Zyban

Smoke, Reducing diet, Seasonal Affective Disorder + 5 more

Treatment

4 FDA approvals

20 Active Studies for Zyban

What is Zyban

Bupropion

The Generic name of this drug

Treatment Summary

Bupropion (also known as Wellbutrin®) is a medication used to treat depression, seasonal affective disorder, and to help people quit smoking. It works by preventing the uptake of norepinephrine and dopamine, two important neurotransmitters. It is an atypical antidepressant since it does not have the same effects as other mood medications. Bupropion is less likely to cause sexual side effects, sedation, or weight gain compared to other antidepressants. When used to help people quit smoking, bupropion works by targeting the reward pathways associated with nicotine. It can also be used as an add-on

Wellbutrin

is the brand name

image of different drug pills on a surface

Zyban Overview & Background

Brand Name

Generic Name

First FDA Approval

How many FDA approvals?

Wellbutrin

Bupropion

1986

741

Approved as Treatment by the FDA

Bupropion, also known as Wellbutrin, is approved by the FDA for 4 uses which include Smoke and Smoking Cessation .

Smoke

Smoking Cessation

Depression

Obesity

Used to treat Obesity in combination with Naltrexone

Effectiveness

How Zyban Affects Patients

Bupropion is a drug that is not related to other known antidepressants. It works by blocking the uptake of norepinephrine and dopamine, but not serotonin. It has been found to increase movement and alertness, and could potentially lead to abuse. Taking bupropion can lower the seizure threshold, meaning it should not be taken if you have a pre-existing seizure condition. In addition, it can raise blood pressure, so people with hypertension should be careful if taking this drug. In clinical trials, the mean increase in systolic blood pressure was 1.3 mmHg.

How Zyban works in the body

Bupropion is an antidepressant that works differently than other common antidepressants. It does this by blocking enzymes that would normally take norepinephrine and dopamine away from the brain. This allows these neurotransmitters to stay active in the brain for longer, leading to antidepressant effects. Bupropion is also used to help people quit smoking and to aid in weight loss. In these cases, it works by blocking nicotine receptors and altering reward pathways in the brain that are associated with food intake.

When to interrupt dosage

The proposed measure of Zyban is contingent upon the diagnosed condition, including Depressive Bipolar Disorder, Depression and Disease. The amount also depends on the technique of delivery (e.g. Tablet, extended release or Tablet, film coated, extended release) featured in the table below.

Condition

Dosage

Administration

Obesity

, 174.0 mg, 348.0 mg, 522.0 mg, 150.0 mg, 100.0 mg, 75.0 mg, 200.0 mg, 300.0 mg, 450.0 mg, 90.0 mg, 8.0 mg

, Oral, Tablet, extended release, Tablet, extended release - Oral, Tablet, film coated - Oral, Tablet, film coated, Tablet, film coated, extended release, Tablet, film coated, extended release - Oral, Tablet, Tablet - Oral, Occlusive dressing technique, Tablet, film coated, extended release - Occlusive dressing technique, Tablet - Occlusive dressing technique, Tablet, film coated - Occlusive dressing technique, Kit

Reducing diet

, 174.0 mg, 348.0 mg, 522.0 mg, 150.0 mg, 100.0 mg, 75.0 mg, 200.0 mg, 300.0 mg, 450.0 mg, 90.0 mg, 8.0 mg

, Oral, Tablet, extended release, Tablet, extended release - Oral, Tablet, film coated - Oral, Tablet, film coated, Tablet, film coated, extended release, Tablet, film coated, extended release - Oral, Tablet, Tablet - Oral, Occlusive dressing technique, Tablet, film coated, extended release - Occlusive dressing technique, Tablet - Occlusive dressing technique, Tablet, film coated - Occlusive dressing technique, Kit

Seasonal Affective Disorder

, 174.0 mg, 348.0 mg, 522.0 mg, 150.0 mg, 100.0 mg, 75.0 mg, 200.0 mg, 300.0 mg, 450.0 mg, 90.0 mg, 8.0 mg

, Oral, Tablet, extended release, Tablet, extended release - Oral, Tablet, film coated - Oral, Tablet, film coated, Tablet, film coated, extended release, Tablet, film coated, extended release - Oral, Tablet, Tablet - Oral, Occlusive dressing technique, Tablet, film coated, extended release - Occlusive dressing technique, Tablet - Occlusive dressing technique, Tablet, film coated - Occlusive dressing technique, Kit

Mood Disorders

, 174.0 mg, 348.0 mg, 522.0 mg, 150.0 mg, 100.0 mg, 75.0 mg, 200.0 mg, 300.0 mg, 450.0 mg, 90.0 mg, 8.0 mg

, Oral, Tablet, extended release, Tablet, extended release - Oral, Tablet, film coated - Oral, Tablet, film coated, Tablet, film coated, extended release, Tablet, film coated, extended release - Oral, Tablet, Tablet - Oral, Occlusive dressing technique, Tablet, film coated, extended release - Occlusive dressing technique, Tablet - Occlusive dressing technique, Tablet, film coated - Occlusive dressing technique, Kit

Smoking Cessation

, 174.0 mg, 348.0 mg, 522.0 mg, 150.0 mg, 100.0 mg, 75.0 mg, 200.0 mg, 300.0 mg, 450.0 mg, 90.0 mg, 8.0 mg

, Oral, Tablet, extended release, Tablet, extended release - Oral, Tablet, film coated - Oral, Tablet, film coated, Tablet, film coated, extended release, Tablet, film coated, extended release - Oral, Tablet, Tablet - Oral, Occlusive dressing technique, Tablet, film coated, extended release - Occlusive dressing technique, Tablet - Occlusive dressing technique, Tablet, film coated - Occlusive dressing technique, Kit

Attention Deficit Hyperactivity Disorder

, 174.0 mg, 348.0 mg, 522.0 mg, 150.0 mg, 100.0 mg, 75.0 mg, 200.0 mg, 300.0 mg, 450.0 mg, 90.0 mg, 8.0 mg

, Oral, Tablet, extended release, Tablet, extended release - Oral, Tablet, film coated - Oral, Tablet, film coated, Tablet, film coated, extended release, Tablet, film coated, extended release - Oral, Tablet, Tablet - Oral, Occlusive dressing technique, Tablet, film coated, extended release - Occlusive dressing technique, Tablet - Occlusive dressing technique, Tablet, film coated - Occlusive dressing technique, Kit

Smoke

, 174.0 mg, 348.0 mg, 522.0 mg, 150.0 mg, 100.0 mg, 75.0 mg, 200.0 mg, 300.0 mg, 450.0 mg, 90.0 mg, 8.0 mg

, Oral, Tablet, extended release, Tablet, extended release - Oral, Tablet, film coated - Oral, Tablet, film coated, Tablet, film coated, extended release, Tablet, film coated, extended release - Oral, Tablet, Tablet - Oral, Occlusive dressing technique, Tablet, film coated, extended release - Occlusive dressing technique, Tablet - Occlusive dressing technique, Tablet, film coated - Occlusive dressing technique, Kit

Depression

, 174.0 mg, 348.0 mg, 522.0 mg, 150.0 mg, 100.0 mg, 75.0 mg, 200.0 mg, 300.0 mg, 450.0 mg, 90.0 mg, 8.0 mg

, Oral, Tablet, extended release, Tablet, extended release - Oral, Tablet, film coated - Oral, Tablet, film coated, Tablet, film coated, extended release, Tablet, film coated, extended release - Oral, Tablet, Tablet - Oral, Occlusive dressing technique, Tablet, film coated, extended release - Occlusive dressing technique, Tablet - Occlusive dressing technique, Tablet, film coated - Occlusive dressing technique, Kit

Warnings

Zyban Contraindications

Condition

Risk Level

Notes

Bulimia Nervosa

Do Not Combine

ethanol

Do Not Combine

Hypertensive disease

Do Not Combine

Anorexia Nervosa

Do Not Combine

abrupt cessation of barbiturates

Do Not Combine

Pulse Frequency

Do Not Combine

Pulse Frequency

Do Not Combine

Pulse Frequency

Do Not Combine

Pulse Frequency

Do Not Combine

Epilepsy

Do Not Combine

abrupt cessation of antiepileptic drugs

Do Not Combine

Benzodiazepines

Do Not Combine

Pulse Frequency

Do Not Combine

Anorexia Nervosa

Do Not Combine

Anorexia Nervosa

Do Not Combine

There are 20 known major drug interactions with Zyban.

Common Zyban Drug Interactions

Drug Name

Risk Level

Description

4-Methoxyamphetamine

Major

The metabolism of 4-Methoxyamphetamine can be decreased when combined with Bupropion.

5-methoxy-N,N-dimethyltryptamine

Major

The metabolism of 5-methoxy-N,N-dimethyltryptamine can be decreased when combined with Bupropion.

Acebutolol

Major

The metabolism of Acebutolol can be decreased when combined with Bupropion.

Acetaminophen

Major

The metabolism of Acetaminophen can be decreased when combined with Bupropion.

Almotriptan

Major

The metabolism of Almotriptan can be decreased when combined with Bupropion.

Zyban Toxicity & Overdose Risk

Overdosing on Dilantin can cause seizures, hallucinations, passing out, a rapid heartbeat, and even heart failure.

image of a doctor in a lab doing drug, clinical research

Zyban Novel Uses: Which Conditions Have a Clinical Trial Featuring Zyban?

490 active clinical trials are examining the potential of Zyban to treat Attention Deficit Hyperactivity Disorder, Depression and Smoking Cessation.

Condition

Clinical Trials

Trial Phases

Smoking Cessation

104 Actively Recruiting

Early Phase 1, Phase 4, Not Applicable, Phase 3, Phase 2, Phase 1

Depression

213 Actively Recruiting

Phase 3, Phase 2, Not Applicable, Phase 4, Phase 1, Early Phase 1

Attention Deficit Hyperactivity Disorder

63 Actively Recruiting

Not Applicable, Phase 3, Phase 4, Phase 1, Phase 2

Obesity

45 Actively Recruiting

Phase 2, Not Applicable, Phase 4, Phase 3, Phase 1

Mood Disorders

16 Actively Recruiting

Early Phase 1, Phase 2, Phase 4, Not Applicable, Phase 1, Phase 3

Seasonal Affective Disorder

0 Actively Recruiting

Smoke

0 Actively Recruiting

Reducing diet

0 Actively Recruiting

Zyban Reviews: What are patients saying about Zyban?

5

Patient Review

8/2/2014

Zyban for Stop Smoking

I smoked for 15 years before trying this medication to quit. Just five days after starting the regimen, I was able to put down cigarettes for good. The first few days were tough in that I would have sudden cravings; however, these only lasted a few seconds and mints helped me get through them. By the fourth day, I felt fine being around smokers without any sort of side effects from the drug.

5

Patient Review

7/29/2018

Zyban for Nicotine Addiction

I had tried to quit smoking many times before, but Zyban was the first treatment that actually worked for me. I've been smoke-free for over 12 years now.

5

Patient Review

6/28/2015

Zyban for Stop Smoking

After 46 years of smoking, I was finally able to quit with this treatment. It's been 50 days now and I'm feeling great. The cravings are gone and I've saved so much money.

5

Patient Review

7/3/2015

Zyban for Stop Smoking

I've been taking zyban for a week now, and I still feel sick in the mornings. But I can say that I don't think about smoking cigarettes anymore. I'm hopeful that this time I will be able to quit for good.

5

Patient Review

10/16/2014

Zyban for Stop Smoking

I had been smoking for thirty years and had failed to quit many times before. This treatment really helped me finally kick the habit.

5

Patient Review

9/4/2015

Zyban for Nicotine Addiction

I used this treatment as directed for less than a month, and it's been 17 years since I've smoked.

5

Patient Review

11/22/2019

Zyban for Depression

Zyban was a great change from Lexapro for me. Not only did it help my sex drive, but I had so much more energy in general. The only downside is that it's quite a bit more expensive than other options.

5

Patient Review

9/25/2016

Zyban for Nicotine Addiction

I quit smoking cigarettes 19 years ago when nicotine replacement therapy first came out, and I've never looked back. The smell of cigarettes now repulses me.

5

Patient Review

11/26/2018

Zyban for Nicotine Addiction

Zyban was prescribed to me 15 years ago and I'm still smoke-free. There are the occasional moments where I miss smoking, but Zyban has helped me immensely in avoiding nicotine cravings.

5

Patient Review

8/12/2019

Zyban for Stop Smoking

This drug was integral in helping me quit smoking after my heart attack. It's been eight years now, and I haven't looked back.

4.7

Patient Review

5/2/2013

Zyban for Stop Smoking

Zyban has been a total game-changer for me. As somebody who has smoked for nearly 50 years, I have tried countless times to quit smoking. This is by far the most effective method I've used yet - and with hardly any negative side effects!

4.3

Patient Review

8/25/2022

Zyban for Stop Smoking

Zyban was really effective for me and helped me quit smoking after 25 years. The only downside was that it caused insomnia, for which I had to take a sleep aid. Otherwise, it was great!

2.3

Patient Review

7/22/2014

Zyban for Depression

I experienced a range of negative side effects from this treatment, including but not limited to: mood swings, insomnia, aggressiveness, anxiety, headaches, worsened hot flashes, blurred vision, hostility, urinary problems, high blood pressure ringing of the ears dry mouth paranoia nausea swollen glands fatigue sore throat stomach pain and joint pain.

2.3

Patient Review

1/11/2022

Zyban for Stop Smoking

While Zyban did help me quit smoking, it also put me into an unbelievable depression that forced my wife to close up my business. I was unable to work for three years as a result. I do not recommend this product to anyone looking to quit smoking.

2

Patient Review

7/24/2022

Zyban for Stop Smoking

So far, I'm not a fan. I've been taking them for depression and to stop smoking, but they've made me really angry – way more than before. I'm also sweating all the time, have blurry vision and loss of appetite. If anything, I feel more depressed now.
image of drug pills surrounding a glass of water symbolizing drug consumption

Patient Q&A Section about zyban

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

What's the side effects of Zyban?

"Side effects such as dizziness, drowsiness, nausea, diarrhea, fatigue, constipation, blurred vision, increased sweating, strange taste in mouth, or stomach pain may occur. If any of these effects persist or worsen, you should notify your doctor or pharmacist."

Answered by AI

Is Zyban and Wellbutrin the same thing?

"Zyban and Wellbutrin are both drugs that come from the antidepressant bupropion. The major difference between the two drugs is their purpose. Zyban is used to help people quit smoking cigarettes, while Wellbutrin is used to manage major depression and seasonal affective disorder."

Answered by AI

Can you smoke while taking Zyban?

"The benefits of taking Zyban include its easy administration and the lack of nicotine which prevents toxicity."

Answered by AI

What is Zyban prescribed for?

"ZYBAN is a medicine that your doctor prescribes to help you stop smoking. ZYBAN is different than nicotine replacement treatments; instead, it is thought to act in the brain to decrease cravings. For many patients, ZYBAN reduces withdrawal symptoms and the urge to smoke."

Answered by AI

Clinical Trials for Zyban

Image of Centre for Addiction and Mental Health in Toronto, Canada.

Psilocybin-Assisted Therapy for Depression and Alcoholism

18 - 65
All Sexes
Toronto, Canada

The goal of this clinical trial is to determine the safety and efficacy of psilocybin assisted Therapy (PAT) in individuals with comorbid Major Depressive Disorder (MDD) and Alcohol Use Disorder (AUD). The main question it aims to answer is: \- What is the feasibility and safety of administering PAT in adults with MDD-AUD by evaluating recruitment, retention, tolerability, and safety? Researchers will compare the psilocybin (25 mg) and placebo groups to see if there are any significant differences in frequency of dropouts or serious adverse events. Participants will: * be randomized to receive either psilocybin (25 mg) or placebo * visit the site (in-person and remotely) for a total of 14 times to complete study tasks * receive psilocybin-assisted therapy (PAT) at five various timepoints

Phase 2
Waitlist Available

Centre for Addiction and Mental Health

Image of Sunnybrook Health Sciences Centre in Toronto, Canada.

Ketogenic Diet and Neuromodulation for Depression

18 - 65
All Sexes
Toronto, Canada

The goal of this clinical trial is to test whether combining a ketogenic diet (KD) with personalized, accelerated intermittent theta burst stimulation (iTBS) produces greater reductions in depressive symptoms than iTBS combined with a standard healthy diet in adults with treatment-resistant depression. The trial also aims to determine whether participants can feasibly follow a ketogenic diet during an accelerated iTBS treatment course and whether the diet produces measurable changes in ketone levels. Specifically, the study aims to determine whether the combined intervention: 1. Reduces depressive symptoms 2. Increases circulating ketone levels 3. Is feasible and tolerable during accelerated iTBS treatment Participants will begin either a KD or a Canadian Food Guide-aligned diet (CFGD) with a 3-week dietary lead-in period, after which they will undergo a course of personalized, accelerated iTBS while continuing their assigned diet. Before and after the iTBS treatment course, participants will complete clinical assessments, provide blood samples for metabolic testing, and undergo MRI scans to assess brain connectivity. Ketone levels will be measured daily throughout the 12-week dietary intervention. Within-group and between-group differences will be compared to characterize changes in clinical outcomes, metabolism, and brain functioning.

Waitlist Available
Has No Placebo

Sunnybrook Health Sciences Centre

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Lumateperone for Depression and Childhood Trauma

21 - 70
All Sexes
Austin, TX

The purpose of this clinical research study is to understand how effective and safe an investigational study drug called lumateperone is and whether it works to reduce the severity of depressive symptoms in adults with Major Depressive Disorder (MDD) and early life trauma. The main questions it aims to answer are: Aim 1: To assess the efficacy of lumateperone 42 mg administered once daily compared with placebo in the treatment of patients with Major Depressive Disorder and early life abuse. Aim 2: To assess neurocircuitry encoding of threat and reward learning as predictors of lumateperone response and as mechanisms of treatment action, and assess the change from pre-dose to post-dose of task-evoked brain activation.

Phase 4
Waitlist Available

Health Discovery Building

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Psilocybin-assisted CBT for Depression

21 - 60
All Sexes
Los Angeles, CA

The primary objectives of this clinical investigation are to (1) determine the acceptability and feasibility of joining psilocybin-assisted therapy with cognitive-behavioral therapy (PA-CBT) for patients with depression, (2) optimize CBT to most effectively integrate the psilocybin experience with psychotherapy and (3) examine the clinical benefit of psilocybin as an adjunct to cognitive-behavioral therapy (CBT) for major depressive disorder. This study is a randomized, two-arm, fixed dose trial that will test the feasibility, acceptability, and participant and therapist adherence to PA-CBT. Both treatment arms will receive two doses of psilocybin (10mg and then 25mg, separated by one month). In Phase II, participants will be randomized (1:1) to either a 12-session PA-CBT or a 6-session standard psilocybin-assisted therapy (PAT) condition (3 hours of preparation plus 3 hours of supportive therapy integration following the psilocybin experiences).

Phase 1 & 2
Recruiting

UCLA Semel Institute

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