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Quitar
Quitar (bupropion) is an atypical antidepressant primarily used for the treatment of major depressive disorder (MDD) and to aid in smoking cessation. It works on neurotransmitters in the brain, specifically norepinephrine and dopamine, helping to improve mood and reduce cravings for nicotine.
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Frequently Asked Questions
How quickly does Quitar start to work?
Patients may begin to notice improvements in mood within 1 to 2 weeks, but it may take several weeks for the full effects to be seen.
Can I use Quitar while pregnant or breastfeeding?
Consult your healthcare provider before using Quitar if you are pregnant, planning to become pregnant, or breastfeeding to assess any potential risks.
Are there any specific dietary restrictions while using Quitar?
There are no specific dietary restrictions associated with the use of Quitar, but patients should avoid alcohol due to its potential interactions.
What should I do if I miss a dose of Quitar?
If you miss a dose, take it as soon as you remember. If it’s close to the time for your next scheduled dose, skip the missed dose and continue with your regular schedule. Do not double up on doses.
Is Quitar safe for long-term use?
Quitar is generally considered safe for long-term use under medical supervision for managing depression and aiding smoking cessation. Regular follow-ups with a healthcare provider are important to monitor effectiveness and any potential side effects.
Comprehensive Drug Guide
How Does Quitar Work?
- Inhibiting the reuptake of norepinephrine and dopamine: This action increases the availability of these neurotransmitters in the brain, which helps improve mood and reduce depressive symptoms.
Common Dosages
- Tablets: Common strengths include 100 mg, 150 mg, and 300 mg.
Typical Dosing
- For major depressive disorder: The usual starting dose is 150 mg once daily, which may be increased to 300 mg daily after several days based on response and tolerability.
- For smoking cessation: The dosing may vary but often starts at 150 mg once daily for the first three days, then increasing to 150 mg twice daily.
Typical Dosing
FDA Approved Indications
- Treatment of major depressive disorder (MDD).
- Smoking cessation as an aid to help people quit smoking.
Who Shouldn't Take Quitar?
- Known hypersensitivity to bupropion or any components of the formulation.
- A history of seizure disorders or eating disorders (e.g., bulimia or anorexia nervosa) due to an increased risk of seizures.
Advice From The Pharmacist
- Instruct patients to take Quitar as prescribed and to follow up regularly with their healthcare provider for monitoring.
- Advise patients to be aware of potential side effects, including insomnia, dry mouth, and anxiety, and to report any severe or unusual symptoms.
- Discuss the importance of adherence to the dosing schedule to prevent missed doses, especially during the initial treatment phase.
Side Effects of Quitar
Common Side Effects
- Insomnia or difficulty sleeping
- Dry mouth
- Dizziness
- Increased sweating
Uncommon/Severe Side Effects
- Seizures (especially if the dosage is exceeded).
- Severe allergic reactions (such as rash, itching, or difficulty breathing).
Risks and Warnings of Quitar
- Seizure Risk: The risk of seizures increases with higher doses; therefore, it is essential to adhere to prescribed dosages.
- Mood Changes: Monitor for any worsening of mood or emergence of suicidal thoughts, especially in younger patients.
Interactions with Quitar
Common Drug Interactions
- Other Medications: Patients should inform their healthcare provider about all medications they are taking, particularly those that lower the seizure threshold or affect serotonin levels.
Alternatives to Quitar
- Other Antidepressants: Alternatives may include SSRIs (selective serotonin reuptake inhibitors) such as fluoxetine or sertraline, or SNRIs (serotonin-norepinephrine reuptake inhibitors) depending on the specific condition and individual patient needs.
