What is the recommended usage and guidelines for Contrave (bupropion and naltrexone) for weight loss?

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Contrave for Weight Loss: Clinical Guidelines and Usage

Primary Recommendation

Contrave (naltrexone 8mg/bupropion 90mg extended-release) should be used with lifestyle modifications in adults with obesity or overweight with weight-related complications, following a specific dose escalation protocol starting with one tablet daily and increasing weekly to a target of two tablets twice daily (32mg/360mg total daily dose). 1


Dosing Protocol

Standard Escalation Schedule

  • Week 1: One tablet (8mg/90mg) once daily in the morning 1, 2
  • Week 2: One tablet twice daily (morning and evening) 1
  • Week 3: Two tablets in the morning, one tablet in the evening 1
  • Week 4 onward: Two tablets twice daily (morning and evening) - maximum dose of 32mg naltrexone/360mg bupropion 1, 2

This gradual titration minimizes adverse effects including nausea, constipation, headache, and dizziness 2


Mechanism of Action

Contrave works through dual complementary pathways:

  • Bupropion component: Inhibits dopamine and norepinephrine reuptake, modulating central reward pathways triggered by food consumption 3
  • Naltrexone component: Antagonizes an inhibitory feedback loop, enhancing the overall effect on food reward systems 3
  • Combined effect: Activates pro-opiomelanocortin (POMC) neurons in the arcuate nucleus, causing release of alpha-melanocyte-stimulating hormone, a potent anorectic neuropeptide that projects to hypothalamic areas controlling feeding and body weight 1, 3

This mechanism makes Contrave particularly effective for patients with food cravings and food addiction-like behaviors 3


Expected Outcomes and Efficacy Assessment

Weight Loss Results

  • Mean weight loss of 4.8-5.0% at 56 weeks compared to placebo 2, 3
  • 36-57% of patients achieve ≥5% total body weight loss 2, 3
  • Average weight loss across clinical trials: 11-22 lbs (5-9 kg) 4

Critical Decision Point at 12 Weeks

Discontinue Contrave if the patient has not achieved 5% weight loss at 12 weeks, as continued use is unlikely to provide meaningful benefit. 1, 2, 3


Absolute Contraindications

Contrave must be avoided in patients with:

  • Seizure disorders or conditions that increase seizure risk 1, 2
  • Current opioid use - naltrexone will block opioid effects and precipitate withdrawal in opioid-dependent individuals 1, 2
  • Uncontrolled hypertension 1, 2
  • Pregnancy - women of reproductive age must use reliable contraception 2, 5
  • MAO inhibitor use within 14 days 3
  • History of eating disorders (bulimia or anorexia nervosa) 2

Monitoring Requirements

Blood Pressure and Heart Rate

Monitor blood pressure and heart rate periodically, especially during the first 12 weeks of treatment, as Contrave can elevate both parameters. 1, 2, 3

Neuropsychiatric Monitoring

Monitor for mood changes, depression, and suicidal ideation, as bupropion carries a black box warning for suicidal thoughts in young adults 3

Cardiovascular Safety

Available evidence does not indicate increased risk of major adverse cardiovascular events (MACE) with Contrave use, unlike phentermine which is contraindicated in cardiovascular disease 2, 6


Preferred Patient Populations

Contrave may be preferentially considered for:

  • Patients attempting smoking cessation - bupropion is FDA-approved for this indication 1
  • Patients with comorbid depression - bupropion has antidepressant properties 1
  • Patients with significant food cravings - the combination specifically targets reward pathways 3
  • Patients with polycystic ovary syndrome (PCOS) or endometriosis seeking weight loss before conception 5

Common Adverse Effects

The most frequent side effects include:

  • Nausea (most common reason for discontinuation) 1, 3
  • Constipation 2, 3
  • Headache 2, 3
  • Dizziness 2, 3
  • Insomnia 3
  • Dry mouth 3

Approximately half of patients experience gastrointestinal symptoms 3


Switching from Other Weight Loss Medications

From Phentermine to Contrave

Discontinue phentermine immediately and start Contrave the next day using the standard dose escalation protocol - no washout period is required. 2

This is advantageous because Contrave allows for long-term use (unlike phentermine which is FDA-approved only for 12 weeks), produces comparable efficacy, and does not carry the cardiovascular contraindications associated with phentermine 2


Preconception Considerations

For women of reproductive age planning pregnancy:

  • Stop Contrave at least 2 months before attempting conception 5
  • Contrave can be used with contraception for weight loss in the preconception period 5
  • Weight loss of 6% total body weight with Contrave may improve fertility by mitigating effects of PCOS and endometriosis 5
  • GLP-1 receptor agonists may be preferred over Contrave for greater weight loss (up to 30% vs 6%) if time permits before conception 5

Metabolic Benefits Beyond Weight Loss

Clinical trials demonstrate significant improvements in:

  • Cardiometabolic markers 4
  • Insulin sensitivity 5
  • Metabolic health factors associated with obesity 5

These benefits make Contrave particularly valuable for patients with obesity-related complications including type 2 diabetes 1, 4

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Guideline

Switching from Phentermine to Contrave

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Guideline

Management of Food Cravings with Contrave

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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