1. "Why can't you give Wellbutrin to someone with bulimia?"

    Someone asked this today in lecture and the instructor said look it up in your drug book and all I could find was that it is contraindicated in patients with eating disorders. Any ideas?
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    About lovingtheunloved, RN

    Joined: Oct '04; Posts: 925; Likes: 585


  3. by   Multicollinearity
    I have this vague idea in my head that it can supress appetite?
  4. by   Multicollinearity
    I was wrong.


    Those with bulimia have a higher risk of seizures with wellbutrin.
  5. by   EricJRN
    For unknown reasons, Wellbutrin seems to increase the risk of seizures in ED patients even more than it would for the average patient. Check out this link:

  6. by   EricJRN
    Oops - sorry to post on top of you, multicollinarity.
  7. by   lovingtheunloved
    Sounds like a good reason not to give it to someone with an ED! Thanks folks!
  8. by   anne74
    I would have guessed the appetite suppression too - I take it, and it definitely suppresses my appetite. But yes - a history and/or high risk of seizures is a major contraindication for Wellbutrin.

    A great drug, however. It's personally helped me much more than other antidepressants. And under the name Zyban, it's good for smoking cessation. I know of a lot of people who had luck with that too.
  9. by   txspadequeenRN
    My doc suggested I change my meds to this because of the appitite suppression. I know several people that take this med instead of others because of the suppression.
  10. by   Multicollinearity
    I think wellbutrin raises anyone's seizure threshold a bit. I remember working ER (as an admitting clerk with big ears and big peepers) and a patient came in having seizures. She had been camping with her family and forgot her regular daily xanax. But she did bring her wellbutrin camping. I guess w/the short half-life of xanax bringing on benzo w/d and taking the wellbutrin, that's why she had seizures. No prior history of seizures. So said the MD.