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Before
taking bupropion, tell your doctor and pharmacist if you are allergic
to bupropion or any other medications. do not take bupropion if you are
taking monoamine oxidase (MAO) inhibitors, including phenelzine
(Nardil) and tranylcypromine (Parnate), or have taken them within the
past 14 days. Do not take Wellbutrin, Wellbutrin SR, or Wellbutrin XL
and Zyban together. tell your doctor and pharmacist what other
prescription and nonprescription medications, vitamins, nutritional
supplements, and herbal products you are taking. Be sure to mention any
of the following: amantadine (Symmetrel); beta blockers such as
atenolol (Tenormin), labetalol (Normodyne), metoprolol (Lopressor,
Toprol XL), nadolol (Corgard), and propranolol (Inderal);
cyclophosphamide (Cytoxan, Neosar); diet pills; insulin or oral
medications for diabetes; medications for irregular heartbeat such as
flecainide (Tambocor) and propafenone (Rythmol); medications for mental
illness such as haloperidol (Haldol), risperidone (Risperdal), and
thioridazine (Mellaril); medications for seizures such as carbamazepine
(Tegretol), phenobarbital (Luminal, Solfoton), and phenytoin
(Dilantin); levodopa (Sinemet, Larodopa); nicotine patch; oral steroids
such as dexamethasone (Decadron, Dexone), methylprednisolone (Medrol),
and prednisone (Deltasone); orphenadrine (Norflex); other
antidepressants such as desipramine (Norpramin), fluoxetine (Prozac),
imipramine (Tofranil), nortriptyline (Aventyl, Pamelor), paroxetine
(Paxil) and sertraline (Zoloft); sedatives; sleeping pills; and
theophylline (Theobid, Theo-Dur, others). Your doctor may need to
change the doses of your medications or monitor you carefully for side
effects. tell your doctor if you have or have ever had, or anyone in
your family has or has ever had, depression, bipolar disorder (mood
that changes from depressed to abnormally excited), or mania (frenzied,
abnormally excited mood), or if you have , or anyone in your family
has, thought about or attempted suicide. Also tell your doctor if you
drink large amounts of alcohol or have a drug addiction and if you have
or have ever had seizures; an eating disorder (anorexia, bulimia); head
injury; brain tumor; high blood pressure; liver, kidney, or heart
disease. tell your doctor if you are pregnant, plan to become pregnant,
or are breast-feeding. If you become pregnant while taking bupropion,
call your doctor. you should know that bupropion may make you drowsy.
Do not drive a car or operate machinery until you know how this
medication affects you. minimize or avoid drinking alcoholic beverages
while you are taking bupropion. Alcohol can make the side effects from
bupropion worse. you should know that your mental health may change in
unexpected ways, especially at the beginning of your treatment and at
any time your dose is increased or decreased. These changes may occur
at any time if you have depression or other mental illness, whether or
not you are taking sertraline or any other medication. You, your
family, or your caregiver should call your doctor right away if you
experience any of the following symptoms: new or worsening depression;
thinking about harming or killing yourself, or planning or trying to do
so; extreme worry; agitation; panic attacks; difficulty falling or
staying asleep; irritability; aggressive behavior; acting without
thinking; severe restlessness; and frenzied, abnormal excitement. Be
sure that your family or caregiver knows which symptoms may be serious
so they can call the doctor when you are unable to seek treatment on
your own. |
