even after several months. Wellbutrin can take several weeks to start working, but it should eventually produce improvements in your moods, feelings and general mental wellbeing.
    If you don’t notice any improvements after taking Wellbutrin for several months, you may need to adjust your dosage or switch to a different antidepressant, based only on the guidance from your healthcare provider.

  • You have severe or persistent side effects. Wellbutrin can cause side effects, but they generally shouldn’t be severe or persistent. If you have side effects that don’t go away or become more severe over time, it may be a sign that Wellbutrin isn’t right for you.

  • Your depressive symptoms become more serious. Some people start to notice more severe depression symptoms, even after beginning treatment with Wellbutrin or a similar antidepressant.
    If you feel more depressed after starting Wellbutrin, make sure to inform your healthcare provider as soon as you can.

  • You develop suicidal ideation and/or behavior. Wellbutrin and other antidepressants may cause an increase in risk of suicide in young adults. If you start to feel suicidal after using Wellbutrin, it’s important to seek professional medical care as soon as possible.
    You can get help for suicidal thoughts by contacting emergency services on 911, calling the National Suicide Prevention Lifeline on 1-800-273-8255 or 988, or using the services in our list of crisis and mental health hotlines.

What to Do If Wellbutrin Doesn’t Work For You

If you don’t notice any improvements from Wellbutrin after taking it for several weeks, or if you’re prone to side effects that are severe or persistent, it’s best to talk to your healthcare provider. 

If Wellbutrin isn’t working, your healthcare provider may recommend making changes to the way you take your medication. This could mean adjusting your dosage or taking Wellbutrin earlier or later in the day.

In some cases, your healthcare provider may suggest switching to a different type of medication for depression, such as a selective serotonin reuptake inhibitor (SSRI).

Make sure to follow your healthcare provider’s instructions and inform them if you still don’t feel better after changing the way you use Wellbutrin or switching to a new antidepressant. 

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Learn More About Treating Depression

Wellbutrin generally starts to work in two weeks, meaning you should start to see signs that it’s working soon after you start treatment. These may include improvements in your moods, sleep patterns, ability to focus, physical health and general quality of life. 

If Wellbutrin doesn’t work for you, it’s best to let your healthcare provider know. They may make changes to your dosage or suggest using a different type of medication to treat your depression symptoms. 

Worried you may have depression? We offer bupropion (the active ingredient in Wellbutrin) and other medications for depression and anxiety, following an online consultation with a psychiatry provider who will determine if a prescription is appropriate.  

We also offer a full range of mental health services, including online therapy and support groups that you can take part in from the comfort and privacy of your home. 

4 Sources

Hims & Hers has strict sourcing guidelines to ensure our content is accurate and current. We rely on peer-reviewed studies, academic research institutions, and medical associations. We strive to use primary sources and refrain from using tertiary references.

  1. WELLBUTRIN® (bupropion hydrochloride) tablets, for oral use. (2017, May). Retrieved from https://www.accessdata.fda.gov/drugsatfda_docs/label/2017/018644s052lbl.pdf
  2. Huecker, M.R., Smiley, A. & Saadabadi, A. (2022, May 2). Bupropion. StatPearls. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK470212/
  3. Bupropion. (2018, February 15). Retrieved from https://medlineplus.gov/druginfo/meds/a695033.html
  4. Depression. (2018, February). Retrieved from https://www. nimh.nih.gov/health/topics/depression

This article is for informational purposes only and does not constitute medical advice. The information contained herein is not a substitute for and should never be relied upon for professional medical advice. Always talk to your doctor about the risks and benefits of any treatment. Learn more about our editorial standards here.

How to quit smoking after long experience?

So you smoke. For a long time. A lot. You would like to quit, you understand that it is harmful, maybe you already feel it yourself. Maybe they tried to quit, but it didn't work out. What to do? In our quick guide, we'll try to answer the most common questions asked by heavy smokers who want to but can't quit cigarettes.

Is it possible? Of course available! Even Barack Obama, no matter how you treat him, was able to quit after thirty years of service. nine0005

Is quitting already worse for me than continuing to smoke?

This is not true. German scientists (summarizing the results of seventeen long-term studies) showed that even in the group of those who quit smoking after 60 and after 70 years, the average life expectancy was longer than that of those who continued to smoke. As for those who quit smoking between the ages of 40 and 50, life expectancy in their group was almost the same as that of those who had never smoked.

Maybe just try to smoke less? nine0009

If you are addicted to nicotine, you simply won't be able to do it and will soon return to your dose. Quitting smoking is harder in the short term, but easier in the long run. Even if you are among those people who smoke less than half a pack a day for many years and intermittently (for example, they may not smoke during pregnancy), this still seriously increases the risk of cardiovascular disease and cancer.

Cardiologists will help you check your cardiovascular system. nine0003

Is it possible to quit smoking abruptly?

It is believed that quitting smoking abruptly is possible only if your experience does not exceed 3-5 years. In this case, nicotine dependence is not yet so strong, nicotine is not so firmly integrated into psychophysiological mechanisms that a sharp break in the chain causes serious harm. But if your experience exceeds 10 years and you smoked a lot, a pack or more per day, then abruptly quit smoking without any replacement is not recommended.

How long does withdrawal last, what causes it and how does it manifest itself? nine0009

Withdrawal after quitting smoking lasts from a week to several months. Its duration depends not only on the length of service and the number of cigarettes per day, but also on the individual predisposition of the person. The withdrawal mechanism is due to a deficiency of acetylcholine (a mediator of nervous excitation) and is manifested by dizziness, nausea, anxiety or irritability, and other ailments. A persistent cough indicates that the lungs, with difficulty, are beginning to readjust to a life without tobacco. The head may hurt - after all, the vascular system is also accustomed to constant nicotine stimulation. nine0003

You can check the condition of the lungs with a radiologist 6 days a week

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How can you help yourself get through withdrawal?

There are many resources available to help you at this stage. There are two main groups: nicotine replacement therapy (patches, nasal sprays and other forms) and drugs that reduce the craving for smoking. Unique in this regard, Bupropion, also known as Wellbutrin and Zyban, belongs to the group of antidepressants, but is used specifically for the treatment of nicotine addiction.

Why do some people start smoking again many months after quitting?

Here, it is not drug dependence on nicotine that works (remember, withdrawal, even in severe cases, ends after a few months), but psychological. Smoking is embedded not only in our physiological processes, but also in socio-psychological ones: someone relieves stress with the help of a cigarette, someone cannot imagine communication without tobacco, for someone coffee or alcohol is closely connected with smoking.

It is worth considering what other habit can replace one or another function of smoking. In addition, adherence to the general principles of a healthy lifestyle helps: a normal amount of sleep (at least 7 hours a day), healthy nutritious food, physical activity and fresh air. For some time, you may have to avoid the usual “smoking” situations in order not to provoke yourself (replace smoke breaks in the office with a joint cup of tea). nine0003

My friend quit smoking and got very fat. Why?

First, cigarettes suppress hunger. Smokers release glycogen, blood sugar rises and there is no longer a desire to eat. In addition, nicotine speeds up metabolism, and food is not digested properly. When a person quits smoking, then he now feels hunger more acutely, and food is digested properly. Therefore, he eats the same amount, and the weight grows. There is some "natural" weight gain after quitting smoking, and it does not exceed 3-5 kilograms. nine0003

Secondly, it is not uncommon for a person to change one addiction for another. Many ex-smokers note that in the first year after quitting smoking, they begin to consume more alcohol, coffee, and sweets. The brain is looking for ways to relieve the stress caused by smoking cessation, to “get” pleasure from other sources. Therefore, some ex-smokers do get better by more than 5 kilos.

How to deal with this? You should not go on a strict diet, it will only increase stress and unbalance the body even more. It is better to ensure that you consume less starchy and sweet foods and more healthy protein foods. If you really want to “chew” stress, choose seeds, rye crackers or carrot sticks. nine0003

What else helps to stop smoking?

  • Strong motivation. Unfortunately, people often quit smoking after they have been diagnosed with a dangerous disease. But in this case, we are no longer talking about “willpower”, rather, it is saving one’s own life.
  • Throwing together. If spouses or close friends smoke, it is much more effective to give up the bad habit together. You have to figure out how useful you can replace joint smoke breaks.
  • Alain Carr. Yes, many say that when they have already decided to quit smoking, this book really supported and helped. nine0047
  • Psychotherapy. If you have been smoking for many years and the side effects after quitting are too strong (persistent depression of mood, anxiety, irritability go off scale and do not go away), a psychotherapist may help you. In this case, you need to choose a doctor practicing in the framework of the cognitive-behavioral direction - they are the ones who effectively and quickly work with bad habits.
  • Forums and communication. When you're undertaking a difficult task, it's always nice to know you're not alone. On the forum, you can ask for advice, share your impressions, and simply brag. nine0047

If you decide to quit smoking, the Euromed clinic wishes you good luck! May your rejection be easy and your decision irrevocable.

See also:

  • Swimming for the back: how to do it right
  • How to get rid of sugar addiction without excluding sweets from your life?

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Adult Medication

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    • nine0058

    This document, provided by Lexicomp ® , contains all the information you need to know about this medicine, including indications, directions for use, side effects, and when your healthcare provider should be contacted.

    Trade names: USA

    Aplenzin; Forfivo XL; Wellbutrin SR; Wellbutrin XL; Zyban [DSC]

    Trade names: Canada

    MYLAN-BuPROPion XL [DSC]; ODAN Bupropion SR; TARO-Bupropion XL; TEVA-Bupropion XL; Wellbutrin SR; Wellbutrin XL; Zyban

    Warning

    • Drugs like this have increased the likelihood of suicidal thoughts or actions in children and young people. This risk may be higher in people who have tried or had suicidal thoughts in the past. All people taking this drug must be closely monitored. If you develop or worsen disorders such as depression, nervousness, anxiety, grouchiness, panic attacks, and changes in mood or behavior, contact your doctor immediately. Contact your doctor immediately if you have suicidal thoughts or suicide attempts. nine0047

    What is this drug used for?

    • Used to treat depression.
    • Used to prevent seasonal affective disorder (SAD).
    • Used for smoking cessation.
    • This drug may be used for other indications. Consult your doctor.

    What should I tell my doctor BEFORE taking this drug?

    • If you are allergic to this drug, any of its ingredients, other drugs, foods, or substances. Tell your doctor about your allergies and how they have manifested. nine0047
    • If you have ever had a seizure.
    • If you abuse alcohol and stop drinking it abruptly.
    • If you are taking certain other drugs, such as anticonvulsants or tranquilizers, and you stop taking them abruptly.
    • If you have ever had an eating disorder such as anorexia or bulimia.
    • If you have any of the following health conditions: kidney disease or liver disease. nine0047
    • If you have taken drugs for depression or Parkinson's disease in the past 14 days. These include isocarboxazid, phenelzine, tranylcypromine, selegiline, or rasagiline. An episode of very high blood pressure may occur.
    • If you are taking any of the following: linezolid or methylene blue.
    • If you are taking another drug that contains the same drug.

    This list of drugs and conditions that may interact unfavorably with this drug is not exhaustive. nine0003

    Tell your doctor and pharmacist about all medicines you take (both prescription and over-the-counter, natural products and vitamins) and any health problems you have. You need to make sure that this drug is safe for your conditions and in combination with other drugs you are already taking. Do not start or stop taking any drug or change the dosage without your doctor's advice. nine0003

    What do I need to know or do while taking this drug?

    For all patients taking this drug:

    • Tell all your health care workers that you are taking this drug. These are doctors, nurses, pharmacists and dentists.
    • Avoid driving or doing other tasks or jobs that require alertness or keen eyesight until you know how this drug affects you. nine0047
    • This drug may affect the results of some lab tests. Tell all your health care workers and laboratory staff that you are taking this drug.
    • Do not stop taking this drug abruptly without talking to your doctor. This can increase the risk of side effects. If necessary, taking this drug should be stopped gradually, in accordance with the recommendations of the doctor.
    • High blood pressure has happened with this drug. Monitor your blood pressure as directed by your doctor. nine0047
    • This drug may increase the risk of seizures. The risk may be increased in people who take higher doses of the drug, who have certain health problems, or who use certain other drugs. People who abruptly stop drinking large amounts of alcohol or abruptly stop taking certain medications (such as drugs used for anxiety, insomnia, or seizures) are also at higher risk. Talk to your doctor to find out if you have an increased risk of seizures. nine0047
    • Avoid drinking alcohol while taking this drug.
    • Talk to your doctor before using marijuana, other forms of cannabis, or prescription or over-the-counter drugs that can slow you down.
    • It may take several weeks to achieve full effect.
    • This drug is not approved for use in children. Consult your doctor.
    • If you are 65 years of age or older, use this drug with caution. You may experience more side effects. nine0047
    • Tell your doctor if you are pregnant, plan to become pregnant, or are breastfeeding. The benefits and risks for you and your child will need to be discussed.

    If you smoke:

    • Not all drugs are approved to help you stop smoking. Check with your doctor to make sure you get the right drug.
    • When using bupropion for smoking cessation, the emergence of new or aggravation of existing disorders of the psyche, mood or behavior was noted. These disturbances include suicidal or homicidal thoughts, depression, violent acts, rage, anxiety and anger. These disorders have been observed in people with and without mental and mood disorders in the past. Consult your doctor. nine0047

    What side effects should I report to my doctor immediately?

    WARNING. In rare cases, this drug can cause serious and sometimes deadly side effects in some patients. Call your doctor or get medical help right away if you have any of the following signs or symptoms that may be associated with serious side effects:

    • Signs of an allergic reaction such as rash, hives, itching, red and swollen skin with blisters or flaking, possibly associated with fever, wheezing or wheezing, tightness in the chest or throat, difficulty breathing, swallowing or speaking, unusual hoarseness, swelling in the mouth, face, lips, tongue, or throat. nine0047
    • Signs of high blood pressure such as very severe headache or dizziness or loss of consciousness or blurred vision.
    • Feeling of confusion, inability to concentrate or changes in behavior.
    • Hallucinations (a person sees or hears something that is not in reality).
    • If, after starting the medicine, convulsions become more frequent or more severe.
    • Chest pain, angina pectoris, tachycardia or abnormal heart rhythm. nine0047
    • Inflammation.
    • Shortness of breath.
    • Hearing change.
    • Ringing in the ears.
    • Frequent urination.
    • Gland swelling.
    • Violation of motor functions.
    • There may be an increased risk of eye problems when using this drug in some patients. Your doctor may order an eye examination to see if you are at increased risk for these eye problems. Call your doctor right away if you have eye pain, vision changes, swelling or redness around the eye. nine0047
    • Possible severe skin reaction (Stevens-Johnson syndrome/toxic epidermal necrolysis). This can lead to severe health problems, which can be permanent, and sometimes death. Seek immediate medical attention if you experience symptoms such as redness, swelling of the skin with blistering or peeling (with or without fever), redness or irritation of the eyes, and sores in the mouth, throat, nose, or eyes. nine0047

    What are some other side effects of this drug?

    Any medicine can have side effects. However, for many people, side effects are either minor or non-existent. Contact your doctor or seek medical attention if these or any other side effects bother you or do not go away:

    All formulations:

    • Dizziness or headache.
    • Constipation, diarrhoea, abdominal pain, nausea, vomiting or decreased appetite. nine0047
    • Trembling.
    • Nervous tension and agitation.
    • Strange or unusual dreams.
    • Gas formation.
    • Dry mouth.
    • Sleep disorders.
    • Pain in joints or muscles.
    • Irritation of the nose or throat.
    • Excessive sweating.
    • Unexplained fluctuations in weight.

    Long-acting tablets:

    • The tablet shell of some brand drugs can sometimes be seen in the stool. For drugs of these brands, this is normal and does not cause concern. If you have any questions, please consult your doctor. nine0047

    This list of possible side effects is not exhaustive. If you have any questions about side effects, please contact your doctor. Talk to your doctor about side effects.

    You can report side effects to the National Health Board.

    You can report side effects to the FDA at 1-800-332-1088. You can also report side effects at https://www.fda.gov/medwatch. nine0003

    What is the best way to take this drug?

    Use this drug as directed by your doctor. Read all the information provided to you. Strictly follow all instructions.

    For all uses of this drug:

    • Do not take more often than directed. This may increase your risk of developing seizures. Make sure you know at what intervals you need to use the drug.
    • Take in the morning if you are taking this drug once a day. nine0047
    • Take this drug with or without food.
    • If you cannot sleep, do not take this drug at bedtime. Consult your doctor.
    • Swallow whole. Do not chew, break or crush.
    • Keep taking this drug as your doctor or other health care professional tells you to, even if you feel well.
    • If you have difficulty swallowing, talk to your doctor. nine0047

    Smoking cessation:

    • You can take this drug for 1 week before you stop smoking.
    • Nicotine replacement and psychological help can be done at the same time for best results.
    • If you have not been able to stop smoking after 12 weeks of taking this drug, talk with your doctor.
    • When you try to quit smoking, you may experience nicotine withdrawal symptoms even if you use quit smoking drugs like this drug. There are many signs of nicotine withdrawal. People who are trying to quit smoking have occasionally experienced depression and suicidal thoughts. Consult with your physician. nine0047

    What if I miss a dose of a drug?

    • Skip the forgotten dose and return to your regular schedule.
    • Do not take 2 doses or an additional dose at the same time.

    How do I store and/or discard this drug?

    • Store at room temperature, protected from light. Store in a dry place. Do not store in the bathroom.
    • Keep all medicines in a safe place. Keep all medicines out of the reach of children and pets. nine0047
    • Dispose of unused or expired drugs. Do not empty into a toilet or sewer unless instructed to do so. If you have any questions about disposing of medicines, ask your pharmacist. Drug disposal programs may be in place in your area.

    General information about drugs

    • If your health does not improve or even worsens, call your doctor. nine0047
    • Do not give your medicine to anyone or take other people's medicine.
    • Some medicines may come with other patient information sheets. If you have questions about this drug, talk with your doctor, nurse, pharmacist, or other health care professional.
    • A separate patient leaflet is included with this product. Please read this information carefully. Reread it each time you refill your supply. If you have any questions about this drug, ask your doctor, pharmacist, or other health care professional. nine0047
    • If you think you have overdosed, call a poison control center or get medical attention right away. Be prepared to tell or show what drug you took, how much, and when it happened.

    Consumer Use of Information and Limitation of Liability

    This summary information includes a summary of the diagnosis, treatment, and/or drug product. It is not intended to be a comprehensive source of data and should be used as a tool to help the user understand and/or evaluate potential diagnostic and treatment options.

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