No Prescription Meds and Arthritis

Wellbutrin XL (Bupropion XL)

No Prescription Meds and Arthritis » Anti Depressants » Wellbutrin XL (Bupropion XL)

Wellbutrin XL (Bupropion XL) is used for treating depression and seasonal affective disorder (SAD). Wellbutrin XL (Bupropion XL) Extended-Release Tablets are an antidepressant. It works in the brain to treat depression. Exactly how it works is not known.

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About Wellbutrin XL (Bupropion XL):

Product Type: Anti Depressants

Brand name: Wellbutrin XL Generic name: Bupropion XL Wellbutrin XL Extended-Release Tablets are used for: Treating depression and seasonal affective disorder (SAD). It may also be used for other conditions as determined by your doctor. Wellbutrin XL Extended-Release Tablets are an antidepressant. It works in the brain to treat depression. Exactly how it works is not known. Do NOT use Wellbutrin XL Extended-Release Tablets if: • you are allergic to any ingredient in Wellbutrin XL Extended-Release Tablets • you are taking any other medicine that contains bupropion • you have a history of an eating disorder (eg anorexia bulimia) or seizures (eg epilepsy) • you are suddenly stopping the use of alcohol or sedatives (eg benzodiazepines) after long-term use • you are taking or have taken a monoamine oxidase inhibitor (MAOI) (eg phenelzine) within the last 14 days Contact your doctor or health care provider right away if any of these apply to you. Before using Wellbutrin XL Extended-Release Tablets: Some medical conditions may interact with Wellbutrin XL Extended-Release Tablets. Tell your doctor or pharmacist if you have any medical conditions especially if any of the following apply to you: • if you are pregnant planning to become pregnant or are breast-feeding • if you are taking any prescription or nonprescription medicine herbal preparation or dietary supplement • if you have allergies to medicines foods or other substances • if you or a family member has a history of bipolar disorder (manic depression) other mental or mood problems (eg depression) suicidal thoughts or attempts or alcohol or substance abuse • if you have diabetes kidney problems liver problems (eg cirrhosis) high blood pressure heart problems (eg congestive heart failure) or a recent heart attack • if you have a history of seizures a head injury or a tumor in the brain or spinal cord • if you are taking nonprescription weight loss medicines or stimulants Some MEDICINES MAY INTERACT with Wellbutrin XL Extended-Release Tablets. Tell your health care provider if you are taking any other medicines especially any of the following: • Amantadine other antidepressants (eg amitriptyline fluvoxamine) antipsychotics (eg haloperidol risperidone) clopidogrel corticosteroids (eg prednisone) cyclophosphamide efavirenz HIV protease inhibitors (eg nelfinavir) insulin levodopa MAOIs (eg phenelzine) nicotine patches oral hypoglycemics (eg glipizide) orphenadrine sympathomimetics (eg pseudoephedrine) theophylline thiotepa tiagabine or ticlopidine because they may increase the risk of Wellbutrin XL Extended-Release Tablets's side effects • Carbamazepine phenobarbital phenytoin rifampin or ritonavir because they may decrease Wellbutrin XL Extended-Release Tablets's effectiveness • Antiarrhythmics (eg flecainide propafenone) beta-blockers (eg metoprolol) phenothiazines (eg thioridazine) selective serotonin reuptake inhibitor (SSRI) antidepressants (eg fluoxetine) or tricyclic antidepressants (eg nortriptyline) because the risk of their side effects may be increased by Wellbutrin XL Extended-Release Tablets This may not be a complete list of all interactions that may occur. Ask your health care provider if Wellbutrin XL Extended-Release Tablets may interact with other medicines that you take. Check with your health care provider before you start stop or change the dose of any medicine. How to use Wellbutrin XL Extended-Release Tablets: Use Wellbutrin XL Extended-Release Tablets as directed by your doctor. Check the label on the medicine for exact dosing instructions. • Wellbutrin XL Extended-Release Tablets comes with an extra patient information sheet called a Medication Guide. Read it carefully. Read it again each time you get Wellbutrin XL Extended-Release Tablets refilled. • Take Wellbutrin XL Extended-Release Tablets by mouth with or without food. If stomach upset occurs take with food to reduce stomach irritation. • Swallow Wellbutrin XL Extended-Release Tablets whole. Do not break crush divide or chew before swallowing. • Several weeks may pass before your symptoms get better. Do not stop taking Wellbutrin XL Extended-Release Tablets without checking with your doctor. • Take your doses at the same time each day at least 24 hours apart. This may help to decrease the risk of seizures with Wellbutrin XL Extended-Release Tablets. • Continue to take Wellbutrin XL Extended-Release Tablets even if you feel well. Do not miss any doses. • If you miss a dose of Wellbutrin XL Extended-Release Tablets skip the missed dose and go back to your regular dosing schedule. Do not take more than 1 dose within 24 hours. Do not take 2 doses at once. Ask your health care provider any questions you may have about how to use Wellbutrin XL Extended-Release Tablets. Important safety information: • Wellbutrin XL Extended-Release Tablets may cause drowsiness dizziness or blurred vision. These effects may be worse if you take it with alcohol or certain medicines. Use Wellbutrin XL Extended-Release Tablets with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it. • Check with your doctor before you drink alcohol or use medicines that may cause drowsiness (eg sleep aids muscle relaxers) while you are using Wellbutrin XL Extended-Release Tablets; it may add to their effects. Ask your pharmacist if you have questions about which medicines may cause drowsiness. • Wellbutrin XL Extended-Release Tablets may increase your risk of seizures. Your risk may be greater if you also have certain medical conditions use certain medicines or if you use a lot of alcohol. Talk to your doctor to see if you may have a greater risk of seizures while taking Wellbutrin XL Extended-Release Tablets. • If you already drink alcohol or use sedatives do not suddenly stop them without first checking with your doctor. Suddenly stopping them may increase your seizure risk. • Do not take decongestants (eg pseudoephedrine) stimulants or diet pills while you are taking Wellbutrin XL Extended-Release Tablets without first checking with your doctor. They may increase your risk of seizures. • The risk of seizures may be greater if you take Wellbutrin XL Extended-Release Tablets in high doses or for a long time. Do NOT take more than the recommended dose change your dose or use Wellbutrin XL Extended-Release Tablets for longer than prescribed without checking with your doctor. • Children teenagers and young adults who take Wellbutrin XL Extended-Release Tablets may be at increased risk for suicidal thoughts or actions. Watch all patients who take Wellbutrin XL Extended-Release Tablets closely. Contact the doctor at once if new worsened or sudden symptoms such as depressed mood; anxious restless or irritable behavior; panic attacks; or any unusual change in mood or behavior occur. Contact the doctor right away if any signs of suicidal thoughts or actions occur. • You may notice the tablet shell in your stool. This is normal and not a cause for concern. • If you have trouble sleeping you may be taking your dose too close to bedtime. Talk with your doctor about changing your dosing schedule. • Wellbutrin XL Extended-Release Tablets has the same ingredients in it as Zyban a medicine used to help stop smoking and Aplenzin another medicine used to treat depression. Do not take Wellbutrin XL Extended-Release Tablets if you are also taking Zyban or Aplenzin. Discuss any questions or concerns with your doctor. • Use Wellbutrin XL Extended-Release Tablets with caution in the ELDERLY; they may be more sensitive to its effects. • Wellbutrin XL Extended-Release Tablets should be used with extreme caution in CHILDREN; safety and effectiveness in children have not been confirmed. • PREGNANCY and BREAST-FEEDING: If you become pregnant contact your doctor. You will need to discuss the benefits and risks of using Wellbutrin XL Extended-Release Tablets while you are pregnant. Wellbutrin XL Extended-Release Tablets are found in breast milk. Do not breast-feed while taking Wellbutrin XL Extended-Release Tablets. Possible side effects of Wellbutrin XL Extended-Release Tablets: All medicines may cause side effects but many people have no or minor side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome: • Constipation; dizziness; drowsiness; dry mouth; flushing; gas; headache; increased sweating; increased urination; loss of appetite; nausea; nervousness; restlessness; ringing in the ears; stomach pain; taste changes; trouble sleeping; vomiting; weakness; weight changes. Seek medical attention right away if any of these SEVERE side effects occur: • Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth face lips or tongue unusual hoarseness); chest pain; confusion; dark urine; delusions; fainting; fast or irregular heartbeat; fever chills or sore throat; hallucinations; hearing problems or ringing in the ears; menstrual changes; new or worsening mental or mood changes (eg concentration problems depression panic attacks aggressiveness agitation anxiety impulsiveness irritability hostility exaggerated feeling of well-being inability to sit still); pale stools; red swollen blistered or peeling skin; seizures; severe headache or dizziness; severe or persistent joint or muscle pain; severe or persistent nausea vomiting or stomach pain; severe or persistent nervousness restlessness or trouble sleeping; shortness of breath; suicidal thoughts or attempts; tremor; unusual swelling; vision changes; worsening depression; yellowing of the skin or eyes. This is not a complete list of all side effects that may occur. Call your doctor for medical advice about side effects. Proper storage of Wellbutrin XL Extended-Release Tablets: Store Wellbutrin XL Extended-Release Tablets at room temperature between 59 and 86 degrees F (15 and 30 degrees C) in a tight light-resistant container. Store away from heat moisture and light. Do not store in the bathroom. Keep Wellbutrin XL Extended-Release Tablets out of the reach of children and away from pets

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What should I discuss with my healthcare provider before taking Arava? • Before taking Arava tell your doctor if you have liver disease or a history of hepatitis; a history of significant alcohol use; kidney disease; an immune system disease; recently received a live vaccine; poor bone marrow function; or a current or chronic infection. • You may not be able to take Arava or you may require a dosage adjustment or special monitoring during your treatment if you have any of the conditions listed above. • Arava is in the FDA pregnancy category X. There is an increased risk of birth defects and death of the unborn baby while taking Arava. Do not take this medication if you are pregnant or could become pregnant during treatment. Notify your doctor immediately if you think you have become pregnant during treatment. Birth control must be used during treatment with Arava. Discuss with your doctor the procedure for removing Arava from the body following treatment before becoming pregnant. Without the proper drug elimination procedure it may take up to two years before Arava is at sufficiently low levels in the body so as to reduce the risk of harm to an unborn baby. It is not known whether Arava imposes an increased risk of fetal harm when taken by a man. Men wishing to father a child while taking Arava should discuss their options with their doctor. • It is not known whether Arava passes into breast milk. There is a potential for serious side effects in a nursing baby from Arava. Do not take Arava if you are breast-feeding a baby. How should I take Arava? • Take Arava exactly as directed by your doctor. If you do not understand these instructions ask your pharmacist nurse or doctor to explain them to you. • Take each dose with a full glass of water. • Arava can be taken with or without food or milk. • It is important to take Arava regularly to get the most benefit. • Your doctor may want you to have blood tests or other medical evaluations while taking Arava to monitor side effects and progress. • Store Arava at room temperature away from moisture and heat. What happens if I miss a dose? • Take the missed dose as soon as you remember. If it is almost time for your next dose skip the missed dose and only take your next regularly scheduled dose. Do not take a double dose of this medication unless otherwise directed by your doctor. What happens if I overdose? • Seek emergency medical attention if an overdose is suspected. • Symptoms of a Arava overdose may include diarrhea abdominal pain blood problems and liver problems. What should I avoid while taking Arava? • Discuss with your doctor the use of alcohol while taking Arava. Alcohol and Arava can both be damaging to the liver. • Arava can lower the activity of the immune system making you more susceptible to infection. Avoid contact with people who have colds the flu or other contagious illnesses. In addition do not receive vaccines that contain a live strain of the virus (e.g. live oral polio vaccine) and avoid contact with individuals who have recently been vaccinated with a live virus. What are the possible side effects of Arava? • If you experience any of the following serious side effects stop taking Arava and seek medical treatment or contact your doctor immediately: an allergic reaction (difficulty breathing; closing of the throat; swelling of the lips tongue or face; or hives); changes in liver function (may be detected by blood tests or cause symptoms such as yellowing of the skin or eyes; pale colored stools or dark colored urine; unusual fatigue; or abdominal pain); decreased bone marrow function or blood problems (may be detected by blood tests or cause symptoms such as extreme or unusual fatigue; easy bruising or bleeding; black bloody or tarry stools; fever or chills; or signs of infection such as fever; chills or sore throat); or skin rash; or sores in the mouth. • Other less serious side effects may be more likely to occur. Continue to take Arava and talk to your doctor if you experience headache; increased blood pressure; muscle aches; nausea; diarrhea; or hair loss. • Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome. What other drugs will affect Arava? • Before taking Arava tell your doctor if you are taking any of the following drugs: cholestyramine (Questran Prevalite LoCHOLEST); methotrexate (Rheumatrex); or rifampin (Rifadin Rimactane). • You may not be able to take Arava or you may require a dosage adjustment or special monitoring during treatment if you are taking any of the medicines listed above. • Drugs other than those listed here may also interact with Arava. 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