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Bupropion-naltrexone + Selegiline

Gravità: Controindicata

Bupropion-naltrexone and Selegiline: contraindicated interaction.

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Sintesi

Selegiline (an MAO-B inhibitor that loses selectivity at higher or transdermal doses) slows catecholamine breakdown, while bupropion blocks reuptake of dopamine and noradrenaline. The combination can produce hypertensive crisis, agitation and seizures; labelling for bupropion prohibits concurrent MAOI therapy.

Cosa significa questa interazione in parole semplici

Bupropion-naltrexone and Selegiline are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two.

Bupropion-naltrexone belongs to Miscellaneous; Selegiline belongs to Central Nervous System.

Livello di evidenza: High

Perché avviene

MAO inhibition combined with dopamine and noradrenaline reuptake inhibition causes excess catecholamine activity

Cosa fare

Do not use together. Wait at least 14 days after stopping selegiline before starting the other drug; allow at least a week after stopping bupropion before starting an MAOI.

Cosa chiedere al farmacista

  • Is there an alternative to one of these two medicines for me?
  • If both are essential, who is monitoring me and how often?
  • Which symptoms mean I should stop and seek help straight away?

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

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Domande frequenti

Can I take Bupropion-naltrexone with Selegiline?

MediHelp rates the interaction as contraindicated. Bupropion-naltrexone and Selegiline are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two. Selegiline (an MAO-B inhibitor that loses selectivity at higher or transdermal doses) slows catecholamine breakdown, while bupropion blocks reuptake of dopamine and noradrenaline. The combination can produce hypertensive crisis, agitation and seizures; labelling for bupropion prohibits concurrent MAOI therapy.

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

MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Do not use together. Wait at least 14 days after stopping selegiline before starting the other drug; allow at least a week after stopping bupropion before starting an MAOI.

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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