Amphetamine-like stimulant cessation in an abusing patient treated with bupropion.
OBJECTIVE
Bupropion sustained release is considered to be a weak inhibitor of dopamine and serotonin reuptake.


METHODS
We report the case of an amphetamine-abusing patient who self-administered bupropion.


RESULTS
Since 30 years, a 52-year-old women used amphetamine derivates. She explained her need for amphetamine use in order to perform daily activities. Recently, she decided to experiment with bupropion. She abruptly stopped taking clobenzorex and simultaneously started taking bupropion (150 mg/day). The seventh day she reported a concomitant intake of clobenzorex; this induced adverse effects. Whilst taking bupropion, she described experiencing an euthymic state without any compulsion to take amphetamine drugs and was able to perform daily activities. After stopping it, no symptoms of withdrawal were reported by the patient.


CONCLUSIONS
This observation supports an another report suggesting that bupropion may be of help in weaning from amphetamine users and should be confirmed by clinical trials.
Tardieu
S
S
Center of Clinical Pharmacology and Therapeutics Evaluations & UMR-CNRS, University of Mediterrannée, Institute of Cognitives Neurosciences, Assistance Publique, Hopitaux de Marseille, Timone Hospital, France.
Poirier
Y
Y
Micallef
J
J
Blin
O
O
D019969:Amphetamine-Related Disorders / Q000534:rehabilitation*; D016642:Bupropion / Q000627:therapeutic use*; D018765:Dopamine Uptake Inhibitors / Q000627:therapeutic use*; D005260:Female; D006801:Humans; D008875:Middle Aged; D016896:Treatment Outcome
D018765:Dopamine Uptake Inhibitors; D016642:Bupropion