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Zyban
is a nicotine free prescription medicine which, when taken properly, can
help you stop smoking.
Zyban
represents a completely new way to stop smoking.
Zyban isn't a patch or an inhaler or a gum.
Zyban
is a pill you take every day to help eliminate the urge to smoke.
With Zyban, you don't need to stop smoking completely.
You may smoke at the same time as taking Zyban, so you quit at your own
pace. Additionally, Zyban is cheaper than a lot of other smoking
cessation methods.
Why is Zyban prescribed?
Zyban is a nicotine-free quit-smoking aid.
Instead of nicotine, Zyban has the same active ingredient as the
antidepressant medication Wellbutrin. It works by boosting levels of
several chemical messengers in the brain. With more of these chemicals
at work, you may experience a reduction in nicotine withdrawal symptoms and,
a weakening of the urge to smoke cigarettes. Zyban can also prove
helpful when people with conditions such as chronic bronchitis and emphysema
decide it's time to quit smoking. More than a third of the people who take
the drug Zyban while participating in a support program are able to quit
smoking for at least 1 month.
Most important fact about Zyban
About 1 person in 1,000 might suffer a
seizure while taking the prescription drug, Zyban. Because of this, people
with epilepsy and certain other disorders should never take the drug. Don't
share Zyban with friends. Only a doctor should decide whether it's safe for
a particular individual to take Zyban. OUR DOCTOR CAN DECIDE FOR YOU!
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How should you take Zyban?
Treatment with Zyban begins while you are
still smoking. Zyban needs around a week to reach an effective level
in your body; so to improve your chances for success, you should not try to
quit until the second week of treatment. Set a firm date for quitting
smoking. If you are still smoking after that date, your odds of
breaking the habit will be worse. You should keep taking Zyban for 7 -
12 weeks.
You can use nicotine patches along with
Zyban. However, combining the two treatments can raise your blood pressure,
so it's important to tell your doctor if you plan to use both. Do not smoke
while using a patch, because too much nicotine can cause serious side
effects.
Participating in a counseling or support
program will make success more likely. Your doctor can recommend a local
program for you.
Swallow Zyban tablets whole. Do not chew,
divide, or crush them. Take them exactly as prescribed.
--If you miss a dose...
Don't take an extra tablet to "catch up" for the missed dose. Skip the
dose and take your next tablet at it's regularly scheduled time.
--Storage instructions...
Store at room temperature in a tightly closed container. NO direct
sunlight.
What side effects may occur with
Zyban?
Side effects cannot be anticipated. If
any develop or change in intensity, inform your doctor as soon as possible.
Only your doctor can determine if it is safe for you to continue taking
Zyban.
- The most common side effects are:
Dry mouth and sleeplessness
These are generally mild and usually
disappear after a few weeks. If you have difficulty sleeping, avoid taking
Zyban close to bedtime and ask your doctor about reducing your dosage.
- More common side effects may include:
Abdominal pain, abnormal dreams, anxiety, constipation,
diarrhea, disturbed concentration, dizziness, joint pain, increased cough,
itching, nasal inflammation, nausea, nervousness, rash, sore throat
- Less common side effects may include:
Abnormal thinking, allergic reaction, bronchitis, changes
in taste, difficulty breathing, dry skin, fever, hives, hot flashes,
increased appetite or loss of appetite, increased blood pressure,
migraine, mouth ulcers, muscle pain, neck pain, nosebleed, ringing in the
ears, shakiness, sinus inflammation, sleepiness, throbbing heartbeat
- Rare side effects may include:
Chest pain, feeling of unhappiness, thirst, swelling of the
face
Why should Zyban not be prescribed?
Zyban has been known to trigger
convulsions, no one with a seizure disorder should attempt to take this
drug. Also, don't take Zyban if you are taking Wellbutrin or, indeed, any
drug that contains bupropion, Zyban's active ingredient. The more bupropion
you take, the more likely you are to have that seizure.
Zyban's seizure-triggering potential is
greater in people with eating disorders such as bulimia or anorexia.
If you suffer from one of these problems, DO NOT take Zyban. Avoid it,
as well, if you are taking a drug classified an MAO inhibitor, such as the
antidepressants Nardil and Parnate. Please let, at least, 14 days to
pass between taking one of these drugs and starting your Zyban therapy.
If bupropion or any other ingredient in
Zyban has ever given you an allergic reaction, please do not take it.
Special warnings about Zyban
Because the chance of a seizure from
Zyban rises with the amount in your system, never take more than one
150-milligram tablet at a time, and limit your total daily intake to 2 doses
(300 milligrams), as well.
A variety of conditions may predispose you to
seizures, including:
Prior head injuries
Prior seizures
Central nervous system tumors
Use of over-the-counter stimulants or diet pills
Use of diabetes medications
Cirrhosis of the liver
Too much alcohol
Abrupt withdrawal from alcohol, tranquilizers, or sedatives
Addiction to narcotics or cocaine
Use of antidepressants, major tranquilizers, steroids, or theophylline
If any of these apply to you, please use Zyban with
care.
Stop taking Zyban and call your doctor immediately if
you have difficulty breathing or swallowing; notice swelling in your lips,
tongue, face or throat; develop swollen arms and legs; or break out with
itchy eruptions. These are all warning signs of a potentially severe
allergic reaction.
If you have a liver or kidney condition, make sure the
doctor is aware of it. Your dosage may need to be reduced. (If you have
severe cirrhosis of the liver, your dosage must be reduced.) Also
make certain the doctor knows about any heart condition you may have.
Zyban can interfere with your driving ability. Don't
drive or operate dangerous machinery until you are certain of the drug's
effect on you.
Possible food and drug interactions
when taking Zyban
If Zyban is used with certain other drugs, the effects
of either could be increased, decreased, or altered. It is especially
important to check with your doctor before combining Zyban with the
following:
Alcohol
Antidepressants such as Norpramin, Pamelor, Paxil, Prozac, Tofranil, and
Zoloft
Beta-blockers (heart and blood pressure medications) such as Inderal,
Lopressor, and Tenormin
Carbamazepine (Tegretol)
Cimetidine (Tagamet)
Cyclophosphamide (Cytoxan)
Heart-stabilizing drugs such as Rythmol and Tambocor
Levodopa (Dopar, Larodopa, Sinemet)
Major tranquilizers such as Haldol, Risperdal and Thorazine
MAO inhibitors such as the antidepressants Nardil and Parnate
Orphenadrine (Norflex)
Phenobarbital
Phenytoin (Dilantin)
Steroids such as prednisone and hydrocortisone
Theophylline (Theo-Dur, Theolair)
Special information if you are
pregnant or breastfeeding
Zyban has not been tested in pregnant
women. If you are pregnant or plan to become pregnant, do your best to
quit smoking with the aid of counseling and support before turning to drug
therapy. For the sake of the baby, you should avoid smoking or taking
nicotine in any other form while pregnant.
Zyban appears in breast milk and could
affect a nursing infant. Ask your doctor whether it will be better to
discontinue the medication or to stop breastfeeding.
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