Wellbutrin, also known by its generic name, bupropion, is a treatment used for major depressive disorder in adults. It can also be used to treat seasonal affective disorder, attention-deficit/hyperactivity disorder, and depression caused by bipolar disorder.
Wellbutrin affects the levels of different neurotransmitters such as dopamine and norepinephrine, which control processes like blood pressure, heart rate, and sleep. It has been found to increase the time spent in rapid eye movement (REM) sleep, the deep sleep stage in which dreams occur. However, it also leads to lower-quality sleep with more disruptions, which may increase the risk of heart disease.
Wellbutrin has several forms, including Wellbutrin, Wellbutrin SR (sustained release), and Wellbutrin XL (extended release), each with different dosing schedules. The best option for those who experience insomnia may be to take Wellbutrin XL in the morning, as the drug levels in the body drop by night, reducing the likelihood of insomnia.
Characteristics | Values |
---|---|
Effect on REM sleep | Wellbutrin XL has been found to increase REM sleep latency |
Effect on sleep quality | Wellbutrin XL has been found to improve sleep quality |
Effect on sleep continuity | Wellbutrin XL has been found to have no significant effect on sleep continuity |
Effect on sleep architecture | Wellbutrin XL has been found to have no significant effect on sleep architecture |
Effect on sleep initiation | Wellbutrin XL has been found to increase sleep initiation |
Effect on sleep maintenance | Wellbutrin XL has been found to have no significant effect on sleep maintenance |
What You'll Learn
Wellbutrin and REM sleep: Does it increase or decrease REM sleep?
Wellbutrin is the brand name for the drug bupropion hydrochloride, which is used to treat major depressive disorder. It is available in three oral formulations: immediate release (IR), administered three times daily; sustained release (SR), administered twice daily; and extended/modified release (XR), administered once daily. All three formulations are bioequivalent in terms of systemic exposure to bupropion.
When it comes to the effects of Wellbutrin on REM sleep, there have been conflicting findings. Some studies have shown that Wellbutrin increases REM latency, which is the time it takes to enter REM sleep. This means that it takes longer for a person taking Wellbutrin to enter the REM stage of sleep. On the other hand, other studies have found no significant effects on REM sleep, with one study specifically stating that Wellbutrin does not suppress REM sleep.
One study found that responders to a single dose of Wellbutrin SR showed an increase in REM latency, while non-responders showed a decrease. This suggests that the effects of Wellbutrin on REM sleep may be related to individual responses to the medication. Additionally, it has been suggested that the effects of Wellbutrin on REM sleep may be due to its mechanism of action as a dopamine-norepinephrine reuptake inhibitor.
Overall, while there is some evidence that Wellbutrin may increase REM latency, the findings are mixed, and more research is needed to definitively conclude whether Wellbutrin increases or decreases REM sleep.
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How does Wellbutrin affect sleep quality?
Wellbutrin, also known by its generic name, bupropion, is a treatment used for several mental health conditions, including major depressive disorder, seasonal affective disorder, attention-deficit/hyperactivity disorder, and bipolar disorder-induced depression. While the exact mechanism of the drug is not yet fully understood, it is believed to affect the levels of neurotransmitters such as dopamine and norepinephrine, which play a role in regulating mood, focus, and sleep.
Wellbutrin has been found to affect sleep quality in several ways. One study found that people taking Wellbutrin spent more time in rapid eye movement (REM) sleep, the stage in which dreams occur. However, the same study also showed that Wellbutrin led to lower-quality sleep with more disruptions, potentially increasing the risk of heart disease in the future. Overall, nearly one in five people who take Wellbutrin experience insomnia.
Wellbutrin's effect on sleep may be related to its impact on REM sleep. Some studies have found that Wellbutrin increases REM latency, which is the time it takes to enter REM sleep. This increase in REM latency has been linked to a positive response to antidepressant treatment. However, the drug does not appear to suppress REM sleep or increase the risk of REM sleep disorders.
Wellbutrin's impact on sleep may also be influenced by the formulation and dosage. The standard Wellbutrin tablets, taken three to four times a day, are more likely to cause insomnia compared to the sustained-release (Wellbutrin SR) or extended-release (Wellbutrin XL) formulations. Taking Wellbutrin earlier in the day or opting for the extended-release formulation may help reduce insomnia.
While Wellbutrin can affect sleep quality, it is important to note that it does not seem to impair sleep continuity parameters and may even improve sleep architecture in people with depression. Depression is associated with changes in sleep architecture, including increased REM latency and density. Wellbutrin has been found to reverse these changes, which may contribute to its effectiveness as an antidepressant.
In summary, Wellbutrin can affect sleep quality by increasing time spent in REM sleep and disrupting sleep continuity. However, it does not appear to suppress REM sleep or increase the risk of REM sleep disorders. The impact of Wellbutrin on sleep may depend on individual factors, formulation, and dosage. Wellbutrin's effects on sleep architecture and its potential link to improved antidepressant response warrant further investigation.
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What are the side effects of Wellbutrin?
Wellbutrin, also known by its generic name, bupropion, is an antidepressant medication used to treat mental health conditions like depression and seasonal affective disorder. It is also sometimes used "off-label" to help people stop smoking or to treat attention-deficit/hyperactivity disorder (ADHD), depression caused by bipolar disorder, obesity, or sexual function.
Wellbutrin affects the levels of different neurotransmitters (brain chemicals) such as dopamine and norepinephrine, which in turn control processes in the body like blood pressure, heart rate, and sleep. By changing neurotransmitter levels, Wellbutrin may affect sleep processes. One study found that people who took this drug spent more time in rapid eye movement or REM sleep—the deep sleep stage in which dreams occur. However, this study also showed that Wellbutrin led to lower-quality sleep with more disruptions. Researchers concluded that Wellbutrin could disrupt sleep in a way that increases a person’s risk of heart disease in the future. Overall, nearly one out of five people who take Wellbutrin experience insomnia.
- Mood changes, including agitation
- Severe mental health changes like confusion, hallucinations, and aggression
- Eye problems, like angle-closure
- Suicidal thoughts or behavior
- Tremors, or shakiness
- Agitation, mania, and other unusual behaviors
- Dry mouth
- Constipation
- Increased sweating
- Dizziness
- Sleeping problems (insomnia)
- Loss of appetite and weight loss
- Nausea and vomiting
- Headaches
Wellbutrin may also cause more serious side effects, including seizures and an increased risk of suicidal thoughts and behaviors. It may also cause some people to have suicidal thoughts and tendencies, or to become more depressed.
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What are the recommended dosages of Wellbutrin?
Wellbutrin (bupropion hydrochloride) is a brand-name drug prescribed for certain types of depression in adults. It is available in sustained-release (SR) or extended-release (XL) oral tablets and is typically taken once or twice per day. The recommended starting dose is 200 mg per day, given as 100 mg twice daily. After 3 days, the dose may be increased to 300 mg per day, given as 100 mg three times a day, with at least 6 hours between doses. The maximum dose is 450 mg per day, given in divided doses of not more than 150 mg each.
Wellbutrin SR is available in three strengths: 100 mg, 150 mg, and 200 mg. Wellbutrin XL is available in two strengths: 150 mg and 300 mg.
If your doctor prescribes Wellbutrin XL for your depression, your starting dose will likely be 150 mg. Typically, you’ll take this once per day when you first wake up. After at least 4 days, your doctor may recommend increasing your dosage to 300 mg per day. This is the typically recommended dosage of Wellbutrin XL for depression.
If your doctor prescribes Wellbutrin SR for your depression, your starting dose will also likely be 150 mg. Typically, you’ll take this once per day when you first wake up. After 3 days, your doctor may increase your dosage to 150 mg twice per day. If this dose isn’t effective, your doctor may recommend another dose increase, up to 200 mg twice per day to treat your depression. This is the maximum recommended dose of Wellbutrin SR.
Wellbutrin XL is also approved to help prevent seasonal affective disorder (SAD) in adults. In this case, the recommended starting dose is 150 mg. You’ll usually take this once per day. After 7 days, your doctor may recommend increasing your daily dose to 300 mg.
Wellbutrin SR and XL release medication slowly over time in your body. Wellbutrin isn’t available in an immediate-release form. However, all three forms are available in a generic version.
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How does Wellbutrin affect people with insomnia?
Wellbutrin, also known by its generic name, bupropion, is a treatment used for several mental health conditions, including major depressive disorder, seasonal affective disorder, attention-deficit/hyperactivity disorder (ADHD), and bipolar disorder-induced depression. While Wellbutrin is a useful antidepressant, it can also lead to or worsen sleeping problems, including insomnia, in nearly one out of five people who take it.
Wellbutrin affects the levels of different neurotransmitters, such as dopamine and norepinephrine, which control processes like blood pressure, heart rate, and sleep. By changing these neurotransmitter levels, Wellbutrin may disrupt sleep. For example, one study found that people who took Wellbutrin spent more time in rapid eye movement (REM) sleep, the deep sleep stage where dreams occur. However, this same study also showed that Wellbutrin led to lower-quality sleep with more disruptions, suggesting that it could increase a person's risk of heart disease in the future.
Wellbutrin comes in several forms, each with different dosing schedules. These include Wellbutrin, which is taken three to four times a day, several hours apart; Wellbutrin SR (sustained release), taken twice a day, with doses at least eight hours apart; and Wellbutrin XL (extended release), taken once a day. The best option for those experiencing insomnia may be to take Wellbutrin XL in the morning, as by night, levels of the drug in the body drop, making insomnia less likely.
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Frequently asked questions
Yes, Wellbutrin XL (extended release) can affect REM sleep. One study found that people who took this drug spent more time in rapid eye movement (REM) sleep. However, this study also showed that Wellbutrin led to lower-quality sleep with more disruptions.
REM sleep is the deep sleep stage in which dreams occur.
In addition to insomnia, common side effects of Wellbutrin XL include:
- Headache
- Nausea or vomiting
- Abdominal pain
- Loss of appetite or unexpected weight loss
- Constipation
- Dry mouth
- Dizziness
- Anxiety
- Sweating
- Sore throat
- Ringing in the ears