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Drug interactions

Bupropion-naltrexone + Galantamine

Severity: Moderate

Bupropion-naltrexone and Galantamine: moderate interaction.

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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

Galantamine is partly cleared by CYP2D6, so bupropion can increase its concentrations. This may increase cholinergic effects such as nausea, vomiting, bradycardia and dizziness.

What this interaction means in plain words

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

Evidence level: Moderate

Why it happens

Bupropion inhibits CYP2D6, decreasing galantamine metabolism.

What to do

Monitor for nausea, bradycardia and other cholinergic effects, and lower the galantamine dose if they occur.

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-naltrexone with Galantamine?

MediHelp rates the interaction as moderate. Bupropion-naltrexone and Galantamine 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. Galantamine is partly cleared by CYP2D6, so bupropion can increase its concentrations. This may increase cholinergic effects such as nausea, vomiting, bradycardia and dizziness.

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

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 nausea, bradycardia and other cholinergic effects, and lower the galantamine dose if they occur.

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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