75 mg Immediate-Release Bupropion Tablet Availability
No, there is no 75 mg immediate-release bupropion tablet commercially available in standard formulations. The evidence consistently shows that bupropion immediate-release formulations start at 100 mg as the lowest available dose 1.
Standard Bupropion Formulations and Dosing
Immediate-Release (IR) Formulation
- Starting dose: 100 mg (not 75 mg)
- Typical dosing: 100 mg three times daily, can be increased to 150 mg three times daily
- Maximum daily dose: 450 mg per day 1
Sustained-Release (SR) Formulation
- Starting dose: 100-150 mg once daily 2
- Maintenance dose: 100-150 mg twice daily
- Maximum daily dose: 400 mg per day 3
Extended-Release (XL) Formulation
- Starting dose: 150 mg once daily 2
- Maintenance dose: 150-300 mg once daily
- Maximum daily dose: 450 mg per day 1
Special Combination Products
The only formulation containing a dose close to 75 mg is the naltrexone-bupropion ER combination tablet (Contrave), which contains 90 mg of bupropion (not 75 mg) combined with 8 mg naltrexone in each tablet 4. This is specifically formulated for obesity management, not as a standalone bupropion product.
Clinical Context
While research has documented the use of 75 mg doses in specific clinical scenarios (such as PRN dosing for SSRI-induced sexual dysfunction 5), and adverse effects have been reported with 75 mg doses 6, these do not represent commercially available tablet strengths. If a 75 mg dose is clinically indicated, it would require either:
- Splitting a higher-dose immediate-release tablet (if scored)
- Compounding by a pharmacy
- Using alternative dosing strategies with available formulations
The standard commercially available immediate-release bupropion tablets begin at 100 mg, not 75 mg.