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Review of the Pharmacology and Clinical Profile of Bupropion, an Antidepressant and Tobacco Use Cessation Agent
Open accessAbstract
Bupropion hydrochloride ((+/-)-2-tert-butylamino)-3'-chloropropiophenone x HCl) is a nonselective inhibitor of the dopamine transporter (DAT) and the norepinephrine transporter (NET) and is also an antagonist at neuronal nicotinic acetylcholine receptors (nAChRs). In animal models used commonly to screen for antidepressant activity, bupropion shows a positive response. Also using animal models, bupropion has been shown to attenuate nicotine-induced unconditioned behaviors, to share or enhance discriminative stimulus properties of nicotine and to have a complex effect on nicotine self-administration, i.e., low doses augmenting nicotine self-administration and high doses attenuating self-administration. Current studies show that bupropion facilitates the acquisition of nicotine conditioned place preference in rats, further suggesting that bupropion enhances the rewarding properties of nicotine. Bupropion has been shown to attenuate the expression of nicotine withdrawal symptoms in both animal models and human subjects. With respect to relapse, current studies show that bupropion attenuates nicotine-induced reinstatement in rats, but large individual differences are apparent. Clinically, bupropion is used as a treatment for two indications, as an antidepressant, the indication for which it was developed, and as a tobacco use cessation agent. In clinical trials, bupropion is being tested as a candidate treatment for psychostimulant drug abuse, attention-deficit hyperactivity disorder (ADHD) and obesity. Bupropion is available in three bioequivalent oral formulations, immediate release (IR), sustained release (SR), and extended release (XL). Extensive hepatic metabolism of bupropion produces three pharmacologically active metabolites, which may contribute to its clinical profile.
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“The most striking connection between smoking and depression is the norepinephrine-dopamine reuptake inhibitor bupropion, which is prescribed as both an antidepressant and as an aid to smoking cessation (Dwoskin et al., 2006; Hayford et al., 1999).”
From It is not “either/or”: Activation and desensitization of nicotinic acetylcholine receptors both contribute to behaviors related to nicotine addiction and mood (2008) · cites this paper as Dwoskin et al., 2006
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“bupropion, while having effects on monoamine transporters, has also been shown to be a non-competitive antagonist of nAChRs (Dwoskin et al., 2006).”
From It is not “either/or”: Activation and desensitization of nicotinic acetylcholine receptors both contribute to behaviors related to nicotine addiction and mood (2008) · cites this paper as Dwoskin et al., 2006
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“both increase catecholamine concentrations in midbrain limbic regions [214, 227].”
From Mechanistic insights into nicotine withdrawal (2011) · cites this paper as [214]
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Metadata
- Authors
- Dwoskin, L. P., Rauhut, A. S., King‐Pospisil, K. A., & Bardo, M. T.
- Affiliations
- University of Kentucky (US)
- Dickinson College (US)
- Corresponding author
- Dwoskin, Linda P.
- Venue
- CNS Drug Reviews
- Publisher
- Wiley
- Published
- 2006-09
- Volume
- 12
- Issue
- 3-4
- Pages
- 178-207
- ISSN
- 1080-563X (ISSN-L)
- 1527-3458
- PMC
- PMC6506196
- OpenAlex
- W2067382805
- Cited by
- 259
- References
- 207
- Citations by year
- 2026: 8 · 2025: 9 · 2024: 5 · 2023: 2 · 2022: 12 · 2021: 14 · 2020: 12 · 2019: 10 · 2018: 13 · 2017: 12 · 2016: 21 · 2015: 11 · 2014: 22 · 2013: 18 · 2012: 13
- FWCI
- 1.71
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- CNS Drug Reviews (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (DA07304, DA-05312)
- National Institute on Drug Abuse (DA 017548, DA 07304, DA018372, U19DA017548, DA05312, R21DA018372)
- National Institute of Environmental Health Sciences (T32ES007266, ES 07266)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Smoking Behavior and Cessation
- Health Sciences › Medicine › Pharmacology (medical) › Treatment of Major Depression
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neurotransmitter Receptor Influence on Behavior
- Keywords
- bupropion, antidepressants, tobacco cessation, nicotine self-administration, nicotine withdrawal, dopamine transporter inhibition, norepinephrine reuptake inhibition, nicotinic acetylcholine receptor antagonism, attention deficit hyperactivity disorder, obesity, hepatic metabolism, pharmacokinetics, sustained-release formulation
- MeSH terms
- Animals, Humans, Tobacco Use Disorder, Bupropion, Antidepressive Agents, Second-Generation, Tobacco Use Cessation
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