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Drug interactions

Bupropion + Fesoterodine

Severity: Minor

Bupropion and Fesoterodine: minor 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

Fesoterodine's active metabolite is partly cleared by CYP2D6, so bupropion may raise exposure and increase anticholinergic effects such as dry mouth, constipation, and urinary retention.

What this interaction means in plain words

Bupropion and Fesoterodine have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Bupropion belongs to Central Nervous System; Fesoterodine belongs to Genitourinary.

Evidence level: Low

Why it happens

Inhibition of CYP2D6 by bupropion reduces clearance of the active metabolite 5-hydroxymethyl tolterodine.

What to do

Monitor for anticholinergic effects and reduce the fesoterodine dose if they are troublesome.

What to ask your pharmacist

  • Is there anything I should notice while taking both?
  • Do I need to tell my doctor at the next visit?

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 Fesoterodine?

MediHelp rates the interaction as minor. Bupropion and Fesoterodine have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Fesoterodine's active metabolite is partly cleared by CYP2D6, so bupropion may raise exposure and increase anticholinergic effects such as dry mouth, constipation, and urinary retention.

How serious is the interaction between Bupropion and Fesoterodine?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor for anticholinergic effects and reduce the fesoterodine dose if they are troublesome.

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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