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Drug interactions

Bupropion + Solriamfetol

Severity: Moderate

Bupropion and Solriamfetol: 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 have noradrenergic and dopaminergic activity and can raise blood pressure and heart rate. Used together, the cardiovascular stimulation may be additive, which matters in patients with hypertension or cardiac disease.

What this interaction means in plain words

Bupropion and Solriamfetol 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; Solriamfetol belongs to Central Nervous System.

Evidence level: Low

Why it happens

Additive pharmacodynamic effect through inhibition of dopamine and norepinephrine reuptake by both agents.

What to do

Monitor blood pressure and heart rate at initiation and after dose changes. Reduce the dose or stop one agent if hypertension or tachycardia develops.

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 Solriamfetol?

MediHelp rates the interaction as moderate. Bupropion and Solriamfetol 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 have noradrenergic and dopaminergic activity and can raise blood pressure and heart rate. Used together, the cardiovascular stimulation may be additive, which matters in patients with hypertension or cardiac disease.

How serious is the interaction between Bupropion and Solriamfetol?

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 blood pressure and heart rate at initiation and after dose changes. Reduce the dose or stop one agent if hypertension or tachycardia develops.

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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