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Psychiatry · Antidepressants: bupropion
Sample itemWhich statement about bupropion is correct?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. It lowers the seizure threshold and is contraindicated in bulimia nervosa
Bupropion is a norepinephrine-dopamine reuptake inhibitor that is also used for smoking cessation. It has little sexual dysfunction or weight gain, but causes seizures at high doses, especially in bulimia and eating disorders.
Option by option
A. It causes marked weight gain
It is weight-neutral or causes weight loss.
B. It is a pure serotonin reuptake inhibitor
It acts on noradrenaline and dopamine reuptake.
C. It lowers the seizure threshold and is contraindicated in bulimia nervosa (correct)
Correct. Seizure risk makes it unsuitable in bulimia.
D. It commonly causes sexual dysfunction
Sexual dysfunction is uncommon and it is used to treat SSRI-induced dysfunction.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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