From the Research
It is not advisable to initiate bupropion (Wellbutrin) one week prior to taking Step 2 of a medical examination or procedure. The most recent and highest quality study, 1, suggests that bupropion can cause side effects such as anxiety, which could potentially interfere with exam performance. Additionally, the study 2 found that bupropion is often prescribed for depression and attention-deficit/hyperactivity disorder (ADHD), and its effectiveness can vary depending on the individual. Given the potential risks and uncertainties, it is recommended to either begin bupropion at least 3-4 weeks before the exam or wait until after the exam is complete, as suggested by the example answer. This allows the body to adjust to the medication and minimizes the risk of side effects interfering with exam performance. It is essential to consult with a healthcare provider about the timing of starting any new medication, especially around important events like medical licensing exams. The study 3 provides further evidence of the importance of careful consideration when prescribing bupropion, highlighting its unique pharmacology and potential interactions with other medications. Overall, prioritizing morbidity, mortality, and quality of life outcomes, it is crucial to exercise caution when initiating bupropion near critical events like exams.