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Interazioni tra farmaci

Bupropion + Theophylline

Gravità: Maggiore

Bupropion and Theophylline: major interaction.

Ultimo aggiornamento Fonti: US FDA label

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Sintesi

Both theophylline and bupropion lower the seizure threshold, so combined use increases the risk of seizures. This is particularly relevant when theophylline levels are elevated or bupropion doses are high.

Cosa significa questa interazione in parole semplici

Bupropion and Theophylline 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; Theophylline belongs to Respiratory.

Livello di evidenza: Moderate

Perché avviene

Additive pharmacodynamic lowering of the seizure threshold.

Cosa fare

Avoid the combination when possible, or use the lowest effective bupropion dose with gradual titration. Keep theophylline levels within the therapeutic range and avoid in patients with other seizure risk factors.

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?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Riferimenti

Domande frequenti

Can I take Bupropion with Theophylline?

MediHelp rates the interaction as major. Bupropion and Theophylline 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. Both theophylline and bupropion lower the seizure threshold, so combined use increases the risk of seizures. This is particularly relevant when theophylline levels are elevated or bupropion doses are high.

How serious is the interaction between Bupropion and Theophylline?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid the combination when possible, or use the lowest effective bupropion dose with gradual titration. Keep theophylline levels within the therapeutic range and avoid in patients with other seizure risk factors.

What other medicines interact with Theophylline?

MediHelp also lists interactions of Theophylline with, for example, Riociguat, Adenosine, Apalutamide. The full list is on the Theophylline page.

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