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    Bupropion molecular structure

    Bupropion Stats & Data

    Zyban Wellbutrin Amfebutamone Wellbutrin xl
    NPS DataHub
    MW239.74
    FormulaC13H18ClNO
    CAS34911-55-2
    IUPAC2-(tert-butylamino)-1-(3-chlorophenyl)propan-1-one
    SMILESClc1cccc(c1)C(=O)C(C)NC(C)(C)C
    InChIKeySNPPWIUOZRMYNY-UHFFFAOYSA-N
    Phenethylamines; Cathinones; 2020/1. Von 2-Phenethylamin abgeleitete Verbindungen; 2021/1. Von 2-Phenethylamin abgeleitete Verbindungen; 2022/1. Von 2-Phenethylamin abgeleitete Verbindungen
    Chemical Class Cathinone
    Psychoactive Class Stimulant

    Pharmacology

    DrugBank
    Half-life 24 hours State Solid

    Description

    Bupropion (also known as the brand name product Wellbutrin®) is a norepinephrine/dopamine-reuptake inhibitor (NDRI) used most commonly for the management of Major Depressive Disorder (MDD), Seasonal Affective Disorder (SAD), and as an aid for smoking cessation. Bupropion exerts its pharmacological effects by weakly inhibiting the enzymes involved in the uptake of the neurotransmitters norepinephrine and dopamine from the synaptic cleft, therefore prolonging their duration of action within the neuronal synapse and the downstream effects of these neurotransmitters. More specifically, bupropion binds to the norepinephrine transporter (NET) and the dopamine transporter (DAT). Bupropion was originally classified as an "atypical" antidepressant because it does not exert the same effects as the classical antidepressants such as Monoamine Oxidase Inhibitors (MAOIs), Tricyclic Antidepressants (TCAs), or Selective Serotonin Reuptake Inhibitors (SSRIs). While it has comparable effectiveness to typical first-line options for the treatment of depression such as SSRIs, bupropion is a unique option for the treatment of MDD as it lacks any clinically relevant serotonergic effects, typical of other mood medications, or any effects on histamine or adrenaline receptors.

    Mechanism of Action

    Bupropion is a norepinephrine/dopamine-reuptake inhibitor (NDRI) that exerts its pharmacological effects by weakly inhibiting the enzymes involved in the uptake of the neurotransmitters norepinephrine and dopamine from the synaptic cleft, therefore prolonging their duration of action within the neuronal synapse and the downstream effects of these neurotransmitters. More specifically, bupropion binds to the norepinephrine transporter (NET) and the dopamine transporter (DAT). Bupropion was originally classified as an "atypical" antidepressant because it does not exert the same effects as the classical antidepressants such as Monoamine Oxidase Inhibitors (MAOIs), Tricyclic Antidepressants (TCAs), or Selective Serotonin Reuptake Inhibitors (SSRIs). While it has comparable effectiveness to typical first-line options for the treatment of depression such as SSRIs, bupropion is a unique option for the treatment of MDD as it lacks any clinically relevant serotonergic effects, typical of other mood medications, or any effects on histamine or adrenaline receptors. Lack of activity at these receptors results in a more tolerable side effect profile; bupropion is less likely to cause sexual side effects, sedation, or weight gain as compared to SSRIs or TCAs, for example.

    Pharmacodynamics

    Bupropion is chemically unrelated to tricyclic, tetracyclic, selective serotonin re-uptake inhibitors, or other known antidepressant agents. Compared to classical tricyclic antidepressants, Bupropion is a relatively weak inhibitor of the neuronal uptake of norepinephrine and dopamine. In addition, Bupropion does not inhibit monoamine oxidase. Bupropion has been found to be essentially inactive at the serotonin transporter (SERT)(IC50 >10 000 nM), however both bupropion and its primary metabolite hydroxybupropion have been found to block the function of cation-selective serotonin type 3A receptors (5-HT3ARs). Bupropion produces dose-related central nervous system (CNS) stimulant effects in animals, as evidenced by increased locomotor activity, increased rates of responding in various schedule-controlled operant behaviour tasks, and, at high doses, induction of mild stereotyped behaviour . Due to these stimulant effects and selective activity at dopamine and norepinephrine receptors, bupropion has been identified as having an abuse potential.FDA Label,A178846 Bupropion has a similar structure to the controlled substance DB01560, and has been identified as having mild amphetamine-like activity, particularly when inhaled or injected. Bupropion is also known to lower the seizure threshold, making any pre-existing seizure conditions a contraindication to its use.

    Metabolism

    Bupropion is extensively metabolized in humans. Three metabolites are active: hydroxybupropion, which is formed via hydroxylation of the tert-butyl group of bupropion, and the amino-alcohol isomers, threohydrobupropion and erythrohydrobupropion, which are formed via reduction of the carbonyl group. In vitro findings suggest that CYP2B6 is the principal isoenzyme involved in the formation of hydroxybupropion, while cytochrome P450 enzymes are not involved in the formation of threohydrobupropion. Hydroxybupropion has been shown to have the same affinity as bupropion for the norepinephrine transporter (NET) but approximately 50% of its antidepressant activity despite reaching concentrations of ~10-fold higher than that of the parent drug. Oxidation of the bupropion side chain results in the formation of a glycine conjugate of meta-chlorobenzoic acid, which is then excreted as the major urinary metabolite. The potency and toxicity of the metabolites relative to bupropion have not been fully characterized. However, it has been demonstrated in an antidepressant screening test in mice that hydroxybupropion is one-half as potent as bupropion, while threohydrobupropion and erythrohydrobupropion are 5-fold less potent than bupropion. This may be of clinical importance because the plasma concentrations of the metabolites are as high as or higher than those of bupropion.

    Absorption

    Bupropion is currently available in 3 distinct, but bioequivalent formulations: immediate release (IR), sustained-release (SR), and extended-release (XL). **Immediate Release Formulation** In humans, following oral administration of bupropion hydrochloride tablets, peak plasma bupropion concentrations are usually achieved within 2 hours. IR formulations provide a short duration of action and are therefore generally dosed three times per day. **Sustained Release Formulation** In humans, following oral administration of bupropion hydrochloride sustained-release tablets (SR), peak plasma concentration (Cmax) of bupropion is usually achieved within 3 hours. SR formulations provide a 12-hour extended release of medication and are therefore generally dosed twice per day. **Extended Release Formulation** Following single oral administration of bupropion hydrochloride extended-release tablets (XL) to healthy volunteers, the median time to peak plasma concentrations for bupropion was approximately 5 hours. The presence of food did not affect the peak concentration or area under the curve of bupropion.

    Toxicity

    Symptoms of overdose include seizures, hallucinations, loss of consciousness, tachycardia, and cardiac arrest.

    Indication

    Bupropion is indicated for the treatment of major depressive disorder (MDD), seasonal affective disorder (SAD), and as an aid to smoking cessation. When used in combination with naltrexone as the marketed product ContraveⓇ, bupropion is indicated as an adjunct to a reduced-calorie diet and increased physical activity for chronic weight management in adults with an initial body mass index (BMI) of: 30 kg/m^2 or greater (obese) or 27 kg/m^2 or greater (overweight) in the presence of at least one weight-related comorbid condition (e.g., hypertension, type 2 diabetes mellitus, or dyslipidemia). Bupropion is also used off-label as a first-line treatment in patients with ADHD and comorbid bipolar disorder when used as an adjunct to mood stabilizers.

    Protein Binding

    In vitro tests show that bupropion is 84% bound to human plasma proteins at concentrations up to 200 mcg per mL. The extent of protein binding of the hydroxybupropion metabolite is similar to that for bupropion, whereas the extent of protein binding of the threohydrobupropion metabolite is about half that seen with bupropion.

    Elimination

    Bupropion is extensively metabolized in humans. Oxidation of the bupropion side chain results in the formation of a glycine conjugate of metachlorobenzoic acid, which is then excreted as the major urinary metabolite. Following oral administration of 200 mg of 14C-bupropion in humans, 87% and 10% of the radioactive dose were recovered in the urine and feces, respectively. However, the fraction of the oral dose of bupropion excreted unchanged was only 0.5%, a finding consistent with the extensive metabolism of bupropion.

    Receptor Profile

    Receptor Actions

    Antagonists
    Nicotinic acetylcholine receptor antagonist (noncompetitive
    Inhibitors
    Dopamine-norepinephrine reuptake inhibitor (NDRI)
    Other
    α3β2, α4β2, α7 nAChRs)

    Receptor Binding

    Sodium-dependent dopamine transporter inhibitor
    Sodium-dependent noradrenaline transporter inhibitor
    Sodium-dependent serotonin transporter inhibitor
    Neuronal acetylcholine receptor subunit alpha-3 antagonist
    5-hydroxytryptamine receptor 3A negative modulator

    Effect Profile

    Curated + 178 Reports
    Stimulant 6.4

    Strong anxiety/jitters and stimulation with moderate euphoria and focus

    Stimulation / Energy×3
    97.2
    Euphoria / Mood Lift×2
    64.6
    Focus / Productivity×2
    63.1
    Anxiety / Jitters×1
    1010
    Catalog Erowid

    Tolerance & Pharmacokinetics

    drugs.wiki

    Tolerance Decay

    Full tolerance 1h Half tolerance 4d Baseline ~5d

    Experience Report Analysis

    Erowid
    178 Reports
    1994–2024 Date Range
    69 With Age Data
    33 Effects Detected

    Demographics

    Gender Distribution

    Age Distribution

    Reports Over Time

    Effect Analysis

    Erowid

    Effects aggregated from 178 experience reports (178 Erowid)

    178 Reports
    33 Effects Detected
    11 Positive
    13 Adverse
    9 Neutral

    Effect Sentiment Distribution

    Confidence Distribution

    Positive Effects 11

    Stimulation 41.6% 70%
    Euphoria 30.9% 70%
    Tactile Enhancement 20.2% 70%
    Music Enhancement 19.1% 70%
    Color Enhancement 19.1% 70%
    Focus Enhancement 15.7% 70%
    Empathy 11.8% 70%
    Body High 9.0% 70%
    Introspection 7.3% 70%
    Pain Relief 5.1% 70%
    Creativity Enhancement 3.4% 70%

    Adverse Effects 13

    Anxiety 43.3% 70%
    Nausea 16.9% 70%
    Confusion 15.2% 70%
    Seizure 14.0% 70%
    Memory Suppression 11.2% 70%
    Increased Heart Rate 11.2% 70%
    Headache 9.0% 70%
    Pupil Dilation 7.9% 70%
    Motor Impairment 6.7% 70%
    Muscle Tension 6.2% 70%
    Psychosis 6.2% 70%
    Jaw Clenching 5.1% 70%
    Sweating 5.1% 70%

    Dose-Response Correlation

    How effect frequency changes across dose levels

    View data table
    Effect Threshold (n=12) Common (n=41) Strong (n=39) Heavy (n=27)
    Anxiety 41.7% 53.7% 46.2% 55.6%
    Stimulation 41.7% 48.8% 53.8% 40.7%
    Euphoria 33.3% 48.8% 33.3% 25.9%
    Visual Distortions 16.7% 19.5% 35.9% 25.9%
    Color Enhancement 33.3% 26.8% 20.5% 29.6%
    Nausea 0% 12.2% 20.5% 33.3%
    Sedation 25.0% 19.5% 17.9% 29.6%
    Hospital 0% 14.6% 17.9% 29.6%
    Tactile Enhancement 25.0% 19.5% 23.1% 25.9%
    Auditory Effects 25.0% 17.1% 12.8% 25.9%
    Music Enhancement 25.0% 19.5% 25.6% 14.8%
    Seizure 25.0% 9.8% 5.1% 22.2%
    Headache 0% 7.3% 23.1% 0%
    Focus Enhancement 16.7% 22.0% 12.8% 11.1%
    Empathy 0% 22.0% 15.4% 7.4%

    Dose–Effect Mapping

    Experience Reports

    How reported effects shift across dose tiers, based on 178 experience reports.

    Oral dose range: 150.0–400.0 mg (median 300.0 mg)
    Effect Threshold (n=12) Common (n=41) Strong (n=39) Heavy (n=27)
    anxiety
    42%
    54%
    46%
    56%
    stimulation
    42%
    49%
    54%
    41%
    euphoria
    33%
    49%
    33%
    26%
    visual distortions
    17%
    20%
    36%
    26%
    color enhancement
    33%
    27%
    20%
    30%
    nausea
    12%
    20%
    33%
    sedation
    25%
    20%
    18%
    30%
    hospital
    15%
    18%
    30%
    tactile enhancement
    25%
    20%
    23%
    26%
    auditory effects
    25%
    17%
    13%
    26%
    music enhancement
    25%
    20%
    26%
    15%
    seizure
    25%
    10%
    5%
    22%
    headache
    7%
    23%
    focus enhancement
    17%
    22%
    13%
    11%
    empathy
    22%
    15%
    7%
    confusion
    17%
    13%
    18%
    open-eye visuals
    10%
    18%
    memory suppression
    8%
    18%
    increased heart rate
    12%
    18%
    15%
    pupil dilation
    17%
    5%
    10%
    11%

    Showing top 20 of 32 effects

    Risk Escalation

    Sentiment Analysis

    Average frequency of positive vs adverse effects across dose tiers

    Threshold n=12
    6 positive 29.2% 3 adverse 27.8%
    Common n=41
    11 positive 21.5% 11 adverse 12.9%
    Strong n=39
    9 positive 23.1% 13 adverse 15.0%
    Heavy n=27
    8 positive 21.3% 9 adverse 21.8%
    View effect breakdown

    Adverse Effects

    Effect Threshold (n=12) Common (n=41) Strong (n=39) Heavy (n=27) Change
    Anxiety
    42%
    54%
    46%
    56%
    +33%
    Nausea
    12%
    20%
    33%
    +172%
    Seizure
    25%
    10%
    5%
    22%
    -11%
    Headache
    7%
    23%
    +216%
    Confusion
    17%
    13%
    18%
    8%
    Memory Suppression
    8%
    18%
    +140%
    Increased Heart Rate
    12%
    18%
    15%
    +21%
    Pupil Dilation
    17%
    5%
    10%
    11%
    -33%
    Sweating
    15%
    0%
    Muscle Tension
    7%
    13%
    +75%
    Psychosis
    7%
    5%
    11%
    +52%
    Motor Impairment
    5%
    8%
    11%
    +126%
    Jaw Clenching
    5%
    10%
    +110%

    Positive Effects

    Effect Threshold (n=12) Common (n=41) Strong (n=39) Heavy (n=27) Change
    Stimulation
    42%
    49%
    54%
    41%
    -2%
    Euphoria
    33%
    49%
    33%
    26%
    -22%
    Color Enhancement
    33%
    27%
    20%
    30%
    -11%
    Tactile Enhancement
    25%
    20%
    23%
    26%
    3%
    Music Enhancement
    25%
    20%
    26%
    15%
    -40%
    Focus Enhancement
    17%
    22%
    13%
    11%
    -33%
    Empathy
    22%
    15%
    7%
    -66%
    Introspection
    5%
    10%
    15%
    +202%
    Body High
    12%
    13%
    4%
    Creativity Enhancement
    7%
    0%
    Pain Relief
    5%
    0%

    Dosage Distribution

    Dose distribution from experience reports

    Insufflated

    Median: 150.0 mg IQR: 100.0–200.0 mg n=26

    Oral

    Median: 300.0 mg IQR: 150.0–400.0 mg n=100

    Real-World Dose Distribution

    62K Doses

    From 321 individual dose entries

    Oral (n=247)

    Median: 300.0mg 25th: 150.0mg 75th: 300.0mg 90th: 500.0mg
    mg/kg median: 3.779 mg/kg 75th: 5.597

    Insufflated (n=38)

    Median: 150.0mg 25th: 75.0mg 75th: 150.0mg 90th: 236.1mg
    mg/kg median: 1.934 mg/kg 75th: 2.45

    Common Combinations

    Most co-occurring substances in experience reports

    Form / Preparation

    Most common forms and preparations reported

    Body-Weight Dosing

    Dose relative to body weight from reports with weight data

    Insufflated

    Median: 1.933 mg/kg IQR: 1.259–2.574 mg/kg n=24

    Oral

    Median: 3.891 mg/kg IQR: 2.451–6.012 mg/kg n=100

    Redose Patterns

    Redosing behavior across 160 reports

    15.0% Redosed
    1.2 Avg Doses
    60m Median Interval

    Legal Status

    Country Status Notes
    Russia banned as a narcotic drug, due to it being a derivative of methcathinone
    United States Unscheduled, though it’s only available with a prescription.
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