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Getting Bupropion on the NHS for Depression.

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I have had to complain about my G.P. as he does not seem to want to involve me in my own recovery but rather has a 'just keep taking the meds I prescribe you' philosophy.

I inquired after doing quite a bit of resesarch into my own condition and lifestle etc and came up with the conclusion that Bupropion (used in th USA for mental health and in the UK for smokimg cessation) would be the most suitable.

He could not give me a satisfactory answer as to why he could not prescribe it (I am aware of the dosage of over 400mg causing seizures) but he said I needed a psychiatrist to get it on prescription. I think this is a waste of NHS resources and I know that my symptoms do not warrant this. )

Does anyone in the UK get this on prescription already - privately or on the NHS and if so can they message me as I have considered buying this on the internet which does come with its own risks. Question
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replied March 10th, 2012
Experienced User
I'm in Australia but I must say that determinng one's own best med is fraught with danger. Doctors are trained to know what to prescribe to whom. What are you taking, what dose and for how long?

If your mood hasn't improved at all, be honest here, then perhaps the dose needs to go up.

Funny you should pick that drug as it was considered a health risk a few years back. Caused a lot of physical problems, heart I think. And was in the media for ages.

It was then called Zyban and was intended as a stp smoking drug. So it wasn't designed for depression treatment at all.

They've change the name to get away from that pubicity but have they actually changed the drug? I don't know but it is the second worst on my list and I've been at it a while. Avanza is my worst by the way. Best by far, Effexor.

I'd suggest you don't pursue that one as your doc may have exactly what I do in his mind and he is trying to protect you from it.Either trust him or change if you can. I don't know NHS rules. Here we have a health system too that covers all but we choose who we want to see and when.
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replied April 14th, 2012
You seem to have misread ALL of the facts. This medication was trialed FIRSTLY for depression NOT smoking cessation in the USA where it continues to be prescribed for both. I am an experienced drug addictions counsellor with prescribing experience and mental health experience so I am no novice.
The scare came about as a result of it being prescribed over a certain milligram which has now being recognised. My concern was that the "expert" - the doctor knew NOTHING about this drug despite being a consultant psychitrist! This smacks of lethargy and lack of continuing professional development which I as a drug worker have to update regularly - and you want me to put my trust in this person. My experience as both a patient and a professional is that some NHS doctors are reticent to advance their knowledge and resent any person centred recovery. I am curious to know if there are any people in the U.K. being prescribed this and their experiences. Please do not post anything if you just want to give me any 'advice'. I am intelligent enough to know what I am researching.
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replied September 10th, 2013
Bupropion
Unfortunately I'm in the same situation . NHS system is crap. I persuaded my gp to refer me to psychiatrist. I believe that was my biggest mistake. After reading the pychiatrists report I became sick. They use trainee doctors (those who signe CT). I clearly explained them that certain types of antidepressants don't work for me and still they insist to put me back on those. I have had several anxiety attacks since I have read their report.
I think bupropion (aka, zyban, Wellbutrin) match my style better than any other available antidepressants. They don't cost more than certain antidepressants to NHS. But they refuse to give it to patients, as they are a buch of idiots. Enjoying wasting NHS's money and time. And patients time too.
Hope you have managed to find the drug that suits you by now. Do you have any suggestions or comments for me. If so please post in here.

I wish I had the option of not paying national insurance but to choose my own type of therapy.
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replied May 19th, 2014
Bupropion
I too have a history of ongoing depression for nearly 10 years and have been prescribed various different kinds of SSRI anti-depressants which have not improved my mood for a sustained length of time. The added worry for me is that I have had lots of spinal surgery and have been advised that in order to minimise the pain I am in to aim to stay at the lower end of my BMI (which I have been struggling to do on SSRI's) The lethargy and sexual dysfunction have also been taking it's toll on my marriage. The constant tiredness and exhaustion is a real problem for me and stops me leading the life that I want to. I have also been told that Bupropion helps with neurological pain but my GP is also reluctant to prescribe this particular medication even though the facts indicate that this may well be the best anti-depressant to suit my overall needs and historic medical problems. Has anyone managed to get a UK gp to agree to prescribe it ??
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replied January 11th, 2015
Buproprion Access UK
I have been on it with the NHS for years but I had to get a private shrink to throw a fit before it happened. I am from the States and was taking it there and it worked perfectly as a "floor" for me (bipolar) but of course the GPs here would not prescribe it when I moved because they all think they are so much smarter when in fact they are decades behind other places in the treatment of mental health. For some people buproprion is a great drug. It's the second most commonly prescribed antidepressant in the US. This seizure thing is ludicrous - it's an excuse, a smug little way to say they know better than everyone else on the planet. Anyway, just tell them you smoke or find a private shrink with a brain. Getting it over the internet is risky and expensive. Good luck. I actually worry because no one has checked my meds in like more than 6 years. I don't even want to go deal with the condescending I know-better-than-you crap. Especially where I am out in the Fens, where it's all sexist men. Good luck, hang in there, don't give up and don't let those jerks tell you how you feel. All this work, my dearies, and the drug may not even work for you. It's ok though. Just remember, with the NHS, you don't get what you deserve, you get what you negotiate. Have hope. And if you don't have hope stay alive until some comes to you. I mean it. x
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replied July 14th, 2017
Hey, i'm sorry this is two years later lol. I've been recommended bupropion by some american friends after prozac, zoloft, venlefaxin and mirtazipine hasnt been much luck. mirt was the first to give any form of relief but ive put on nearly 3 stone in less than six months and as a result my liver is struggling.
I too live in the fens and definitely know the pains of the sexist doctors?!?!?! (where are you? where did you manage to be prescribed?) in Upwell a particularly horrible gp suggested to me that if I had a boyfriend I wouldn't be depressed and after I explained why I didn't want a man at that time he told me to get a woman instead! In this day and age?!?!
Had a mental health assessment last week and when I mentioned my weight gain the a**hole looked me up and down saying "I didn't think you could gain that on such a small body" excuse me?!?!?
I moved from London, why is it 20 years unevolved around here?
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replied April 25th, 2015
It's taken 6 years since my diagnosis of depression, 7 different so called antidepressants with varying horrific side effects, however finally I am on a "trial" of Bupropion (Zyban) in the UK. Let's face facts, GPs, apart from a ridiculously rare exception, are not going to prescribe this drug. In the UK, you have to go through all the other options before a specialist will even consider something different. It's like the dark ages, there's no scientific argument for what they are doing, simply suck it and see. Alchemy or religion is as far as the psychiatric doctors have got, they don't have a clue what works or why it does if it helps.
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replied November 24th, 2016
Hi i really would like to know did this BUPROPION work >?

If it did, how long did it have effect your condition?

I am struggling to take my meds, I told them after a few horrific side effects ,I am even scared to take anymore meds,but they don't listen, only say if you don't take how do we know if it will works... NHS is so rubbish. They don't care about us.
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replied October 23rd, 2015
I was lumbered with all anti depressants since i gave up alcohol, i was ill and am an alcoholic i have looked for many ways for my own recovery, Effexor was so bad i was suicidal.. Anyway to cut a long story short i thought the NHS to get Wellbutrin and have had it approved to treat me i have just picked up my first box, you can get it at the right places..
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