Wellbutrin Abuse Guide- Symptoms, Treatment & More

Wellbutrin is known to cause withdrawal symptoms. Even if you have no intention of misusing Wellbutrin, you may decide to keep taking it just to control withdrawal symptoms.

On September 2016, the Canadian Medical Association Journal (CMAJ) reported on documentation of Wellbutrin abuse. They stated that it might be abused because the antidepressant is similar in structure to amphetamine.It does not affect the brain the same way, but CMAJ found that some people experienced a high that is similar to cocaine, though a bit weaker.  

State of Wellbutrin Use

In an August 2017 report, the U.S. Centers for Disease Control and Prevention (CDC) reported the following statistics about the use of antidepressants in the United States:

• They are in the top three most prescribed therapeutic medications today.
• Non-Hispanic whites are more likely to take antidepressants regardless of age or gender compared to other ethnicities.
• Roughly 25 percent of people who took antidepressants used them for 10 or more years.
• Prescriptions for antidepressants rose between 1999 to 2014.
• Between 2011 and 2014, people who were at least 12 years old used antidepressants at a rate of 12.7 percent.

Antidepressants were more likely to be used by women. The same CDC brief reports that:

• Women in every racial origin group were more likely to use antidepressants than men of their race.
• White non-Hispanic women were more likely to use antidepressants than women of other ethnic or racial groups.

Risks vs. Benefits

As stated by MedlinePlus, the decision to take an antidepressant requires a thorough conversation with your caregiver. Understanding the benefits and risks is a must.
A better mood is an obvious positive, but Wellbutrin also comes with a few risks.

• People who have relatives with bipolar disorder or mania are at risk of feeling suicidal after they start taking it.
• The risk of suicidal ideation is higher for teenagers and young adults under the age of 24.

When used for medical reasons, it may take up to four weeks for Wellbutrin to have the desired effects on your mood. You should also watch for common side effects.

Severe side effects have also been reported.

You should get medical assistance immediately if you experience these side effects.

Short-Term Effects

Wellbutrin is one of the many antidepressants that works by changing the balance of certain hormones in your body. This change in balance is caused by how Wellbutrin causes your brain to increase levels of chemical messengers, or neurotransmitters.

One chemical messenger influenced by antidepressants is serotonin. This neurotransmitter is associated with helping you feel good. Taking antidepressants can increase your levels of this important hormone and make symptoms of depression more manageable.

But Wellbutrin also affects two other hormones.

The influence it has on dopamine levels makes Wellbutrin different from other antidepressants. Patients are known to experience withdrawal if they stop taking it, and this facilitates drug misuse and possible future addiction.

Additionally, Wellbutrin is often a part of an antidepressant “cocktail.” A cocktail is a group of drugs used to treat depression because your caregiver feels you will get more benefits from taking more than one medication at a time.

If you stop taking your entire cocktail, you may face additional symptoms of withdrawal at once.

Long-Term Effects

The CDC’s studies mentioned that it is common for people to take antidepressants for 10 years or even indefinitely. This often happens because antidepressants are not a one-size-fits-all solution. Once you find something that works, it is normal to want to stick with it.

A few possible long-term effects of taking Wellbutrin may be:

Many patients think Wellbutrin will cause them to lose weight, but antidepressants can make you either gain or lose weight, depending on how they affect you.

Wellbutrin is sometimes known for causing a mild “high.” It can easily cause symptoms of withdrawal that make it easy for a person to misuse it.

Withdrawal Symptoms

Symptoms of withdrawal depend on whether or not you use Wellbutrin by itself or as part of a cocktail. Symptoms may include the following:

People who take Wellbutrin to quit smoking may suddenly crave tobacco or nicotine.

The World Anti-Doping Association currently monitors its use in athletes.Substance Abuse and Rehabilitation reports that people may misuse Wellbutrin by:

• Taking it orally, perhaps in larger doses than directed

• Snorting it. This often requires a person to crush the pills into a fine powder. Taking Wellbutrin this way increases the likelihood of misuse because it causes the drug to be absorbed faster and results in a more intense high.

• Injecting it, which releases the contents of Wellbutrin even faster

• Smoking it, which is another quick way for Wellbutrin to affect you
• Further signs of misuse include “doctor shopping.”

Patients are known to visit different doctors and explain that they need more Wellbutrin for their symptoms of depression or to continue abstaining from nicotine.

Misusing Wellbutrin puts you at risk of seizures, especially if you use methods that deliver its effects much faster.

It is possible to overdose on this antidepressant, according to CMAJ.

Treating Misuse

Substance Abuse and Rehabilitation says prescribers can and should keep track of how patients are using Wellbutrin. They should make sure the patient has access to Wellbutrin if they truly are depressed, deal with SAD, or need it so they can quit using nicotine. They simply should monitor for signs of misuse.

Specific treatments for Wellbutrin misuse have not been reported, but the National Institute on Drug Abuse (NIDA) provides a few pointers based on their research of prescription opioid abuse. Not everything applies to Wellbutrin misuse. Below are things that could help:

• People who use Wellbutrin should taper their use in consultation with a doctor or professional.
• Treatment centers should offer a way to safely detox from Wellbutrin.
• Behavioral therapies are needed.
  • Cognitive behavioral therapy can treat possible underlying causes of misuse and teach skills needed to avoid relapse.
  • Group counseling can help to repair relationships that were damaged by drug use.

Finally, if you have misused Wellbutrin but have a diagnosis for depression or SAD, a physician can help you find an antidepressant that does not pose the same risks of misuse.