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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Venlafaxine An Effective Alternative For Bupropion?

I have been taking venlafaxine 70 mg for about 5 yrs and have recently quit because I was having such bad nightmares. My doctor then prescribed bupropion 300 mg to take its place. However, on bupropion I have severe insomnia - NO sleep at night or during the day. My last dose of bupropion was yesterday morning. My question is if I do not take the next dose of bupropion , could I substitute a venlafasine instead?
Thu, 24 May 2018
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Psychiatrist 's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

Bupropion can cause insomnia. To avoid that you can take medication in day time preferably by afternoon. Do not stop Bupropion suddenly as it may cause withdrawal symptoms, moreover with Venlafaxine as you were having night mares they might come back. Follow the prescribed medication as prescribed by your practitioner.

Hope I have answered your query. Let me know if I can assist you further.
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Is Venlafaxine An Effective Alternative For Bupropion?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Bupropion can cause insomnia. To avoid that you can take medication in day time preferably by afternoon. Do not stop Bupropion suddenly as it may cause withdrawal symptoms, moreover with Venlafaxine as you were having night mares they might come back. Follow the prescribed medication as prescribed by your practitioner. Hope I have answered your query. Let me know if I can assist you further.