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Bupron SR

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Bupron SR (bupropion) is an aminoketone antidepressant used to treat major depressive disorder and aid in smoking cessation. It works by stabilizing the balance of neurotransmitters like norepinephrine and dopamine in the brain. Bupron SR provides a sustained-release formulation that assists adults in managing mood and reducing nicotine withdrawal symptoms.


Ingredient
Availability
In Stock
Delivery Time
Airmail (14-21 days) | EMS trackable (5-9 days)
Product is shipped in a fully discreet envelope with no content disclosure, including all required documentation inside

Product Sheet

Active Ingredient(s)
Bupropion
Reference Brand
Zyban
Manufacturer
Sun Pharma
Product Form
Sustained-release tablet
Regulatory Classification
Rx
Primary Category
Smoking Cessation, Antidepressant
Product Category
Nervous System, Psychoanaleptics, Other Antidepressants
Pharmacological Class
Norepinephrine-Dopamine Reuptake Inhibitor (NDRI)
Manufacturer Description
A medication primarily used in the UK to help people stop smoking by reducing withdrawal symptoms and cravings.
Mechanism of Action
Bupropion works by increasing the levels of dopamine and norepinephrine in the brain. In smoking cessation, this helps to reduce nicotine withdrawal symptoms and cravings by mimicking some of the effects of nicotine on the brain's reward system.
Route of Administration
Oral
Onset Time
Starts working in 1-2 weeks
Duration
12-24 hours
Contraindications
Seizure disorders (epilepsy), Eating disorders (anorexia/bulimia), Abrupt alcohol withdrawal, Brain tumour
Severe Adverse Events
Seizures, Severe hypertension, Suicidal thoughts, Psychosis
Common Side Effects
Dry mouth, Insomnia, Headache
Uncommon Side Effects
Tremor, Agitation, Sweating, Constipation, Taste disturbances
Drug Interactions
MAO inhibitors, Theophylline, Steroids, Antipsychotics, Levodopa
Pregnancy Safety Warnings
Not recommended during pregnancy or breastfeeding.
Age Restrictions
Not for use under 18 years
Storage Guidelines
Store at room temperature in a dry place.
Related Products
Champix (Varenicline), Nicotine Replacement Therapy

Bupron SR FAQ

Can Bupron SR be taken with other antidepressants?

Combining bupropion with other antidepressants is possible but should only be done under close medical supervision. Certain combinations (e.g., with monoamine-oxidase inhibitors) are contraindicated, while others may increase the risk of serotonin syndrome or seizures if not carefully managed.

What should I do if I experience insomnia while on Bupron SR?

Take the tablet in the morning with breakfast and avoid evening dosing. Reducing caffeine intake and establishing a regular sleep routine can also help. If insomnia persists, contact your prescriber for possible dose adjustment.

Is there a risk of weight loss while using Bupron SR?

Bupropion can suppress appetite, leading to modest weight loss in some individuals. Monitor your weight regularly, and discuss any significant changes with your healthcare provider.

How long does it take for Bupron SR to start helping with smoking cravings?

Patients often notice a reduction in cravings within the first week of therapy, although full benefit typically emerges after 2-3 weeks of consistent dosing.

Can I drink alcohol while using Bupron SR?

Moderate alcohol consumption is generally permissible, but excessive drinking raises the risk of seizures. It is safest to limit alcohol intake, especially during the initial treatment phase.

What are the signs of a serious allergic reaction to Bupron SR?

Look for skin rash, itching, swelling (especially of the face, lips, or tongue), and difficulty breathing. Seek emergency medical care immediately if these symptoms develop.

Do I need to have my blood pressure monitored while on Bupron SR?

Yes. Bupropion can increase blood pressure, so baseline and periodic measurements are recommended, particularly for patients with a history of hypertension.

Is it safe to use Bupron SR during breastfeeding?

Bupropion passes into breast milk; therefore, breastfeeding mothers should discuss the potential risks and benefits with their doctor before continuing therapy.

How should I store Bupron SR if I travel abroad?

Keep the medication in its original container, sealed, and at ambient temperature. Avoid leaving it in a hot car or exposed to direct sunlight. Carry a copy of the prescription in case customs officials request documentation.

What is Bupron SR?

Bupron SR is a brand-name medication that contains bupropion as its sole active ingredient. It is supplied as a 150 mg sustained-release (SR) pill. In the United Kingdom, Bupron SR is a prescription-only medicine (POM) regulated by the Medicines and Healthcare products Regulatory Agency (MHRA). Bupropion belongs to the antidepressant class of drugs and is also used in the treatment of nicotine dependence.

The formulation is designed to release the drug gradually over several hours, allowing once-daily or twice-daily dosing while reducing the likelihood of peaks that can cause side effects. Although the specific manufacturer of Bupron SR is not detailed here, the active component, bupropion, is widely recognized under other brand names such as Wellbutrin (depression) and Zyban (smoking cessation).

How Bupron SR Works in the Body

Bupropion is classified as a norepinephrine-dopamine reuptake inhibitor (NDRI). By blocking the transport proteins that normally remove norepinephrine and dopamine from nerve synapses, the drug increases the concentration of these neurotransmitters in the central nervous system.

  • Dopamine: Enhances motivation, pleasure, and attention, which contributes to its antidepressant effect and helps reduce cravings for nicotine.
  • Norepinephrine: Improves alertness and energy, supporting mood elevation.

The sustained-release formulation allows a smoother rise in blood concentration, typically reaching peak levels 3-5 hours after ingestion and maintaining therapeutic levels for up to 12 hours. Bupropion is metabolised primarily by the liver enzyme CYP2B6 into active metabolites that also inhibit reuptake, extending its clinical activity.

Conditions Treated by Bupron SR

Bupron SR is approved in the UK for two main therapeutic uses:

  1. Major Depressive Disorder (MDD) - as an alternative to serotonergic antidepressants, especially when patients experience sexual side effects, weight gain, or sedation with other agents.
  2. Smoking Cessation - to reduce nicotine cravings and withdrawal symptoms in adults who wish to quit smoking.

Both indications rely on the same pharmacological action of increasing dopamine and norepinephrine, which helps lift mood and diminish the rewarding effects of nicotine.

Evidence-Based Off-Label Uses

| Off-label indication | Evidence level | Key points | |-|-|| | Attention-Deficit/Hyperactivity Disorder (ADHD) | Moderate (randomised controlled trials) | Bupropion improves attention and reduces impulsivity; used when stimulant medications are unsuitable. | | Seasonal Affective Disorder (SAD) | Low-moderate (open-label studies) | May alleviate winter-time depressive symptoms due to its dopaminergic activity. | | Sexual dysfunction secondary to SSRI therapy | Low (case series) | Can counteract SSRI-induced loss of libido, but should be supervised closely. |

All off-label uses are not approved by the MHRA and must be prescribed only after a risk-benefit assessment by a qualified clinician.

Who Should Use Bupron SR? - Contra-indications

Absolute contraindications

  • Known hypersensitivity to bupropion or any excipients in the pill.
  • Current or recent (within 14 days) use of monoamine-oxidase inhibitors (MAOIs), including linezolid or methylene blue.
  • Seizure disorder or a history of seizures.
  • Bulimia nervosa or anorexia nervosa (significant electrolyte disturbances increase seizure risk).
  • Pregnancy - bupropion is classified as Category B3 in the UK; it should be avoided unless the benefit clearly outweighs the risk.

Relative contraindications

  • Uncontrolled hypertension (blood pressure > 150/90 mmHg).
  • Severe hepatic impairment (Child-Pugh C) - dose adjustment may be required.
  • Renal impairment with estimated glomerular filtration rate (eGFR) < 30 mL/min; consider dose reduction.

Special populations

  • Breastfeeding: Bupropion passes into breast milk; mothers should discuss risks with their doctor.
  • Elderly: Start at the lowest dose (150 mg once daily) and monitor for insomnia, agitation, or falls.

Safety Profile: Side Effects and Interactions

Common Side Effects

  • Insomnia or difficulty sleeping
  • Dry mouth
  • Headache
  • Nausea or abdominal discomfort
  • Tremor or shakiness
  • Constipation
  • Dizziness

These reactions are generally mild and improve after the first few weeks of treatment.

Serious Adverse Events

  • Seizures - risk increases with higher doses, rapid dose escalation, or in the presence of the contraindications listed above.
  • Hypertension - monitor blood pressure regularly, especially in patients with a prior history.
  • Allergic reactions - rash, swelling, or anaphylaxis require immediate medical attention.
  • Suicidal thoughts - as with all antidepressants, monitor for worsening mood or emergent suicidal ideation, particularly during the initial weeks.

Drug Interactions

  • MAO inhibitors - contraindicated; must be stopped at least 14 days before starting bupropion.
  • CYP2B6 inhibitors (e.g., clopidogrel, ticlopidine, esomeprazole) - can raise bupropion levels, potentially increasing seizure risk.
  • CYP2B6 inducers (e.g., carbamazepine, phenytoin, rifampicin) - may reduce efficacy.
  • Drugs that lower seizure threshold - tramadol, tramadol-containing combinations, antipsychotics with high pro-convulsant potential, and some antidepressants (e.g., tricyclics).
  • Warfarin - limited data; periodic INR monitoring is prudent if co-prescribed.

Food and Lifestyle Interactions

  • Alcohol - excessive intake adds to seizure risk; limit or avoid heavy drinking.
  • Smoking - nicotine induces CYP2B6; quitting smoking can increase bupropion plasma concentrations, so dose adjustments may be needed after cessation.
  • Driving - bupropion can cause dizziness or insomnia; patients should assess personal tolerance before operating machinery.

How to Take Bupron SR

  • Standard dosing for depression: 150 mg SR tablet taken once daily in the morning. Some clinicians may increase to 150 mg twice daily (morning and early afternoon) after at least 3 days, if additional symptom control is required and tolerability is confirmed.
  • Standard dosing for smoking cessation: Begin with 150 mg once daily for the first 3 days, then increase to 150 mg twice daily for the remaining 7-12 weeks.

Administration tips

  • Swallow the tablet whole with a full glass of water. Do not crush, chew, or split the sustained-release tablet.
  • The pill may be taken with or without food; taking it with breakfast can reduce insomnia.
  • If a dose is missed, take it as soon as remembered provided it is at least 8 hours before the next scheduled dose. Do not double-dose.

Overdose

  • Symptoms may include seizures, rapid heart rate, tremor, or severe nausea.
  • Seek emergency medical care immediately; supportive care and, if needed, benzodiazepines for seizure control are the mainstays of treatment.

Discontinuation

  • No taper is required for the 150 mg dose, but abrupt cessation may lead to return of depressive symptoms or nicotine cravings. Discuss a plan with your prescriber if you wish to stop.

Monitoring and Follow-Up

  • Blood pressure: Check at baseline, after 2 weeks, and periodically thereafter, especially for smokers.
  • Mood assessment: Use a validated scale (e.g., PHQ-9) at baseline and every 4 weeks to gauge response.
  • Seizure vigilance: Patients with risk factors should be educated on recognising early warning signs.
  • Renal/hepatic function: Assess liver enzymes and renal function before initiating therapy in patients with known organ disease; repeat as clinically indicated.

Regular follow-up appointments enable dose optimisation and early detection of adverse effects.

Storage and Handling

  • Store at room temperature (15-30 °C), protected from light and moisture.
  • Keep the bottle tightly closed and out of reach of children.
  • Do not use the medication after the expiry date printed on the packaging.
  • Dispose of unused tablets via a pharmacy take-back scheme or according to local waste-medicine guidelines.

Medication-Specific Glossary

Sustained release (SR)
A tablet formulation that releases the active drug gradually over an extended period, allowing fewer daily doses.
Seizure threshold
The level of neural excitability at which a seizure is triggered; certain drugs lower this threshold, increasing seizure risk.
CYP2B6
A liver enzyme that metabolises bupropion; inhibitors raise drug levels, while inducers lower them.

Medical Disclaimer

This article provides educational information about Bupron SR and is not a substitute for professional medical advice. Treatment decisions, including use for unapproved indications, must be made under the guidance of a qualified healthcare provider. The content is intended for informational purposes and does not constitute medical recommendations. Always consult a physician before starting, stopping, or changing any medication regimen.

Information for Bupron SR is sourced from established medical standards and updated frequently. It is provided for general guidance and should be confirmed with a healthcare professional before use.
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