*An off-label use of a medication is a use that is not FDA-approved. Prescribers can decide to use a medication off-label because, in their professional judgment, they believe it may offer a benefit to someone.
The signs that Wellbutrin is working may include improved mood, increased energy, reduced feelings of sadness or hopelessness, and enhanced interest in daily activities. Patients may notice a reduction in symptoms of depression and increased motivation to engage in social and occupational activities.1
If you want to discuss your current prescription with a provider or are considering a prescription for Wellbutrin, an online psychiatry platform can be a good place to start. Platforms like Talkiatry and Brightside Health offer psychiatric assessments and prescription consultation, and can answer any questions you have about taking Wellbutrin.
How Quickly Does Medication Work?
Talk to a doctor. Talkiatry matches you with a psychiatrist and is in-network with major insurers. Get started with a short online assessment.
What Is Wellbutrin (Bupropion)?
Wellbutrin, also known by its generic name bupropion, is a medication primarily prescribed for the treatment of depression, specifically major depressive disorder (MDD) and seasonal affective disorder (SAD). It belongs to a class of drugs called norepinephrine and dopamine reuptake inhibitors (NDRIs). NDRIs work by affecting certain chemicals in the brain, namely norepinephrine, and dopamine, which play crucial roles in regulating mood, emotions, and overall mental well-being.1
When you experience emotions, like happiness or sadness, certain chemicals in your brain, such as norepinephrine and dopamine, help transmit these feelings between nerve cells. Usually, after transmitting the signal, they get reabsorbed by the nerve cells, but sometimes this reabsorption happens too quickly, leading to imbalances in the brain and potentially causing depression.
Wellbutrin works by blocking the reabsorption of norepinephrine and dopamine, allowing these chemicals to stay active in the brain for longer. This helps to restore balance and improves mood, helping people cope with depression and related conditions more effectively.
How Does Wellbutrin Make You Feel?
The effects of Wellbutrin can vary from person to person, but generally, it is intended to improve the individual’s mood and reduce feelings of depression. When working effectively, a person may experience a gradual lifting of the emotional burden, leading to a greater sense of well-being and contentment. They may notice a reduction in feelings of sadness, hopelessness, and anxiety, as well as an increase in energy levels and motivation to engage in daily activities.2
However, like any medication, it may also have side effects, and not everyone will respond the same way to the drug. As Wellbutrin is designed to influence norepinephrine and dopamine levels in the brain, some individuals may also experience a mild increase in alertness and focus.
Unlike some other antidepressants, Wellbutrin is less likely to cause sedation or weight gain, which can be positive aspects for those who are sensitive to those side effects.1 It’s important for individuals taking Wellbutrin to communicate openly with their healthcare provider to monitor any changes in their emotional state and address any concerns that may arise during the course of treatment.
How Long Does Wellbutrin Take to Work?
In general, most people start experiencing improvements in their symptoms within 2 to 6 weeks after starting Wellbutrin treatment. However, it’s essential to remember that individual responses may vary, and others may take a bit longer to feel the full effects of the medication. It’s crucial to continue taking Wellbutrin as prescribed by the healthcare provider, even if immediate improvements are not apparent, as it may take time for the medication to exert its full therapeutic effects.3
As mentioned earlier, Wellbutrin blocks the reabsorption of these neurotransmitters, allowing them to remain active for longer periods. Over time, this increased availability of norepinephrine and dopamine helps in restoring balance to the brain’s chemical signaling pathways. The exact processes are complex and can involve various interconnections in the brain’s neural circuits, but the overall goal is to create a more stable and positive emotional state for the person undergoing treatment.3
Can You Feel Wellbutrin on the First Day?
Feeling the positive effects of Wellbutrin on the first day is not likely. It typically takes time for the medication to reach therapeutic levels to produce noticeable changes in mood and symptoms. Some individuals might report a slight improvement in their emotional state early on, but this is more likely due to a placebo effect or temporary fluctuations in mood rather than the full antidepressant effect of the medication.
The placebo effect is a psychological phenomenon where a person experiences perceived improvements in their condition after receiving a treatment that has no therapeutic effect. In the context of starting a potentially helpful treatment like Wellbutrin, the anticipation and belief that the medication will work can influence a person’s perception of their symptoms, leading them to feel better even without the drug having fully taken effect.
How Quickly Does Medication Work?
Talk to a doctor. Talkiatry matches you with a psychiatrist and is in-network with major insurers. Get started with a short online assessment.
10 Signs Wellbutrin (Bupropion) Is Working
As Wellbutrin starts to work and improve symptoms, several noticeable signs may become evident over time. One of the first indicators is a gradual improvement in mood. Individuals may start to feel a sense of relief from the persistent feelings of sadness, hopelessness, and anxiety associated with depression. They might experience moments of increased happiness, interest in activities they once enjoyed, and an overall better outlook on life.1
Another sign of Wellbutrin’s effectiveness is a boost in energy levels and motivation. Individuals may find themselves feeling more energized, having greater enthusiasm to engage in daily tasks, and finding it easier to concentrate on their work or hobbies. Moreover, the reduction in depressive symptoms may lead to better sleep patterns, as sleep disturbances are common in depression.
1. Your Mood Starts to Improve
As the medication begins to take effect and the levels of norepinephrine and dopamine are gradually balanced in the brain, you may notice a shift in your emotional state, feeling a more positive and stable mood.3 The full therapeutic effects may take longer to manifest, and it is advisable to continue taking Wellbutrin as prescribed even if immediate improvements are not apparent.4
2. Increased Interest and Enjoyment
You may notice a renewed interest in activities you once enjoyed, and a willingness to participate in social events and hobbies.5
3. Enhanced Energy Levels
Your feelings of fatigue and low energy may become less noticeable. You may notice an increase in energy and motivation to engage in daily tasks and responsibilities.5
4. Better Focus and Concentration
Wellbutrin’s effects on neurotransmitters can lead to improved mental clarity. You may find it easier to concentrate and stay focused on tasks.
5. Improved Sleep Patterns
As depressive symptoms become less prominent, you may find it easier to fall asleep and experience more restful sleep.5
6. Appetite Changes
Some individuals may experience appetite changes. You may notice either a decrease or an increase in your appetite, depending on your preexisting eating patterns.5
7. Reduction in Suicidal Thoughts
If you’ve been struggling with suicidal thoughts and behaviors. Wellbutrin’s antidepressant effects can help reduce these.
8. Decreased Anxiety
As symptoms of depression improve, associated anxiety may also subside.5
9. Increased Confidence
You may regain a sense of confidence and self-esteem as you start feeling better emotionally.5
10. Better Coping Mechanisms
You may develop healthier coping strategies and a more positive outlook on handling life’s challenges.5
How Quickly Does Medication Work?
Talk to a doctor. Talkiatry matches you with a psychiatrist and is in-network with major insurers. Get started with a short online assessment.
Common Side Effects of Wellbutrin
Common side effects of Wellbutrin (bupropion) may include headaches, dry mouth, nausea, insomnia, and mild agitation. While these side effects are generally mild and tend to improve over time, some individuals may find them bothersome or disruptive. It is essential to communicate any concerns about side effects with a healthcare provider to determine if adjustments to the dosage or a change in medication might be necessary.1
Common side effects of Wellbutrin include:1
- Headache
- Dry mouth
- Nausea
- Insomnia (difficulty sleeping)
- Agitation
- Dizziness
- Sweating
- Tremors (shakiness)
- Increased heart rate
- Changes in appetite and weight
- Rash
*All medications, including Wellbutrin, can cause side effects that can be mild or serious. This is not a comprehensive list of all possible side effects. You should talk with your doctor about any questions you have and understand the potential side effects and benefits of any medication.
Other Precautions for Taking Wellbutrin
In addition to the common side effects mentioned earlier, there are several other precautions and adverse effects associated with Wellbutrin (bupropion). One significant concern is the potential for antidepressant withdrawal, which can occur if the medication is suddenly stopped or rapidly reduced.
Symptoms of discontinuation syndrome may include dizziness, nausea, headaches, irritability, anxiety, and flu-like symptoms. To avoid this, it is crucial to work closely with a healthcare provider when discontinuing or changing the dosage of Wellbutrin to gradually taper off the medication.1
Wellbutrin can also interact with other substances and medications, leading to potentially harmful effects.
Substances Wellbutrin may interact with include:1
- Alcohol: Alcohol increases the risk of seizures and impairs cognitive function.
- Additional antidepressants: Taking additional antidepressants may lead to an excess of neurotransmitter activity, leading to increased side effects or overdose symptoms.
- Antipsychotic medications: Taking these medications with Wellbutrin increases the risk of seizures.
- Medications that lower the seizure threshold: Some medications, such as certain antihistamines, can make it easier for seizures to be triggered.
*Informing the healthcare provider about all current medications, including over-the-counter drugs and supplements, is vital to minimize the risk of interactions and ensure the safe and effective use of Wellbutrin.
As with any medication, Wellbutrin may not be suitable for everyone, and it’s essential to discuss any preexisting medical conditions or concerns with a healthcare provider before starting treatment.
Those with a history of seizures, eating disorders, bipolar disorder, or substance abuse may require special consideration when using Wellbutrin. Monitoring for any unusual changes in mood or behavior is also crucial, as some individuals may experience an increase in suicidal thoughts or actions when taking antidepressant medications.1
How Do You Know if Wellbutrin Isn’t Working?
Wellbutrin requires an adjustment period before its optimal benefit is reached. However, if you are taking Wellbutrin and do not notice any improvement in your symptoms or if your condition seems to be worsening, it may be a sign that the medication is not starting to work as expected. Some individuals may not respond well to Wellbutrin, or it may take more time for the medication to have a noticeable effect. It’s essential to communicate any concerns or lack of improvement with your healthcare provider openly.
Adverse effects that significantly impact daily life after the initial adjustment period may indicate that the medication is not well-suited for you or that the dosage needs to be modified. Your healthcare provider may decide to switch you to a different medication or explore alternative treatment options based on your individual needs and responses.
Symptoms Don’t Improve After Several Weeks or Months
If the improvement from taking Wellbutrin is not sufficient, it may not work well enough for you as a treatment. While some individuals may experience positive changes early on, it is essential to remember that the full therapeutic effects of Wellbutrin can take time to manifest. In many cases, healthcare providers may recommend waiting at least 4-6 weeks before assessing the medication’s effectiveness.3
However, if after this timeframe you still see no improvement or only minimal improvement, it is crucial to communicate this with your healthcare provider promptly. Your provider may decide to adjust the dosage, try a different antidepressant, or consider additional treatments, such as therapy or a combination of medications. Each person’s response to medication is unique, and finding the right treatment plan may require some trial and error.
Persistent Depressive Symptoms
If you continue to experience intense feelings of sadness, hopelessness, and a lack of interest or pleasure in activities, tell your prescriber. These things occurring, despite taking Wellbutrin as prescribed, it may indicate that the medication is not effectively alleviating your depression.
Persistent Anxiety
While Wellbutrin can help reduce anxiety in some individuals, if you find that your anxiety symptoms remain unchanged or worsen over time, it could be a sign that the medication is not adequately addressing your anxiety.
Unwanted Side Effects
Some people may experience side effects from Wellbutrin that are intolerable or disruptive to their daily life. If you are troubled by persistent and bothersome side effects that outweigh any potential benefits, it is essential to discuss this with your healthcare provider, as it may indicate that Wellbutrin is not the best-suited medication for you.
How Quickly Does Medication Work?
Talk to a doctor. Talkiatry matches you with a psychiatrist and is in-network with major insurers. Get started with a short online assessment.
Questions to Ask Your Healthcare Provider About Signs That Wellbutrin Is Working
Learn more about signs that Wellbutrin may be starting to work by speaking to your doctor, psychiatrist, or therapist. They can tell you more about the typical timeframe people see improvement with Wellbutrin. They can inquire about specific signs to look out for, such as an uplift in mood, increased interest in activities, enhanced energy levels, improved focus, and better sleep patterns.
Discussing any concerns or questions with their provider allows for a better understanding of the treatment’s effectiveness and whether any adjustments are necessary. For someone who may not have access to a physical location to change prescribers, online psychiatry services may be a good alternative option.
Questions to ask your care team about signs that Wellbutrin is working include:
- How long will it take for me to adjust to taking Wellbutrin?
- How soon can I feel Wellbutrin working?
- What is the best dosage to ensure fewer side effects?
- What should I expect when I first start taking Wellbutrin?
- Is there anything I should tell my therapist about this new medication?
- What specific signs should I look out for to indicate that Wellbutrin is starting to have a positive effect on my mood and overall well-being?
- How can I manage common side effects effectively?
- If I don’t notice any improvement within the expected timeframe, what steps should we take to reassess my treatment plan?
- Are there any lifestyle changes or complementary therapies that can enhance the effects of Wellbutrin in managing my condition?
- How often should I schedule follow-up appointments to discuss my progress and any concerns I may have during the treatment process?
- Are there any potential interactions with other medications, supplements, or substances that I should be aware of while taking Wellbutrin?
- Is it safe to take Wellbutrin and Adderall together?
In My Experience
In my experience, Wellbutrin (Bupropion) is a great tool for treating depression, attention-deficit hyperactivity disorder (ADHD) and even helping someone to quit smoking or break negative habits. But it is important to remember that this medication does not take effect immediately for most people. It can often take a full month of taking the medication daily as prescribed by your provider and dealing with an adjustment period before you begin to see the positive benefits of Wellbutrin.
Wellbutrin has the benefit of no sexual dysfunction as a side effect, which is very common in most other medications that treat depression, making it a great option for some individuals. When starting Wellbutrin it is also important to keep a close eye out for any sudden negative changes in mood or suicidal thoughts, contacting your provider and creating a plan to best maintain your well-being is always the number one priority, and other options besides Wellbutrin can always be pursued instead if necessary.
Additional Resources
To help our readers take the next step in their mental health journey, Choosing Therapy has partnered with leaders in mental health and wellness. Choosing Therapy is compensated for marketing by the companies included below.
Virtual Psychiatry
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For Further Reading
- Does Wellbutrin (Bupropion) Give You Energy Like Adderall?
- Wellbutrin (Bupropion) Sexual Side Effects: What They Are & How to Manage Them
- Wellbutrin Weight Gain: Everything You Need to Know
- Mayo Clinic: Antidepressants: Selecting one that’s right for you
- National Network of Depression Centers: Resources
Online Anxiety Test
A few questions from Talkiatry can help you understand your symptoms and give you a recommendation for what to do next.
Best Online Psychiatry Services
Online psychiatry, sometimes called telepsychiatry, platforms offer medication management by phone, video, or secure messaging for a variety of mental health conditions. In some cases, online psychiatry may be more affordable than seeing an in-person provider. Mental health treatment has expanded to include many online psychiatry and therapy services. With so many choices, it can feel overwhelming to find the one that is right for you.