Lofexidine and Naltrexone and bupropion interaction
Lofexidine and Naltrexone and bupropion: both prescribing labels describe an interaction that usually calls for monitoring, a dose change, or spacing the doses.
Usually manageable with monitoring or a dose change. Tell your pharmacist you take both.
What the FDA labels say
From the Lofexidine label · effective 2026-07-22
Oral Naltrexone : Concomitant use may reduce efficacy of oral naltrexone.
It is possible that oral naltrexone efficacy may be reduced if used concomitantly within 2 hours of Lofexidine tablets.
CYP2D6 Inhibitors : Concomitant use of paroxetine resulted in increased plasma levels of Lofexidine tablets.
Monitor for symptoms of orthostasis and bradycardia with concomitant use of a CYP2D6 inhibitor.
CYP2D6 Inhibitor - Paroxetine Coadministration of Lofexidine tablets and paroxetine resulted in a 28% increase in the extent of absorption of Lofexidine tablets.
From the Naltrexone and bupropion (Contrave Extended-Release) label · effective 2025-11-10
…malformation, central nervous system tumor or infection, or metabolic disorders (e.g., hypoglycemia, hyponatremia, severe hepatic impairment, and hypoxia) excessive use of alcohol or sedatives, addiction to cocaine or stimulants, or withdrawal from sedatives patients with diabetes treated with insulin and/or oral diabetic medications (sulfonylureas and meglitinides)…
Taking more than these two? Interactions stack. Check your whole list at once; it stays in your browser.
Open in the checkerNot medical advice. Interaction Checker quotes FDA label text and NIH fact sheets. Whether an interaction matters for you depends on doses, timing, kidney and liver function, and other conditions. Confirm with a pharmacist or prescriber.