Does bupropion affect serotonin?

Bupropion primarily affects the levels of dopamine and norepinephrine in the brain, although it can also have some effects on serotonin levels.

Bupropion is classified as an atypical antidepressant or dopamine and norepinephrine reuptake inhibitor (DNRI), as it works by blocking the reuptake of dopamine and norepinephrine in the brain, which increases their availability and can improve symptoms of depression and anxiety.

While bupropion does not directly affect serotonin levels in the brain, it may still have some effects on serotonin through its interactions with other neurotransmitters. For example, blocking the reuptake of dopamine and norepinephrine can indirectly increase the activity of serotonin in certain regions of the brain.

It is important to note that while bupropion may have some effects on serotonin levels, it is not typically considered a first-line treatment for anxiety or mood disorders that primarily involve serotonin dysregulation, such as obsessive-compulsive disorder (OCD) or major depressive disorder (MDD) with prominent symptoms of anxiety. In these cases, medications that primarily affect serotonin levels, such as selective serotonin reuptake inhibitors (SSRIs), may be more effective.


There are various forms of drugs available, such as tablets or liquids, and each may have a separate patient information leaflet (PIL) for different doses. It is important to refer to the PIL for the specific form and dose of the drug that you have been prescribed.

You can search for further information and PILs on websites such as:

  • The British National Formulary (BNF)
  • Electronic medicines compendium (emc)
  • The National Library of Medicine's DailyMed
  • The Food and Drug Administration (FDA) 
  • Different drug forms like tablets or liquids have specific patient information leaflets (PIL) for various doses. Refer to the PIL for your prescribed drug form and dose.

    Search for PILs on websites like:

    France

    • ANSM (Agence nationale de sécurité du médicament et des produits de santé): ansm.sante.fr

    Spain

    • AEMPS (Agencia Española de Medicamentos y Productos Sanitarios): aemps.gob.es

    Germany

    • BfArM (Bundesinstitut für Arzneimittel und Medizinprodukte): bfarm.de

    Italy

    For questions about your medication:

    • Consult your doctor, a healthcare professional, or a pharmacist

    France

    • Contact SOS Médecins: 3624
    • For mental health support, contact SOS Suicide: 01 45 39 40 00

    Belgium (French)

    Switzerland (French)

    • La Main Tendue: 143
    • Website: 143.ch

    Canada (French)

    • Centre de prévention du suicide du Québec: 1 866 APPELLE (1 866 277-3553)
    • Website: cpsquebec.ca

    Spain

    • Contact emergency number: 112
    • For mental health support, contact Teléfono de la Esperanza: 717 003 717

    Germany

    • Contact emergency number: 112
    • For mental health support, contact Telefonseelsorge: 0800 111 0 111 or 0800 111 0 222

    Italy

    • Contact emergency number: 112
    • For mental health support, contact Telefono Amico: 199 284 284

    Netherlands

    • Contact emergency number: 112
    • For mental health support, contact 113 Zelfmoordpreventie: 0800 0113

    Portugal

    • Contact emergency number: 112
    • For mental health support, contact Sos Voz Amiga: 21 354 45 45, 91 280 26 69, or 96 352 46 60

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