Drug profile
Bupropion
Adult, child, renal, hepatic, pregnancy and breastfeeding information, with the source named on every line.
DRUG INFORMATION
ADULT
- ( 2.2 ) Major Depressive Disorder Starting dose: 150 mg once daily.
Source: US FDA label for bupropion (Bupropion Hydrochloride), section 'dosage and
administration', retrieved 2026-08-29
- Usual target dose: 300 mg once daily ( 2.2 ) After 4 days, may increase the dose
to 300 mg once daily.
Source: US FDA label for bupropion (Bupropion Hydrochloride), section 'dosage and
administration', retrieved 2026-08-29
- ( 2.3 ) Starting dose: 150 mg once daily.
Source: US FDA label for bupropion (Bupropion Hydrochloride), section 'dosage and
administration', retrieved 2026-08-29
CHILD
- Safety and effectiveness in the pediatric population have not been established.
When considering the use of bupropion hydrochloride extended-release tablets (XL)
in a child or adolescent, balance the potential risks with the clinical need [see
BOXED WARNING and WARNINGS AND PRECAUTIONS ( 5.1 )].
Source: US FDA label for bupropion (Bupropion Hydrochloride), section 'pediatric
use', retrieved 2026-08-29
- General: Increase dose gradually to reduce seizure risk. ( 2.1 , 5.3 )
Periodically reassess the dose and need for maintenance treatment. ( 2.2 ) Major
Depressive Disorder Starting dose: 150 mg once daily. Usual target dose: 300 mg
once daily ( 2.2 ) After 4 days, may increase the dose to 300 mg once daily. ( 2.2
) Seasonal Affective Disorder Initiate treatment in the autumn prior to onset of
seasonal depressive symptoms.
Source: US FDA label for bupropion (Bupropion Hydrochloride), section 'dosage and
administration', retrieved 2026-08-29
RENAL IMPAIRMENT
- ( 2.6 , 8.7 ) Renal Impairment Consider reducing the dose and/or frequency of
dosing.
Source: US FDA label for bupropion (Bupropion Hydrochloride), section 'dosage and
administration', retrieved 2026-08-29
- Because elderly patients are more likely to have decreased renal function, it may
be necessary to consider this factor in dose selection; it may be useful to
monitor renal function [see DOSAGE AND ADMINISTRATION ( 2.7 ), USE IN SPECIFIC
POPULATIONS ( 8.6 ), and CLINICAL PHARMACOLOGY ( 12.3 )].
Source: US FDA label for bupropion (Bupropion Hydrochloride), section 'use in
specific populations', retrieved 2026-08-29
HEPATIC IMPAIRMENT
- ( 2.3 ) Hepatic Impairment Moderate to severe hepatic impairment: 150 mg every
other day ( 2.6 ) Mild hepatic impairment: Consider reducing the dose and/or
frequency of dosing.
Source: US FDA label for bupropion (Bupropion Hydrochloride), section 'dosage and
administration', retrieved 2026-08-29
- Monitor closely for adverse reactions that could indicate high bupropion or
metabolite exposures [see DOSAGE AND ADMINISTRATION ( 2.7 ) and CLINICAL
PHARMACOLOGY ( 12.3 )]. 8.7 Hepatic Impairment In patients with moderate to severe
hepatic impairment (Child-Pugh score: 7 to 15), the maximum bupropion
hydrochloride extended-release tablets (XL) dose is 150 mg every other day.
Source: US FDA label for bupropion (Bupropion Hydrochloride), section 'use in
specific populations', retrieved 2026-08-29
- In patients with mild hepatic impairment (Child-Pugh score: 5 to 6), consider
reducing the dose and/or frequency of dosing [see DOSAGE AND ADMINISTRATION ( 2.6
) and CLINICAL PHARMACOLOGY ( 12.3 )].
Source: US FDA label for bupropion (Bupropion Hydrochloride), section 'use in
specific populations', retrieved 2026-08-29
PREGNANCY
- Pregnancy Exposure Registry There is a pregnancy exposure registry that monitors
pregnancy outcomes in women exposed to antidepressants during pregnancy.
Source: US FDA label for bupropion (Bupropion Hydrochloride), section 'pregnancy',
retrieved 2026-08-29
- Healthcare providers are encouraged to register patients by calling the National
Pregnancy Registry for Antidepressants at 1-844-405-6185 or visiting online at
https://womensmentalhealth.org/clinical-and-
researchprograms/pregnancyregistry/antidepressants/.
Source: US FDA label for bupropion (Bupropion Hydrochloride), section 'pregnancy',
retrieved 2026-08-29
- Risk Summary Data from epidemiological studies of pregnant women exposed to
bupropion in the first trimester have not identified an increased risk of
congenital malformations overall (see Data).
Source: US FDA label for bupropion (Bupropion Hydrochloride), section 'pregnancy',
retrieved 2026-08-29
BREASTFEEDING
- Risk Summary Data from published literature report the presence of bupropion and
its metabolites in human milk (see Data).
Source: US FDA label for bupropion (Bupropion Hydrochloride), section 'nursing
mothers', retrieved 2026-08-29
- There are no data on the effects of bupropion or its metabolites on milk
production.
Source: US FDA label for bupropion (Bupropion Hydrochloride), section 'nursing
mothers', retrieved 2026-08-29
- Limited data from postmarketing reports have not identified a clear association of
adverse reactions in the breastfed infant.
Source: US FDA label for bupropion (Bupropion Hydrochloride), section 'nursing
mothers', retrieved 2026-08-29