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Drug interactions

Bupropion + Tamsulosin

Severity: Moderate

Bupropion and Tamsulosin: 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

Bupropion may raise tamsulosin concentrations because tamsulosin is partly cleared by CYP2D6. Higher exposure may increase dizziness, orthostatic hypotension and syncope.

What this interaction means in plain words

Bupropion and Tamsulosin 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; Tamsulosin belongs to Genitourinary.

Evidence level: Low

Why it happens

Bupropion inhibits CYP2D6, reducing the metabolism of tamsulosin.

What to do

Monitor for orthostatic hypotension and dizziness, especially when starting or increasing bupropion. Reduce the tamsulosin dose or stop it if symptomatic hypotension occurs.

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 Tamsulosin?

MediHelp rates the interaction as moderate. Bupropion and Tamsulosin 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 may raise tamsulosin concentrations because tamsulosin is partly cleared by CYP2D6. Higher exposure may increase dizziness, orthostatic hypotension and syncope.

How serious is the interaction between Bupropion and Tamsulosin?

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 for orthostatic hypotension and dizziness, especially when starting or increasing bupropion. Reduce the tamsulosin dose or stop it if symptomatic hypotension occurs.

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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