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What the FDA labels say about taking them together

Bupropion and nortriptyline

Bupropion's FDA label of June 21, 2024 names nortriptyline in its drug interactions section; the nortriptyline label PlainMeds reads does not name bupropion. The bupropion label: “Drugs metabolized by CYP2D6: Bupropion inhibits CYP2D6 and can increase concentrations of: antidepressants, antipsychotics, beta-blockers (e.g., metoprolol), and Type 1C antiarrhythmics.”

Check it at the source: the bupropion FDA label on DailyMed (effective June 21, 2024); the nortriptyline FDA label on DailyMed (effective December 4, 2024).

What does the bupropion label say about nortriptyline?

Bupropion label, drug interactions

Drugs metabolized by CYP2D6: Bupropion inhibits CYP2D6 and can increase concentrations of: antidepressants (e.g., venlafaxine, nortriptyline, imipramine, desipramine, paroxetine, fluoxetine, sertraline), antipsychotics (e.g., haloperidol, risperidone, thioridazine), beta-blockers (e.g., metoprolol), and Type 1C antiarrhythmics (e.g., propafenone, flecainide).

Source: FDA drug label (BUPROPION HYDROCHLORIDE), Epic Pharma LLC, effective June 21, 2024 (SPL set 9fb44e96-6160-4a4a-90cb-91764c0dcd89), via openFDA; the full label on DailyMed

What does the nortriptyline label say about bupropion?

Nortriptyline's label (effective December 4, 2024) does not name bupropion in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (PAMELOR), SpecGx LLC, effective December 4, 2024 (SPL set e17dc299-f52d-414d-ab6e-e809bd6f8acb), via openFDA; the full label on DailyMed

These are the labels' own sentences. PlainMeds does not grade interactions; a pharmacist or prescriber can say what they mean for one person's medicines.

Both medicines on the record

69Bupropion generic labelers
25Nortriptyline generic labelers
BupropionNortriptyline
Labeled forDepression, Quitting smokingDepression
Boxed warningYesYes
Pharmacy cost (NADAC)$0.0785 per tablet 150 mg tablet$0.113 per capsule 10 mg capsule
Shortage nowNo current entryNo current entry

Source: FDA NDC Directory, CMS NADAC of October 7, 2026 and the FDA Drug Shortage Database (FDA files October 8, 2026)

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