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.
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?
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Other interactions of Bupropion
- Bupropion + Isocarboxazid Contraindicated
- Bupropion + Linezolid Contraindicated
- Bupropion + Phenelzine Contraindicated
- Bupropion + Rasagiline Contraindicated
- Bupropion + Selegiline Contraindicated
- Bupropion + Selegiline transdermal Contraindicated
Other interactions of Tamsulosin
- Alfuzosin + Tamsulosin Major
- Avanafil + Tamsulosin Major
- Ceritinib + Tamsulosin Major
- Clarithromycin + Tamsulosin Major
- Cobicistat + Tamsulosin Major
- Doxazosin + Tamsulosin Major
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.
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