Sections
Background | Clinical Use | Contraindications | Risks, Side Effects, and Their Management | Overdose | Drug Interactions
Excerpt
Bupropion facilitates dopamine transmission; thus, many clinicians
preferentially use this agent for depressed patients with Parkinson's
disease. The fact that dopamine is integrally related to the brain's
reward mechanisms, which are stimulated by nicotine and other addictive
substances, has provided the theoretical underpinning for recent
research indicating that bupropion is an effective aid in smoking
cessation. Placebo-controlled trials involving nondepressed, chronic
cigarette smokers found a dose-dependent increase in the percentage
of patients able to achieve abstinence. Individuals receiving 300
mg/day of bupropion were able to sustain abstinence longer
than those receiving 150 mg/day, and results achieved by
patients given bupropion were superior to those achieved in the
placebo groups. Bupropion is being marketed under the name Zyban
as a tool for smoking cessation (Zyban 2005).