Naltrexone/Bupropion 8mg/90mg

Generic For: Contrave

Naltrexone/bupropion 8mg/90mg, sold under the brand name Contrave, is a prescription combination medication approved for chronic weight management in adults with obesity, or overweight with at least one weight-related condition such as high blood pressure or type 2 diabetes. It is used alongside a reduced-calorie diet and increased physical activity. After a licensed provider reviews your prescription, your order ships from a licensed U.S. pharmacy.

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Buy Naltrexone/Bupropion 8mg/90mg (Contrave) Online

A combination opioid antagonist and aminoketone antidepressant for chronic weight management in adults with obesity or overweight

Naltrexone/Bupropion 8mg/90mg Quick Facts

Drug classOpioid antagonist / aminoketone combination
TreatsChronic weight management, obesity, overweight with weight-related conditions
FormCapsule
Typical dosingTake 1 capsule by mouth twice daily.
Prescription requiredYes — prescription only

What Is Naltrexone/Bupropion 8mg/90mg?

Naltrexone/bupropion is a prescription combination medication marketed as Contrave. It pairs naltrexone, an opioid antagonist, with bupropion, an aminoketone antidepressant, and the two are thought to work on areas of the brain involved in appetite and reward. It is FDA-approved as an adjunct to a reduced-calorie diet and increased physical activity for chronic weight management in adults. Candidates typically have a BMI of 30 or greater, or 27 or greater with at least one weight-related condition such as hypertension, type 2 diabetes, or high cholesterol.

What Does Naltrexone/Bupropion 8mg/90mg Treat?

Chronic weight management in adults with obesity (BMI ?30)
Chronic weight management in adults who are overweight (BMI ?27) with at least one weight-related condition
Adjunct to a reduced-calorie diet and increased physical activity
Weight-related comorbidity support (e.g., hypertension, type 2 diabetes, dyslipidemia) as part of overall weight management

Naltrexone/Bupropion 8mg/90mg Dosage

Week 1: Take 1 tablet (8mg/90mg) by mouth every morning.
Week 2: 1 tablet twice daily; Week 3: 2 tablets in the morning, 1 in the evening.
Week 4 and onward: 2 tablets twice daily (maximum 32mg/360mg per day).

Your prescriber will determine the dose and duration that are right for you. Always follow the directions on your prescription label.

Naltrexone/Bupropion 8mg/90mg Side Effects

Common side effects

  • Nausea
  • Constipation
  • Headache
  • Vomiting
  • Dizziness
  • Insomnia
  • Dry mouth
  • Diarrhea

Serious side effects

Stop taking this medication and seek medical attention right away if you experience:

  • Suicidal thoughts or behavior, or new/worsening depression
  • Seizures
  • Severe allergic reaction (rash, swelling, difficulty breathing)
  • Significant increases in blood pressure or heart rate
  • Liver injury (dark urine, yellowing of skin or eyes, upper abdominal pain)
  • Angle-closure glaucoma (eye pain, vision changes)

Warnings & Interactions

Boxed warning: increased risk of suicidal thoughts and behaviors in young adults taking antidepressants
Do not use with opioid medications or during opioid withdrawal; naltrexone blocks opioid effects
Contraindicated in seizure disorders, uncontrolled hypertension, and eating disorders (anorexia/bulimia)
Do not use with abrupt discontinuation of alcohol, benzodiazepines, or other sedatives
Do not take with monoamine oxidase inhibitors (MAOIs) or within 14 days of stopping one
Not for use during pregnancy; weight loss offers no benefit and may harm the fetus
Avoid other bupropion-containing products; monitor blood pressure and heart rate during treatment

Tell your prescriber about all medications, supplements, and health conditions before starting naltrexone/bupropion 8mg/90mg.

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Frequently Asked Questions

What is naltrexone/bupropion used for?

Naltrexone/bupropion (Contrave) is FDA-approved for chronic weight management in adults with obesity, or overweight with at least one weight-related condition. It is intended to be used together with a reduced-calorie diet and increased physical activity.

Do I need a prescription for naltrexone/bupropion?

Yes. Naltrexone/bupropion is a prescription-only medication in the U.S. A licensed healthcare provider must evaluate whether it is appropriate for you and issue a valid prescription before a pharmacy can dispense it.

How does naltrexone/bupropion work for weight loss?

The combination is thought to act on areas of the brain that regulate appetite and the reward system, which may help reduce hunger and food cravings. Individual results vary, and it works best combined with diet and exercise.

How do I take naltrexone/bupropion?

Dosing is increased gradually over four weeks, starting with one tablet each morning and building to two tablets twice daily. Follow your prescriber's instructions exactly and do not exceed the maximum daily dose.

Can I take naltrexone/bupropion with opioid pain medicines?

No. The naltrexone component blocks the effects of opioids, and taking them together is contraindicated. Tell your provider about all medications you take, including opioid pain relievers and cough medicines.

How does ordering and shipping work?

After you place your order and provide your prescription, a licensed provider or pharmacist reviews it for safety and appropriateness. Once approved, your medication ships from a licensed U.S. pharmacy directly to your address.

What should I do if I miss a dose?

Skip the missed dose and take your next dose at the regular time. Do not double up, since taking too much bupropion can increase the risk of seizures.