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Drug interactions

Bupropion + Cyclosporin

Severity: Moderate

Bupropion and Cyclosporin: 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

Cyclosporine may raise bupropion exposure, increasing the risk of dose-related seizures. Both drugs can also lower seizure threshold, since cyclosporine can cause neurotoxicity.

What this interaction means in plain words

Bupropion and Cyclosporin 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; Cyclosporin belongs to Miscellaneous.

Evidence level: Low

Why it happens

Mechanism not established; possible effect on bupropion metabolism with additive seizure-threshold lowering.

What to do

Keep bupropion at the lowest effective dose and avoid it in patients with other seizure risk factors. Monitor for neurological symptoms.

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 Cyclosporin?

MediHelp rates the interaction as moderate. Bupropion and Cyclosporin 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. Cyclosporine may raise bupropion exposure, increasing the risk of dose-related seizures. Both drugs can also lower seizure threshold, since cyclosporine can cause neurotoxicity.

How serious is the interaction between Bupropion and Cyclosporin?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Keep bupropion at the lowest effective dose and avoid it in patients with other seizure risk factors. Monitor for neurological symptoms.

What other medicines interact with Cyclosporin?

MediHelp also lists interactions of Cyclosporin with, for example, Adenovirus types 4 and 7 live, Aliskiren, Bcg vaccine live. The full list is on the Cyclosporin page.

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

Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.

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