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wellbutrin/bupropion lowers TNF in crohns

heapsreal

iherb 10% discount code OPA989,
Messages
10,098
Location
australia (brisbane)
Posting this as auto immune drugs are used for this same purpose but with wellbutrin, people may have it more available. http://www.ncbi.nlm.nih.gov/pubmed/16644475

In a wide range of human diseases of inflammatory nature like Crohn's disease, pathology is mediated in part by pro-inflammatory cytokines like tumor necrosis factor-alpha (TNF) or interferon-gamma. We show here that a commonly used generic antidepressant bupropion, in wide use worldwide to treat depression in humans for a decade now, profoundly lowers levels of TNF, interferon-gamma, and interleukin-1 beta in vivo, in a mouse lipopolysaccharide (LPS) induced inflammation model. Mice challenged with an otherwise lethal dose of LPS were protected by bupropion and levels of the anti-inflammatory cytokine interleukin-10 were increased. Previous data in rodents and humans indicate antidepressant effects of bupropion are mediated by its weak reuptake inhibition of norepinephrine and dopamine. Concordant with this, TNF suppression by bupropion in our mouse LPS model was largely abrogated by beta-adrenergic or dopamine D1 receptor antagonists but not by a D2 antagonist. TNF synthesis is controlled by an inverse relationship with intracellular cyclic adenosine monophosphate (cAMP) and stimulation of either beta-adrenoreceptors or D1 dopaminergic receptors result in increased cAMP but stimulation of D2 receptors lowers cAMP. We conclude that bupropion may suppress TNF synthesis by mediating increased signaling at beta-adrenoreceptors and D1 receptors, resulting in increased cAMP that inhibits TNF synthesis. Bupropion is well tolerated also in non-psychiatric populations and has less risk with long term use than current anti-inflammatory, immunosuppressive or TNF suppressive treatments such as prednisone, azathioprine, infliximab, or methotrexate. New anti-inflammatory treatments are needed. We believe a new chapter in antiinflammatory, TNF lowering treatment of disease has been opened. Bupropion's use for this in humans should be explored.
 

heapsreal

iherb 10% discount code OPA989,
Messages
10,098
Location
australia (brisbane)
I posted this as i wonder if the positive effects people are getting arent from its antidepressant action but maybe its anti-inflammatory action,
 

beaverfury

beaverfury
Messages
503
Location
West Australia
My doctor insisted bupropion wasnt available in Aus except as a zyban patch. Of course, this is easily fixed by ordering
online. But would be cheaper on benefit scheme.

It seems to have a reputation for making people a little irritable. Can anyone speak of their experience with it?
 

heapsreal

iherb 10% discount code OPA989,
Messages
10,098
Location
australia (brisbane)
My doctor insisted bupropion wasnt available in Aus except as a zyban patch. Of course, this is easily fixed by ordering
online. But would be cheaper on benefit scheme.

It seems to have a reputation for making people a little irritable. Can anyone speak of their experience with it?

For us aussies its way cheaper ordering it online and wouldnt be covered on the PBS as its not indicated for depression here only to stop smoking, maybe need to 'give up' smoking ;) . Dosage i used was only 75mg, i did try 150mg but didnt notice any difference to the lower dosage. These were slow release tablets but were ok to cut in half. I havent looked at online sources/prices for this in awhile so cant give much info there.

cheers!!!
 

Thinktank

Senior Member
Messages
1,640
Location
Europe
Has anyone on the board ever tried bupropion/wellbutrin for IBD?
I found it being listed in the Briggs protocol. It also seems to be effective to improve a leaky gut.
 

perchance dreamer

Senior Member
Messages
1,699
A long time ago my pain doctor recommended Wellbutrin to me for its anti-inflammatory effects. It did really help with pain.

A friend of mine, though, got really bad anxiety on Wellbutrin, so I suppose the effects are really variable from person to person.

A little anecdote: My sister is a psychiatric nurse practitioner, and a drug rep. came to her office one time and called Wellbutrin their happy, horny, skinny drug. I think it may be unusual in that some other antidepressants can cause weight gain and lower libido. I did not have those problems on Wellbutrin.