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    Old 04-05-2004, 08:43 AM   #1
    sakara33
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    Can anyone help with the Wellbutrin

    Just wondering if anyone may know....I am on wellbutrin to help me to quit smoking, but the one thing is, that my doctor didn't explain when to stop smoking or if I needed to set a quit date, he didn't say anything but take it everyday. On April 17 will be a month since I started....just wondering what your doctors have told you.....I know every doctor is different, but anyway one other question.... I am very nervous about quitting....in my heart I really want to....but my family (hubby and teenage boys) are not very supportive...I mean they are but there not, they harp on me to quit.... and when I do, (I do admit I get alittle on edge) and when they see that, they tell me to go smoke a cig. I really want to quit, but how do you get them to understand it doesn't matter what type of medicine your on, your still going to be alittle on edge with the withdraws from it....if I can make it past that part (with the support of my family, how do I get them to understand) then I know it will get better.... please help!!!! any input would be great...Thanks so much for your help...

    Last edited by sakara33; 04-05-2004 at 09:22 AM. Reason: Added more

     
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    Old 04-05-2004, 01:36 PM   #2
    Tobias
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    Re: Can anyone help with the Wellbutrin

    Here is the regimen for using wellbutrin for smoking cessation, according to the mfr.
    "Treatment for Smoking Cessation

    Usual Dosage for Adults: The recommended and maximum dose of bupropion HCl sustained release tablets for smoking cessation is 300 mg/day, given as 150 mg twice daily. Dosing should begin at 150 mg/day given every day for the first 3 days, followed by a dose increase for most patients to the recommended usual dose of 300 mg/day. There should be an interval of at least 8 hours between successive doses. Doses above 300 mg/day should not be used (see WARNINGS). Treatment with bupropion HCl sustained release tablets should be initiated while the patient is still smoking, since approximately 1 week of treatment is required to achieve steady-state blood levels of bupropion. Patients should set a "target quit date" within the first 2 weeks of treatment with bupropion HCl, generally in the second week. Treatment with bupropion HCl should be continued for 7 to 12 weeks; duration of treatment should be based on the relative benefits and risks for individual patients. If a patient has not made significant progress toward abstinence by the seventh week of therapy with bupropion HCl, it is unlikely that he or she will quit during that attempt, and treatment should probably be discontinued. Dose tapering of bupropion is not required when discontinuing treatment. It is important that patients continue to receive counseling and support throughout treatment with bupropion, and for a period of time thereafter.

    Individualization of Therapy: Patients are more likely to quit smoking and remain abstinent if they are seen frequently and receive support from their physicians or other health care professionals. It is important to ensure that patients read the instructions provided to them and have their questions answered. Physicians should review the patient's overall smoking cessation program that includes treatment with bupropion HCl. Patients should be advised of the importance of participating in the behavioral interventions, counseling, and/or support services to be used in conjunction with bupropion HCl. See information for patients at the end of the package insert.

    The goal of therapy with bupropion HCl is complete abstinence. If a patient has not made significant progress towards abstinence by the seventh week of therapy with bupropion HCl, it is unlikely that he or she will quit during that attempt, and treatment should be discontinued.

    Patients who fail to quit smoking during an attempt may benefit from interventions to improve their chances for success on subsequent attempts. Patinets who are unsuccessful should be evaluated to determine why they failed. A new quit attempt should be encouraged when factors that contributed to failure can be eliminated or reduced, and conditions are more favorable.

    Maintenance: Although clinical data are not available regarding the long-term use (>12 weeks) of bupropion for smoking cessation, bupropion has been used for longer periods of time in the treatment of depression. Whether to continue treatment with bupropion HCl for periods longer than 12 weeks for smoking cessation must be determined for individual patients.

    Combination Treatment with Bupropion HCl and a Nicotine Transdermal System (NTS): Combination treatment with bupropion HCl and NTS may be prescribed for smoking cessation. The prescriber should review the complete prescribing information for both bupropion HCl and NTS before using combination treatment. See also CLINICAL STUDIES for methods and dosing used in the bupropion HCl and NTS combination trial. Monitoring for treatment-emergent hypertension in patients treated with the combination of bupropion and NTS is recommended."

     
    Old 04-05-2004, 01:54 PM   #3
    Bothrops
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    Re: Can anyone help with the Wellbutrin

    Quote:
    Originally Posted by sakara33
    Just wondering if anyone may know....I am on wellbutrin to help me to quit smoking, but the one thing is, that my doctor didn't explain when to stop smoking or if I needed to set a quit date, he didn't say anything but take it everyday. On April 17 will be a month since I started....just wondering what your doctors have told you.....I know every doctor is different, but anyway one other question.... I am very nervous about quitting....in my heart I really want to....but my family (hubby and teenage boys) are not very supportive...I mean they are but there not, they harp on me to quit.... and when I do, (I do admit I get alittle on edge) and when they see that, they tell me to go smoke a cig. I really want to quit, but how do you get them to understand it doesn't matter what type of medicine your on, your still going to be alittle on edge with the withdraws from it....if I can make it past that part (with the support of my family, how do I get them to understand) then I know it will get better.... please help!!!! any input would be great...Thanks so much for your help...
    My Doc told me to set a quit date and start using wellbutrin one week before I planed on quiting. In your case I would set a quit day withen a 7 day week and give it a shot. I only used welbutrin for three days and had to quit. It really messed me up, could not sleep, shakes etc.

    Good luck
    Derek

     
    Old 04-05-2004, 07:44 PM   #4
    Deda
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    Re: Can anyone help with the Wellbutrin

    It made me depressed and very teary, and also caused terrible insomnia, but I've had friends that had no problems with it. The smoking cessation class I was in told us 2 weeks on Wellbutrin, then quit.
    Good luck!
    DEDA
    HEY DEREK!!!!!!

     
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