What are the indications and usage guidelines for Contrave (naltrexone and bupropion)?

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Indications and Usage Guidelines for Contrave (Naltrexone and Bupropion)

Contrave (naltrexone/bupropion extended-release) is indicated as an adjunct to a reduced-calorie diet and increased physical activity for chronic weight management in adults with an initial BMI of ≥30 kg/m² (obese) or ≥27 kg/m² (overweight) with at least one weight-related comorbidity such as hypertension, type 2 diabetes, or dyslipidemia. 1

Patient Selection Criteria

  • BMI requirements:

    • BMI ≥30 kg/m² (obese) OR
    • BMI ≥27 kg/m² (overweight) with at least one weight-related comorbidity 1, 2
  • Weight-related comorbidities that qualify include:

    • Type 2 diabetes mellitus
    • Hypertension
    • Dyslipidemia
    • Obstructive sleep apnea 1

Mechanism of Action

Contrave combines two medications with complementary actions:

  • Naltrexone (opioid receptor antagonist)
  • Bupropion (dopamine and norepinephrine reuptake inhibitor)

This combination activates pro-opiomelanocortin (POMC) neurons in the arcuate nucleus, causing release of alpha-melanocyte-stimulating hormone, which projects to hypothalamic areas involved in weight control. 1

Dosage and Administration

  • Initial dose: Start with 1 tablet (naltrexone 8 mg/bupropion 90 mg) daily in the morning

  • Dose escalation: Increase by 1 tablet weekly according to this schedule:

    • Week 1: 1 tablet daily (morning)
    • Week 2: 1 tablet twice daily (morning and evening)
    • Week 3: 2 tablets in morning, 1 tablet in evening
    • Week 4 onward: 2 tablets twice daily (maximum dose of 32/360 mg daily) 1
  • Gradual titration is essential to minimize gastrointestinal side effects, particularly nausea 1, 3

Efficacy Assessment

  • Evaluate weight loss at 12 weeks on the maintenance dose
  • Discontinue if patient has not lost at least 5% of baseline body weight 1
  • Expected weight loss: Approximately 4.8% greater than placebo at 56 weeks 1, 2

Contraindications

  • Uncontrolled hypertension
  • Seizure disorders or conditions that lower seizure threshold
  • Use of other bupropion-containing products
  • Current or prior diagnosis of bulimia or anorexia nervosa
  • Chronic opioid use or during opiate withdrawal
  • During or within 14 days of taking monoamine oxidase inhibitors (MAOIs)
  • Pregnancy
  • Severe hepatic impairment 1, 3

Precautions and Monitoring

  • Blood pressure and heart rate: Monitor regularly, especially during dose escalation
  • Psychiatric symptoms: Watch for emergence of suicidal thoughts, depression, or anxiety
  • Seizure risk: Use with caution in patients with risk factors for seizures
  • Angle-closure glaucoma: May precipitate an attack in susceptible individuals
  • Hepatic impairment: Dose adjustment needed in moderate to severe impairment 1, 3

Common Side Effects

  • Nausea (most common)
  • Constipation
  • Headache
  • Dizziness
  • Insomnia
  • Dry mouth
  • Diarrhea
  • Vomiting 1, 2

Drug Interactions

  • Opioid medications: Contraindicated; may reduce efficacy of opioid pain medications
  • MAOIs: Contraindicated; risk of hypertensive crisis
  • CYP2B6 inhibitors/inducers: May affect bupropion levels
  • Antihypertensive medications: May reduce efficacy 3

Important Clinical Considerations

  • Contrave should always be used as an adjunct to lifestyle modifications, not as monotherapy 1
  • Cardiovascular safety: Current evidence does not indicate increased risk of major adverse cardiovascular events with Contrave 4
  • In patients with type 2 diabetes, Contrave has shown improvements in glycemic control in addition to weight loss 5
  • The medication is approved for long-term use 1

Common Pitfalls to Avoid

  • Failure to titrate properly: Rapid dose escalation increases side effects, particularly nausea
  • Inadequate monitoring: Regular follow-up is essential, especially in the first 3 months
  • Continuing ineffective therapy: Discontinue if 5% weight loss not achieved by 12 weeks
  • Prescribing with contraindicated medications: Especially MAOIs and opioids
  • Using as monotherapy: Always combine with reduced-calorie diet and increased physical activity

By following these guidelines, Contrave can be an effective tool for chronic weight management in appropriate patients when used as part of a comprehensive approach that includes lifestyle modifications.

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Guideline

Management of Depression and Weight in High-Risk Patients

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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