Title |
Two acute psychotic episodes after administration of bupropion: a case of involuntary rechallenge
|
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Published in |
International Journal of Clinical Pharmacy, November 2008
|
DOI | 10.1007/s11096-008-9272-x |
Pubmed ID | |
Authors |
Hervé Javelot, Alexandre Baratta, Luisa Weiner, Thierry Javelot, Cathy Nonnenmacher, Jean-Frédéric Westphal, Michaël Messaoudi |
Abstract |
Bupropion is an antidepressant drug also used as a smoking cessation aid, which inhibits norepinephrine and dopamine re-uptake. Given its pharmacological properties, it has been associated with reports on psychosis and acute delirious episodes. Case We report the case of a patient with schizoaffective disorder who developed two psychotic episodes respectively after a four and a two-day administration of sustained-release (SR) bupropion at a dose of 150 mg/day. To our knowledge, this is the first reported case of involuntary rechallenge with bupropion SR during a smoking cessation program. Conclusion There is a serious risk of incorrectly identifying bupropion as only a therapy for nicotine withdrawal without taking the precaution of exploring possible psychiatric co-morbidity with addiction. Our case illustrates the problem. |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Unknown | 23 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Other | 5 | 22% |
Student > Ph. D. Student | 3 | 13% |
Student > Doctoral Student | 3 | 13% |
Student > Master | 3 | 13% |
Researcher | 2 | 9% |
Other | 1 | 4% |
Unknown | 6 | 26% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 6 | 26% |
Psychology | 4 | 17% |
Agricultural and Biological Sciences | 2 | 9% |
Social Sciences | 2 | 9% |
Unspecified | 1 | 4% |
Other | 3 | 13% |
Unknown | 5 | 22% |