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  • Evidence is increasing that every addiction without exception is related to difficulty with the brain's reward center, particularly the mesolimbic system. This section of the problem regulates reward responses in establishing food and sex, plus nurturing infants and children. One of the most important neurotransmitters involved with reward responses, both whenever they malfunction and when they function properly, is dopamine. What makes opiates unique is that it, among other neurotransmitters modulates "the amount of dopamine released in in reply to a stimulus"(Bostwick & Bucci, 2008).

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    Seizures certainly are a side effect with Contrave and mustn't be taken in individuals with seizure disorders. The drug could also raise hypertension and heartrate, and must not be used in individuals with a history of cardiac arrest or stroke in the last six months. Blood pressure and pulse should also be measured prior to starting the drug and throughout therapy with the drug.

    The FDA also warned that Contrave can raise blood pressure levels and heart rate and must stop used in patients with uncontrolled high hypertension, in addition to by a person with heart-related and cerebrovascular (circulation dysfunction impacting mental performance) disease. Patients using a history of cardiac arrest or stroke in the last six months, life-threatening arrhythmias, or congestive heart failure were excluded through the clinical trials. Those taking Contrave needs to have their heart-rate and pulse monitored regularly. In addition, because the compound includes bupropion, Contrave comes which has a boxed warning to alert medical professionals and patients on the increased chance of suicidal thoughts and behaviors linked to antidepressant drugs. The warning also notes that serious neuropsychiatric events are actually reported in patients taking bupropion for stopping smoking.

    "There were no indications of depression or suicidal thoughts in trial participants," said Fujioka.