Interazioni tra farmaci
Bupropion + Deutetrabenazine
Gravità: Maggiore
Bupropion and Deutetrabenazine: major interaction.
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Sintesi
Bupropion is a strong CYP2D6 inhibitor and markedly raises exposure to the active metabolites of deutetrabenazine. This increases the risk of sedation, akathisia, parkinsonism, depression and QT prolongation.
Cosa significa questa interazione in parole semplici
Bupropion and Deutetrabenazine can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.
Bupropion belongs to Central Nervous System; Deutetrabenazine belongs to Central Nervous System.
Perché avviene
Bupropion inhibits CYP2D6, reducing clearance of deutetrabenazine's active dihydro-metabolites.
Cosa fare
Limit deutetrabenazine to no more than 18 mg per dose and 36 mg per day while bupropion is used. Monitor for adverse effects such as depression, somnolence and QT prolongation.
Cosa chiedere al farmacista
- Does the benefit of taking both outweigh the risk in my case?
- Do I need any blood test, ECG or other check while on both?
- What early warning signs should I watch for, and what should I do if they appear?
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Altre interazioni di Bupropion
- Bupropion + Isocarboxazid Controindicata
- Bupropion + Linezolid Controindicata
- Bupropion + Phenelzine Controindicata
- Bupropion + Rasagiline Controindicata
- Bupropion + Selegiline Controindicata
- Bupropion + Selegiline transdermal Controindicata
Altre interazioni di Deutetrabenazine
- Deutetrabenazine + Isocarboxazid Controindicata
- Deutetrabenazine + Linezolid Controindicata
- Deutetrabenazine + Phenelzine Controindicata
- Deutetrabenazine + Rasagiline Controindicata
- Deutetrabenazine + Safinamide Controindicata
- Deutetrabenazine + Selegiline Controindicata
Domande frequenti
Can I take Bupropion with Deutetrabenazine?
MediHelp rates the interaction as major. Bupropion and Deutetrabenazine can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. Bupropion is a strong CYP2D6 inhibitor and markedly raises exposure to the active metabolites of deutetrabenazine. This increases the risk of sedation, akathisia, parkinsonism, depression and QT prolongation.
How serious is the interaction between Bupropion and Deutetrabenazine?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Limit deutetrabenazine to no more than 18 mg per dose and 36 mg per day while bupropion is used. Monitor for adverse effects such as depression, somnolence and QT prolongation.
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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