Contrave 8 mg/90 mg Prolonged-release tablet.
Clinical Summary
Quick overview from the medicine insert
Indication
Management of weight in adults with obesity or overweight with comorbidities.
Dosage (summary)
Initial dose escalated over 4 weeks; max 32 mg naltrexone/360 mg bupropion daily.
Special Populations
- Elderly patients
- Renal impairment
- Hepatic impairment
Pregnancy & Breastfeeding
Not recommended during pregnancy or breastfeeding due to unknown risks.
Key Drug Interactions
- Monoamine oxidase inhibitors (MAOI)
- Opioid analgesics
- CYP2D6 substrates
Contraindications
- Hypersensitivity
- Uncontrolled hypertension
- Seizure disorder
- CNS tumors
- Acute alcohol withdrawal
- Bipolar disorder
- Eating disorders
- Chronic opioid dependence
Common side effects
- Nausea
- Constipation
- Dizziness
- Dry mouth
- Headache
Counselling Points
- Monitor for mood changes or suicidal thoughts.
- Avoid alcohol consumption.
- Take with food to enhance absorption.
Serious warnings
- Risk of seizures
- Suicidal behavior
- Increased blood pressure
- Hepatotoxicity
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