8 Common and Serious Side Effects of Bupropion SR

Alan Lucks | MD

Medically reviewed by Alan Lucks | MD, Alan Lucks MDPC Private Practice - New York on December 18th, 2025.

Key Takeaways

  • Bupropion SR is a widely prescribed medication used primarily for depression and smoking cessation.

  • Common side effects include dry mouth, nausea, headaches, insomnia, and headache, which often improve over time.

  • Serious side effects such as seizures, allergic reactions, and mood changes (potential increase in the risk of suicide) require immediate medical attention.

  • Managing side effects involves lifestyle adjustments, dosage monitoring, and sometimes additional treatments.

  • Doctronic.ai offers personalized telehealth consultations to help understand and manage Bupropion SR side effects effectively.

Understanding Bupropion SR Side Effects

Bupropion SR (sustained release) is a medication commonly prescribed for depression and to aid smoking cessation. It works by affecting neurotransmitters in the brain, which can improve mood and reduce cravings. Bupropion SR can cause side effects ranging from mild to serious.

Side effects vary widely depending on individual factors such as age, dosage, and overall health. Knowing what to expect can help patients manage symptoms and seek help when necessary. This article breaks down the most common and serious side effects of Bupropion SR, along with tips on how to handle them safely.

1. Dry Mouth

Dry mouth is one of the most frequently reported side effects of Bupropion SR. It occurs because the medication can reduce saliva production, leading to discomfort and increased thirst.

This side effect is usually mild and temporary, often improving after the first few weeks of treatment. Staying hydrated and chewing sugar-free gum can help stimulate saliva flow. If dry mouth persists, it’s important to discuss this with your healthcare provider to avoid complications like dental issues.

2. Insomnia

Difficulty falling or staying asleep is common with Bupropion SR. Because the medication has stimulating properties, it can interfere with normal sleep patterns, especially if taken later in the day.

To reduce insomnia, it’s best to take Bupropion SR in the morning and establish a calming bedtime routine. Avoiding caffeine and electronic screens before bed can also help. If sleep problems continue, a doctor may adjust the dose or suggest alternative treatments.

3. Headache

Headaches are another common complaint among Bupropion SR users. They can range from mild to moderate and may be linked to changes in brain chemistry caused by the drug.

Over-the-counter pain relievers often provide relief, but persistent or severe headaches should be evaluated by a healthcare professional. Sometimes, headaches improve as the body adjusts to the medication.

4. Nausea and Gastrointestinal Issues

Some patients experience nausea, stomach upset, or constipation when starting Bupropion SR. These symptoms usually subside within a few days or weeks.

Eating smaller, more frequent meals and avoiding spicy or fatty foods can ease gastrointestinal discomfort. If symptoms worsen or do not improve, medical advice is necessary to rule out other causes.

5. Increased Sweating

Excessive sweating is a less common side effect but can be bothersome. It may occur during the day or night and is related to the drug’s effect on the nervous system.

Wearing breathable clothing and staying in cool environments can help manage this symptom. If sweating is severe or accompanied by other symptoms, consult a healthcare provider.

6. Mood Changes and Anxiety

While Bupropion SR is used to treat depression, it can sometimes cause mood swings, irritability, or increased anxiety in certain individuals.

These changes should be closely monitored, especially during the first few weeks of treatment. If mood symptoms worsen or suicidal thoughts occur, immediate medical attention is critical.

7. Seizures

One of the most serious but rare side effects of Bupropion SR is seizures. The risk increases with higher doses, a history of seizures, or certain medical conditions.

Patients should avoid exceeding prescribed doses and inform their doctor about any seizure history. If a seizure occurs, emergency medical care is essential.

8. Allergic Reactions and Skin Issues

Allergic reactions to Bupropion SR are uncommon but can be severe. Symptoms include rash, itching, swelling, dizziness, or difficulty breathing.

Skin reactions such as redness or peeling may also occur. Any signs of an allergic reaction require immediate medical evaluation.

White pill bottle tipped over, spilling red tablets onto a blue surfaceHow to Manage and Reduce Side Effects of Bupropion SR

Adjusting Dosage and Timing

Taking Bupropion SR exactly as prescribed is crucial. Sometimes, splitting doses or taking the medication earlier in the day can minimize side effects such as insomnia or sweating.

Lifestyle Modifications

Simple changes such as staying hydrated, maintaining a balanced diet, and establishing regular sleep schedules can reduce many common side effects.

Using Supportive Treatments

Over-the-counter remedies like pain relievers for headaches or sugar-free gum for dry mouth can provide relief. Always check with a healthcare provider before adding any new treatments.

Regular Monitoring and Communication

Frequent check-ins with your healthcare provider help track side effects and adjust treatment as needed. Doctronic.ai offers convenient access to medical advice without leaving home.

Bupropion SR Allergic Reactions and Warnings

Allergic reactions, though rare, are serious and require urgent care. Watch for symptoms such as swelling of the face or throat, difficulty breathing, or widespread rash. If these occur, seek emergency medical attention immediately.

Bupropion SR is not recommended for people with a history of seizures or eating disorders, as it may increase seizure risk. Always disclose your full medical history to your provider before starting the medication.

When to Contact Your Doctor About Bupropion SR Side Effects

Contact your healthcare provider if you experience:

  • Severe headaches or persistent nausea

  • Mood changes, including depression or suicidal thoughts

  • Signs of an allergic reaction

  • Seizure activity or loss of consciousness

  • Any side effect that worsens or does not improve over time

For quick and personalized advice, consider using Doctronic.ai, where AI-powered and human doctors can guide you through managing side effects and adjusting treatment safely.

Learn More About Bupropion SR Side Effects With Doctronic

Doctronic is an AI-driven telehealth service that provides fast, personalized medical advice based on the latest peer-reviewed research. It remembers your medical history to tailor side effect management strategies specifically to you.

Whether you want a second opinion on your symptoms or need guidance on reducing side effects, Doctronic offers convenient video visits with licensed doctors available 24/7 across all 50 states. This makes it easier than ever to get expert care without waiting or traveling.

The Bottom Line About Bupropion SR Side Effects

Bupropion SR is an effective medication for many, but side effects are a reality that should be understood and managed carefully. Most side effects are mild and temporary, but serious reactions require prompt medical attention.

Staying informed, communicating openly with your healthcare provider, and using resources like Doctronic.ai can help you navigate treatment safely and comfortably. Personalized care powered by AI and expert doctors ensures you get the support you need every step of the way.

Frequently Asked Questions

Yes, some people experience weight loss or gain while taking Bupropion SR. Weight loss is more common due to appetite suppression, but any significant changes should be discussed with a healthcare provider.

Alcohol can increase the risk of seizures and other side effects when combined with Bupropion SR. It is generally advised to avoid or limit alcohol consumption during treatment.

Many side effects, such as dry mouth and nausea, improve within a few weeks as the body adjusts. Persistent or worsening symptoms should be evaluated by a doctor.

If you miss a dose, take it as soon as you remember, unless it is close to the time for your next dose. Do not double up doses to make up for the missed one.

Yes, mood swings and increased anxiety can occur, especially early in treatment. Monitoring and communication with a healthcare provider are important to manage these effects.

Telehealth services like Doctronic.ai provide personalized, expert advice on medication side effects and can help tailor care to your needs.

References

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