Bupropion SR worsens mood during marijuana withdrawal in humans
Abstract
Rationale Symptoms of withdrawal after daily marijuana smoking include increased ratings of irritability and depression. Similar mood symptoms are reported by cigarette smokers during nicotine abstinence. Objective Given the successful use of sustained-release bupropion in treating nicotine dependence, this study investigated how maintenance on bupropion influenced symptoms of marijuana withdrawal compared to maintenance on placebo. Methods Marijuana smokers (n=10) were maintained outpatient on active (300 mg/day) or placebo (0 mg/day) bupropion for 11 days, and were then maintained inpatient on the same bupropion dose for 17 days. For the first 4 inpatient days, participants smoked active marijuana [2.8% delta9-tetrahydrocannabinol (THC)] 5 times/day. For the remaining inpatient days, participants smoked placebo marijuana (0.0% THC) 5 times/day. Participants were then maintained outpatient on the alternate dose of bupropion for 11 days, followed by a second inpatient residential stay, paralleling the first. Medication administration was double-blind. Mood, psychomotor task performance, food intake, and sleep were measured daily during each inpatient phase. The order of active and placebo bupropion maintenance was counterbalanced between groups. Results Bupropion had few behavioral effects when participants smoked active marijuana. During placebo marijuana smoking, i.e., active marijuana withdrawal, ratings of irritability, restlessness, depression, and trouble sleeping were…
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In patients withdrawing from marijuana, total sleep time and getting to sleep were particularly poor for those taking bupropion in the first 3 days of withdrawal.
“(Haney et al., 2001) observed that bupropion (300mg) was associated with poorer sleep than placebo in patients withdrawing from marijuana; total sleep time and getting to sleep were particularly poor for those taking bupropion in the first 3 days of withdrawal.”
From Antidepressants and their effect on sleep (2005) · cites this paper as Haney et al., 2001
In patients withdrawing from marijuana, bupropion 300 mg was associated with poorer sleep than placebo.
“(Haney et al., 2001) observed that bupropion (300mg) was associated with poorer sleep than placebo in patients withdrawing from marijuana; total sleep time and getting to sleep were particularly poor for those taking bupropion in the first 3 days of withdrawal.”
From Antidepressants and their effect on sleep (2005) · cites this paper as Haney et al., 2001
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- Authors
- Haney, M., Ward, A. S., Comer, S. D., Hart, C. L., Foltin, R. W., & Fischman, M. W.
- Affiliations
- New York State Psychiatric Institute (US)
- Venue
- Psychopharmacology
- Published
- 2001-03-30
- Volume
- 155
- Issue
- 2
- Pages
- 171-179
- ISSN
- 0033-3158 (ISSN-L)
- 1432-2072
- OpenAlex
- W1970664643
- Cited by
- 135
- References
- 3
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 4 · 2023: 2 · 2022: 1 · 2021: 4 · 2020: 2 · 2019: 3 · 2018: 7 · 2017: 4 · 2016: 5 · 2015: 9 · 2014: 10 · 2013: 6 · 2012: 9
- FWCI
- 3.30
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Psychopharmacology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute on Drug Abuse (P50DA009236, R01DA003476)
- Topics
- Health Sciences › Medicine › Pharmacology (medical) › Cannabis and Cannabinoid Research
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Smoking Behavior and Cessation
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Keywords
- bupropion, cannabis use disorder, mood, irritability, depression, bupropion sustained release, tobacco dependence treatment, delta-9-tetrahydrocannabinol, sleep disorders, psychomotor performance, dietary intake
- MeSH terms
- Adult, Affect, Cannabis, Eating, Female, Humans, Male, Psychomotor Performance, Sleep, Smoking, Social Behavior, Substance Withdrawal Syndrome, Bupropion, Antidepressive Agents, Second-Generation
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