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Drug interactions

Bupropion + Cinacalcet

Severity: Moderate

Bupropion and Cinacalcet: 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

Cinacalcet is a CYP2D6 inhibitor and is partly metabolized by it. Bupropion may raise cinacalcet exposure, potentially increasing nausea and hypocalcemia.

What this interaction means in plain words

Bupropion and Cinacalcet 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.

Bupropion belongs to Central Nervous System; Cinacalcet belongs to Miscellaneous.

Evidence level: Low

Why it happens

Bupropion inhibition of CYP2D6 reduces cinacalcet clearance.

What to do

Monitor serum calcium and PTH, and adjust cinacalcet dose based on results.

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 Cinacalcet?

MediHelp rates the interaction as moderate. Bupropion and Cinacalcet 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. Cinacalcet is a CYP2D6 inhibitor and is partly metabolized by it. Bupropion may raise cinacalcet exposure, potentially increasing nausea and hypocalcemia.

How serious is the interaction between Bupropion and Cinacalcet?

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 serum calcium and PTH, and adjust cinacalcet dose based on results.

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.

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

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