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Drug interactions

Bupropion-naltrexone + Donepezil

Severity: Minor

Bupropion-naltrexone and Donepezil: 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

Bupropion inhibits CYP2D6, one of the enzymes that metabolize donepezil, and may modestly raise donepezil concentrations. This may increase cholinergic effects such as nausea, bradycardia or vomiting.

What this interaction means in plain words

Bupropion-naltrexone and Donepezil 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-naltrexone belongs to Miscellaneous; Donepezil belongs to Central Nervous System.

Evidence level: Low

Why it happens

Inhibition of CYP2D6-mediated donepezil metabolism by bupropion.

What to do

Monitor for cholinergic adverse effects including gastrointestinal upset and bradycardia; adjust donepezil dose if needed.

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-naltrexone with Donepezil?

MediHelp rates the interaction as minor. Bupropion-naltrexone and Donepezil 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 inhibits CYP2D6, one of the enzymes that metabolize donepezil, and may modestly raise donepezil concentrations. This may increase cholinergic effects such as nausea, bradycardia or vomiting.

How serious is the interaction between Bupropion-naltrexone and Donepezil?

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 cholinergic adverse effects including gastrointestinal upset and bradycardia; adjust donepezil dose if needed.

What other medicines interact with Bupropion-naltrexone?

MediHelp also lists interactions of Bupropion-naltrexone with, for example, Hydrocodone, Hydromorphone, Isocarboxazid. The full list is on the Bupropion-naltrexone page.

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