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Drug interactions

Bupropion + Butabarbital

Severity: Moderate

Bupropion and Butabarbital: 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

Barbiturates induce hepatic enzymes and may lower bupropion levels while altering metabolite ratios. This may reduce antidepressant or smoking cessation efficacy.

What this interaction means in plain words

Bupropion and Butabarbital 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

Enzyme induction by butabarbital increases bupropion metabolism.

What to do

Monitor clinical response to bupropion and adjust the dose as needed within labeled limits. Consider an alternative if response is lost.

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 Bupropion with Butabarbital?

MediHelp rates the interaction as moderate. Bupropion and Butabarbital 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. Barbiturates induce hepatic enzymes and may lower bupropion levels while altering metabolite ratios. This may reduce antidepressant or smoking cessation efficacy.

How serious is the interaction between Bupropion and Butabarbital?

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 clinical response to bupropion and adjust the dose as needed within labeled limits. Consider an alternative if response is lost.

What other medicines interact with Bupropion?

MediHelp also lists interactions of Bupropion with, for example, Isocarboxazid, Linezolid, Phenelzine. The full list is on the Bupropion page.

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