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Drug interactions

Amphetamine + Buprenorphine long-acting

Severity: Moderate

Amphetamine and Buprenorphine long-acting: moderate interaction.

Last updated

For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.

Summary

Amphetamines increase serotonin and other monoamines, and opioids including buprenorphine have been associated with serotonin syndrome when combined with serotonergic drugs. The risk is low but the reaction can be serious.

What this interaction means in plain words

Amphetamine and Buprenorphine long-acting can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Evidence level: Low

Why it happens

Additive serotonergic effects with amphetamine-induced monoamine release.

What to do

Monitor for mental status changes, neuromuscular hyperactivity and autonomic instability, particularly at initiation or dose adjustment. Manage suspected serotonin syndrome by stopping the serotonergic drugs and giving supportive care.

What to ask your pharmacist

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Frequently asked questions

Can I take Amphetamine with Buprenorphine long-acting?

MediHelp rates the interaction as moderate. Amphetamine and Buprenorphine long-acting can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Amphetamines increase serotonin and other monoamines, and opioids including buprenorphine have been associated with serotonin syndrome when combined with serotonergic drugs. The risk is low but the reaction can be serious.

How serious is the interaction between Amphetamine and Buprenorphine long-acting?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor for mental status changes, neuromuscular hyperactivity and autonomic instability, particularly at initiation or dose adjustment. Manage suspected serotonin syndrome by stopping the serotonergic drugs and giving supportive care.

What other medicines interact with Amphetamine?

MediHelp also lists interactions of Amphetamine with, for example, Iobenguane i, Ozanimod, Benzhydrocodone / acetaminophen. The full list is on the Amphetamine page.

Full monographs, dosing and an interaction checker in the MediHelp app

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