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Cimetidine Hydrochloride and Zyban

Determining the interaction of Cimetidine Hydrochloride and Zyban and the possibility of their joint administration.

Check result:
Cimetidine Hydrochloride <> Zyban
Relevance: 08.09.2022 Reviewer: Shkutko P.M., M.D., in

In the database of official manuals used in the service creation an interaction registered by statistical results of studies was found, which can either lead to negative consequences for the patient health or strengthen a mutual positive effect. A doctor should be consulted to address the issue of joint drug administration.

Consumer:

Consumer information for this minor interaction is not currently available. Some minor drug interactions may not be clinically relevant in all patients. Minor drug interactions do not usually cause harm or require a change in therapy. However, your healthcare provider can determine if adjustments to your medications are needed.

Professional:

Coadministration with cimetidine may modestly increase the plasma concentrations of threohydro- and erythrohydrobupropion, two metabolites of bupropion with approximately one-fifth the pharmacologic activity of the parent compound. The mechanism of interaction is unknown. In 24 healthy male volunteers, administration of two 150 mg bupropion sustained-release tablets with a single 800 mg dose of cimetidine following an overnight fast had no effect on the pharmacokinetics of bupropion or hydroxybupropion compared to administration of the bupropion alone. However, there were 32% and 16% increases in the peak plasma concentration (Cmax) and area under the concentration-time curve (AUC), respectively, of threohydro- and erythrohydrobupropion combined. These changes are unlikely to be of clinical significance.

References
  • Kustra R, Corrigan B, Dunn J, Duncan B, Hsyu PH "Lack of effect of cimetidine on the pharmacokinetics of sustained-release bupropion." J Clin Pharmacol 39 (1999): 1184-8
  • "Product Information. Wellbutrin (bupropion)." Glaxo Wellcome, Research Triangle Park, NC.
Cimetidine Hydrochloride

Generic Name: cimetidine

Brand name: Tagamet HB, Tagamet

Synonyms: Cimetidine

Zyban

Generic Name: bupropion

Brand name: Aplenzin, Buproban, Forfivo XL, Wellbutrin SR, Wellbutrin XL, Zyban, Zyban Advantage Pack, Budeprion XL

Synonyms: n.a.

In the course of checking the drug compatibility and interactions, data from the following reference sources was used: Drugs.com, Rxlist.com, Webmd.com, Medscape.com.

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