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Drug interactions

Bupropion + Dextroamphetamine

Severity: Moderate

Bupropion and Dextroamphetamine: 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

Both drugs are stimulants that lower seizure threshold, and bupropion may raise amphetamine exposure via CYP2D6 inhibition. Risks include seizures, anxiety, hypertension, and tachycardia.

What this interaction means in plain words

Bupropion and Dextroamphetamine 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; Dextroamphetamine belongs to Central Nervous System.

Evidence level: Low

Why it happens

Additive CNS stimulation and seizure-threshold lowering, with CYP2D6 inhibition by bupropion.

What to do

Use the lowest effective doses and monitor blood pressure, heart rate, and seizure activity. Avoid in patients with seizure history.

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 Dextroamphetamine?

MediHelp rates the interaction as moderate. Bupropion and Dextroamphetamine 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. Both drugs are stimulants that lower seizure threshold, and bupropion may raise amphetamine exposure via CYP2D6 inhibition. Risks include seizures, anxiety, hypertension, and tachycardia.

How serious is the interaction between Bupropion and Dextroamphetamine?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Use the lowest effective doses and monitor blood pressure, heart rate, and seizure activity. Avoid in patients with seizure history.

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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