{"id":55934,"date":"2024-02-07T05:46:08","date_gmt":"2024-02-07T05:46:08","guid":{"rendered":"https:\/\/medsname.com\/bulet-sr\/"},"modified":"2026-04-30T10:24:42","modified_gmt":"2026-04-30T10:24:42","slug":"bulet-sr","status":"publish","type":"product","link":"https:\/\/medsbase.com\/ro\/product\/bulet-sr\/","title":{"rendered":"Bulet SR"},"content":{"rendered":"<p><!-- medsbase-tldr-answer --><\/p>\n<div class=\"medsbase-tldr-answer\" style=\"background:#fff8d6;border-left:4px solid #f5a623;padding:14px 18px;margin:18px 0;border-radius:4px;\">\n<h3 style=\"margin-top:0;\">\u26a1 R\u0103spuns rapid<\/h3>\n<p style=\"margin-bottom:0;\">Bulet SR (Bupropion 150 mg, eliberare prelungit\u0103 (SR)) este un inhibitor al recapt\u0103rii dopaminei-noradrenalinei (NDRI) utilizat pentru depresia major\u0103, \u00eencetarea fumatului (indica\u021bia Zyban) \u0219i tulburarea afectiv\u0103 sezonier\u0103. Profil distinct: stimulant \u00een loc de sedativ, neutru sau reduc\u0103tor de greutate, f\u0103r\u0103 efecte secundare sexuale. SR se administreaz\u0103 de dou\u0103 ori pe zi; XL o dat\u0103 pe zi. Ambele au aceea\u0219i farmacologie \u0219i indica\u021bii.<\/p>\n<\/div>\n<div class=\"medsbase-trust-strip\" style=\"background:#f4f8fb;border:1px solid #d8e3eb;padding:12px 16px;margin:16px 0;border-radius:4px;font-size:14px;\">\n<strong>Ce beneficii ofer\u0103 MedsBase:<\/strong> Produc\u0103tor certificat WHO-GMP \u00b7 Ambalaj discret \u00b7 Livrare la nivel mondial \u00b7 Peste 1.400 de recenzii verificate <a href=\"https:\/\/medsbase.com\/ro\/reviews\/\">ale clien\u021bilor<\/a>\n<\/div>\n<p class=\"medsbase-reship-line\" style=\"font-size:14px;color:#444;margin:8px 0 18px;\">\ud83d\udce6 Fiecare comand\u0103 este acoperit\u0103 de politica noastr\u0103 de <a href=\"https:\/\/medsbase.com\/ro\/medsbase-re-shipment-assurance-policy\/\"><strong>Politica noastr\u0103 de Reexpediere Garantat\u0103<\/strong><\/a> \u2014 dac\u0103 coletul dumneavoastr\u0103 nu sose\u0219te \u00een 20 de zile lucr\u0103toare, \u00eel relivr\u0103m.<\/p>\n<h3>De ce s\u0103 comanzi de la MedsBase<\/h3>\n<p>Bulet SR la MedsBase este furnizat direct de la un produc\u0103tor certificat WHO-GMP \u00een ambalaje simple \u0219i discrete. Fiecare comand\u0103 este acoperit\u0103 de <a href=\"https:\/\/medsbase.com\/ro\/medsbase-re-shipment-assurance-policy\/\">Politica noastr\u0103 de Reexpediere Garantat\u0103<\/a> \u2014 perioad\u0103 de livrare de 20 de zile lucr\u0103toare sau retrimitem f\u0103r\u0103 costuri suplimentare \u2014 \u0219i se calific\u0103 pentru <a href=\"https:\/\/medsbase.com\/ro\/loyalty-points\/\">programul nostru de loialitate pentru clien\u021bi<\/a>. Livr\u0103rile sunt disponibile \u00een majoritatea destina\u021biilor la nivel mondial.<\/p>\n<h2>Ce este Bulet SR \u0219i cum func\u021bioneaz\u0103<\/h2>\n<p>Bulet SR este un comprimat de bupropion cu eliberare prelungit\u0103 (SR) de 150 mg furnizat de Intas. Bupropionul este singurul antidepresiv larg prescris a c\u0103rui ac\u021biune principal\u0103 este inhibarea recapt\u0103rii dopaminei-noradrenalinei \u2014 nu a serotoninei. Acest lucru \u00eel face distinct farmacologic de SSRI\/SNRI\/TCA \u0219i explic\u0103 semn\u0103tura diferit\u0103 a efectelor secundare.<\/p>\n<p>Traducerea clinic\u0103: bupropionul nu provoac\u0103 disfunc\u021bii sexuale, nu provoac\u0103 cre\u0219tere \u00een greutate (adesea pierdere \u00een greutate) \u0219i este activant \u00een loc de sedativ. Compromisul este o cre\u0219tere semnificativ\u0103 a riscului de convulsii la doze mari, o contraindica\u021bie absolut\u0103 \u00een tulbur\u0103rile de alimenta\u021bie \u0219i o povar\u0103 de insomnie\/anxietate la unii pacien\u021bi.<\/p>\n<h2>Indica\u021bii \u0219i dozaj<\/h2>\n<table>\n<thead>\n<tr>\n<th>Indica\u021bie<\/th>\n<th>Doza ini\u021bial\u0103<\/th>\n<th>\u021aint\u0103<\/th>\n<th>Maxim<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>Depresie major\u0103 \u2014 XL<\/td>\n<td>150 mg o dat\u0103 pe zi diminea\u021ba<\/td>\n<td>300 mg o dat\u0103 pe zi<\/td>\n<td>450 mg<\/td>\n<\/tr>\n<tr>\n<td>Depresie major\u0103 \u2014 SR<\/td>\n<td>150 mg o dat\u0103 pe zi \u00d7 3 zile \u2192 de dou\u0103 ori pe zi<\/td>\n<td>150 mg de dou\u0103 ori pe zi<\/td>\n<td>200 mg de dou\u0103 ori pe zi<\/td>\n<\/tr>\n<tr>\n<td>\u00cencetarea fumatului<\/td>\n<td>150 mg OD \u00d7 3 zile \u2192 BID (SR) sau 150 mg OD \u00d7 1 s\u0103pt\u0103m\u00e2n\u0103 \u2192 300 mg (XL)<\/td>\n<td>150 mg BID sau 300 mg OD \u00d7 7\u201312 s\u0103pt\u0103m\u00e2ni<\/td>\n<td>\u2014<\/td>\n<\/tr>\n<tr>\n<td>Tulburare afectiv\u0103 sezonier\u0103 (XL)<\/td>\n<td>150 mg OD \u00eenceput toamn\u0103<\/td>\n<td>300 mg o dat\u0103 pe zi<\/td>\n<td>\u2014<\/td>\n<\/tr>\n<tr>\n<td>Disfunc\u021bie sexual\u0103 SSRI (off-label)<\/td>\n<td>75\u2013150 mg OD<\/td>\n<td>150 mg OD<\/td>\n<td>300 mg<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2>Considera\u021bii importante de siguran\u021b\u0103<\/h2>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:18px 0;border-radius:4px;\">\n<strong>Risc de criz\u0103 epileptic\u0103 \u2014 absolut \u0219i dependent de doz\u0103<\/strong><\/p>\n<p style=\"margin-bottom:0;\">Bupropion scade pragul convulsiilor. <strong>Contraindica\u021bii absolute:<\/strong> orice tulburare convulsiv\u0103, anorexia nervoas\u0103 sau bulimie actual\u0103 sau istoric\u0103, sevraj brusc de la alcool sau sedative. Riscul de convulsii la 300 mg\/zi este de aproximativ 0,1%; la 450 mg\/zi este de aproximativ 0,4% \u2014 o cre\u0219tere de 4 ori. Dozele unice nu trebuie s\u0103 dep\u0103\u0219easc\u0103 150 mg (SR) sau 450 mg total (XL).<\/p>\n<\/div>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:18px 0;border-radius:4px;\">\n<strong>Contraindica\u021bie pentru tulbur\u0103ri de alimenta\u021bie<\/strong><\/p>\n<p style=\"margin-bottom:0;\">Anorexia \u0219i bulimia sunt contraindica\u021bii absolute \u2014 at\u00e2t datorit\u0103 faptului c\u0103 fiziologia tulbur\u0103rilor de alimenta\u021bie scade pragul convulsiilor (dezechilibru electrolitic, stare cetoacidozic\u0103), c\u00e2t \u0219i datorit\u0103 efectului anorexigen al bupropionului, care poate consolida comportamentul restrictiv. Aceasta este una dintre pu\u021binele contraindica\u021bii clare \u201cnu utiliza\u021bi\u201d \u00een psihiatrie.<\/p>\n<\/div>\n<div style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:14px 18px;margin:18px 0;border-radius:4px;\">\n<strong>Perioad\u0103 de eliminare MAOI<\/strong><\/p>\n<p style=\"margin-bottom:0;\">Perioad\u0103 de eliminare de 14 zile \u00een ambele direc\u021bii. Utilizarea concomitent\u0103 prezint\u0103 risc de criz\u0103 hipertensiv\u0103.<\/p>\n<\/div>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:18px 0;border-radius:4px;\">\n<strong>Avertisment cutie neagr\u0103 privind riscul de suicid (sub 25 de ani)<\/strong><\/p>\n<p style=\"margin-bottom:0;\">Toate antidepresivele poart\u0103 un avertisment cutie neagr\u0103 FDA privind cre\u0219terea g\u00e2ndurilor suicidare la pacien\u021bii sub 25 de ani.<\/p>\n<\/div>\n<h2>Efecte secundare frecvente<\/h2>\n<ul>\n<li><strong>Profil stimulant:<\/strong> insomnie (evita\u021bi administrarea seara), gur\u0103 uscat\u0103, cefalee, agita\u021bie, tremor.<\/li>\n<li><strong>Cardiovascular:<\/strong> u\u0219oar\u0103 cre\u0219tere a tensiunii arteriale, tahicardie, palpita\u021bii.<\/li>\n<li><strong>Greutate:<\/strong> sc\u0103derea \u00een greutate este frecvent\u0103 \u2014 bupropionul este unul dintre componentele combina\u021biei anti-obezitate Contrave.<\/li>\n<li><strong>Func\u021bia sexual\u0103:<\/strong> niciunul; adesea amelioraz\u0103 disfunc\u021bia sexual\u0103 indus\u0103 de SSRI atunci c\u00e2nd este ad\u0103ugat.<\/li>\n<li><strong>GI:<\/strong> gre\u021buri (mai accentuate la doze unice mari), constipa\u021bie.<\/li>\n<li><strong>Piele:<\/strong> erup\u021bii cutanate, ocazional reac\u021bii cutanate grave.<\/li>\n<\/ul>\n<h2>Interac\u021biuni medicamentoase<\/h2>\n<ul>\n<li><strong>MAOI<\/strong> \u2014 contraindica\u021bie absolut\u0103.<\/li>\n<li><strong>Inductori\/inhibitori puternici ai CYP2B6<\/strong> (rifampicin\u0103, ritonavir, efavirenz, ticlopidin\u0103, clopidogrel, prasugrel) \u2014 modific\u0103 nivelurile de bupropion; inhibi\u021bia CYP2B6 de c\u0103tre clopidogrel reduce hidroxibupropionul (metabolit activ) \u2014 impact clinic modest.<\/li>\n<li><strong>Substrate CYP2D6<\/strong> (majoritatea TCA-urilor, multe antipsihotice, antiaritmice de tip 1c, codein\u0103, tramadol, tamoxifen) \u2014 bupropionul este un inhibitor puternic al CYP2D6; cre\u0219te nivelurile substratelor.<\/li>\n<li><strong>Alte medicamente care scad pragul convulsiilor<\/strong> (tramadol, fluorochinolone, teofilin\u0103, antipsihotice) \u2014 risc aditiv.<\/li>\n<\/ul>\n<h2>Sarcina, al\u0103ptare, pediatric<\/h2>\n<p>Sarcina: date limitate; nu este antidepresiv de prim\u0103 inten\u021bie \u00een sarcin\u0103, dar nu exist\u0103 semnale clare de teratogenitate. Al\u0103ptare: trece \u00een lapte; uneori preferat pentru depresia postpartum c\u00e2nd cre\u0219terea \u00een greutate sau sedarea ar fi problematice. Pediatric: nu este de prim\u0103 inten\u021bie; utilizarea off-label pentru ADHD este descris\u0103.<\/p>\n<h2>Depozitare<\/h2>\n<p>Se p\u0103streaz\u0103 la 15\u201325 \u00b0C \u00een ambalajul original.<\/p>\n<h2 id=\"faqs\">\u00centreb\u0103ri frecvente<\/h2>\n<h3>De ce este Bulet SR uneori preferat \u00een locul SSRI-urilor?<\/h3>\n<p>Trei motive: f\u0103r\u0103 efecte secundare sexuale, neutru sau reduc\u0103tor de greutate \u0219i activant \u00een loc de sedativ. Pacien\u021bii care dezvolt\u0103 disfunc\u021bie sexual\u0103 sau cre\u0219tere \u00een greutate indus\u0103 de SSRI se descurc\u0103 adesea bine cu bupropion, singur sau ca augmentare.<\/p>\n<h3>Poate fi folosit Bulet SR pentru a renunun\u021ba fumatul?<\/h3>\n<p>Da \u2014 bupropionul este aprobat de FDA pentru \u00eencetarea fumatului sub denumirea comercial\u0103 Zyban. Schema de dozare este aceea\u0219i ca pentru depresie (300 mg\/zi). \u00cencepe\u021bi cu 1\u20132 s\u0103pt\u0103m\u00e2ni \u00eenainte de data planificat\u0103 de renun\u021bare \u0219i continua\u021bi timp de 7\u201312 s\u0103pt\u0103m\u00e2ni. Mecanismul pentru \u00eencetarea fumatului este par\u021bial suprimarea simptomelor de sevraj noradrenergice \u0219i par\u021bial reducerea poftei mediat\u0103 de dopamin\u0103.<\/p>\n<h3>Cum difer\u0103 Bulet SR de un stimulent?<\/h3>\n<p>Bupropionul are propriet\u0103\u021bi stimulante slabe, dar nu este o substan\u021b\u0103 controlat\u0103, nu produce euforie la doze terapeutice \u0219i nu are poten\u021bial de abuz \u00een form\u0103 oral\u0103. Utilizarea recrea\u021bional\u0103 prin insuflat\u0103 a fost descris\u0103, dar este rar\u0103 \u0219i nesatisf\u0103c\u0103toare \u00een compara\u021bie cu adev\u0103ratele stimulente.<\/p>\n<h3>Poate Bulet SR provoca anxietate?<\/h3>\n<p>Da \u2014 profilul de activare poate provoca anxietate, agita\u021bie sau insomnie la unii pacien\u021bi, \u00een special \u00een primele 1-2 s\u0103pt\u0103m\u00e2ni. Acesta este motivul pentru care bupropionul nu este de obicei recomandat ca tratament de prim\u0103 inten\u021bie pentru depresia cu simptome evidente de anxietate. Se recomand\u0103 administrarea diminea\u021ba pentru a minimiza insomnia.<\/p>\n<h3>De ce este Bulet SR contraindicat \u00een tulbur\u0103rile alimentare?<\/h3>\n<p>Anorexia \u0219i bulimia provoac\u0103 deregl\u0103ri electrolitice \u0219i stare cetoac\u0103, ambele sc\u0103z\u00e2nd pragul convulsiilor. Bupropionul reduce \u0219i el acest prag, iar combina\u021bia a dus la rate inacceptabile de crize epileptice \u00een studiile timpurii. Contraindica\u021bia este absolut\u0103, nu relativ\u0103.<\/p>\n<h3>Bulet SR m\u0103 va \u021bine treaz noaptea?<\/h3>\n<p>Dac\u0103 este luat seara, adesea da. Practica standard este de a lua Bulet SR diminea\u021ba; pentru formularea SR, dozarea BID se face diminea\u021ba \u0219i la pr\u00e2nz (nu seara).<\/p>\n<h3>Cum \u00eentrerup tratamentul cu Bulet SR?<\/h3>\n<p>Bupropionul are o semi-via\u021b\u0103 relativ scurt\u0103 \u0219i sevraj moderat \u2014 dar reducerea treptat\u0103 pe 1-2 s\u0103pt\u0103m\u00e2ni r\u0103m\u00e2ne cea mai prudent\u0103 abordare. \u00cenjum\u0103t\u0103\u021bi\u021bi doza timp de 1-2 s\u0103pt\u0103m\u00e2ni, apoi \u00eentrerupe\u021bi.<\/p>\n<h3>Bulet SR poate fi combinat cu un SSRI?<\/h3>\n<p>Da \u2014 combina\u021bie frecvent\u0103, mai ales c\u00e2nd se adaug\u0103 bupropion unui SSRI pentru a contracara efectele secundare sexuale sau pentru a spori r\u0103spunsul par\u021bial. Ambele medicamente ac\u021bioneaz\u0103 pe sisteme diferite de neurotransmi\u021b\u0103tori; combina\u021bia este bine tolerat\u0103. Se recomand\u0103 supraveghere specializat\u0103.<\/p>\n<h3>Care este riscul de crize epileptice?<\/h3>\n<p>La doza de 300 mg\/zi (doza \u021bint\u0103 tipic\u0103), riscul de criz\u0103 epileptic\u0103 este de aproximativ 0,1% pe an \u2014 sc\u0103zut, dar real. La 450 mg\/zi, riscul cre\u0219te la aproximativ 0,4%. Riscul este concentrat la pacien\u021bii cu factori predisponen\u021bi: antecedente de traumatism cranian, tulbur\u0103ri epileptice, tulbur\u0103ri de alimenta\u021bie, sevraj alcoolic sau de sedative.<\/p>\n<h3>Ce fac dac\u0103 uit o doz\u0103?<\/h3>\n<p>Lua\u021bi c\u00e2t mai cur\u00e2nd posibil \u00een aceea\u0219i zi. Nu dubla\u021bi doza \u2014 riscul de criz\u0103 dependent de doz\u0103 este motivul. Dac\u0103 este aproape de urm\u0103toarea doz\u0103, omite\u021bi.<\/p>\n<h2>Alte Medicamente pentru S\u0103n\u0103tatea Mintal\u0103<\/h2>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/ro\/mirtaz\/\">Mirtaz (Mirtazapine NaSSA)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/agoprex\/\">Agoprex (Agomelatin\u0103 \u2014 melatonergic)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/flunil\/\">Flunil (Fluoxetine SSRI)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/duvanta\/\">Duvanta (Duloxetine SNRI)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/champix\/\">Champix (Vareniclin\u0103 \u2014 alternativ\u0103 pentru renun\u021barea la fumat)<\/a><\/li>\n<\/ul>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:14px 18px;margin:18px 0;border-radius:4px;font-size:0.9em;\">\n<strong>Not\u0103 medical\u0103.<\/strong> Aceast\u0103 pagin\u0103 are scop educa\u021bional \u0219i nu \u00eenlocuie\u0219te sfatul medical personalizat. Farmacoterapia pentru s\u0103n\u0103tatea mintal\u0103 ar trebui ini\u021biat\u0103, monitorizat\u0103 \u0219i ajustat\u0103 de c\u0103tre un clinician calificat. Dac\u0103 tu sau cineva cunoscut se afl\u0103 \u00eentr-o criz\u0103 suicidal\u0103, contacteaz\u0103 imediat serviciile de urgen\u021b\u0103 locale sau sun\u0103 la linia de preven\u021bie a suicidului din \u021bara ta (SUA\/Canada: 988; UK: Samaritans 116 123; list\u0103 interna\u021bional\u0103: <a href=\"https:\/\/findahelpline.com\/\" rel=\"nofollow noopener\" target=\"_blank\">findahelpline.com<\/a>).\n<\/div>","protected":false},"excerpt":{"rendered":"<p>Bulet SR (Bupropion 150 mg SR) \u2014 antidepresiv NDRI pentru depresia major\u0103 \u0219i \u00eencetarea fumatului. f\u0103r\u0103 disfunc\u021bii sexuale, neutru din punct de vedere al greut\u0103\u021bii, activant.<\/p>","protected":false},"featured_media":55935,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3141,3342,3906],"product_tag":[4013,4014],"class_list":{"0":"post-55934","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-category-overview","7":"product_cat-general-health","8":"product_cat-mental-health-and-psychiatric-medications","9":"product_tag-bulet-sr","10":"product_tag-bupropion","12":"first","13":"instock","14":"shipping-taxable","15":"purchasable","16":"product-type-variable","17":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product\/55934","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/types\/product"}],"replies":[{"embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/comments?post=55934"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/media\/55935"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/media?parent=55934"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_brand?post=55934"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_cat?post=55934"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_tag?post=55934"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}