Is it appropriate to prescribe Contrave (bupropion/naltrexone) for a 78-year-old male with coronary artery disease (multiple stents) on ramipril, BMI ~24.6, who wants to lose 15 pounds?

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Do Not Prescribe Contrave to This Patient

Contrave (naltrexone-bupropion) is contraindicated in this 78-year-old man because he does not meet the FDA-approved indication for weight-loss pharmacotherapy and has significant cardiovascular contraindications. 1, 2


Why This Patient Does Not Qualify for Contrave

BMI Does Not Meet Threshold for Anti-Obesity Medication

  • At 172 lbs and 5'10", this patient has a BMI of approximately 24.6 kg/m², which falls within the normal weight range (18.5–24.9 kg/m²). 2
  • Naltrexone-bupropion is FDA-approved only for patients with BMI ≥30 kg/m² (obesity) or BMI ≥27 kg/m² with at least one weight-related comorbidity (e.g., type 2 diabetes, hypertension, dyslipidemia). 2, 3, 4
  • Although this patient has hypertension and coronary artery disease, his BMI of 24.6 kg/m² does not meet the minimum threshold of 27 kg/m² required for prescribing anti-obesity medications, even in the presence of comorbidities. 2

Cardiovascular Risk Profile Makes Contrave Inappropriate

  • Uncontrolled or poorly controlled hypertension is an absolute contraindication to naltrexone-bupropion because bupropion can elevate blood pressure and heart rate. 1, 2
  • Even if this patient's blood pressure is currently controlled on ramipril, bupropion may destabilize control and require intensification of antihypertensive therapy or discontinuation of Contrave. 1, 2
  • Patients with established coronary artery disease and multiple stents represent a high-risk cardiovascular population. Although a 2022 systematic review found no increased risk of major adverse cardiovascular events (MACE) with naltrexone-bupropion, bupropion, or naltrexone individually 5, the cardiovascular safety data are limited in patients with advanced coronary disease, and the drug's blood-pressure-raising effects pose unnecessary risk in this context. 1, 2

Monitoring Requirements That Would Be Necessary (But Still Do Not Justify Use)

If this patient somehow met BMI criteria, the following monitoring would be mandatory:

  • Baseline and periodic blood pressure and heart rate measurements, especially during the first 12 weeks, because bupropion commonly raises both parameters. 1, 2
  • Discontinuation of Contrave if blood pressure becomes uncontrolled (≥130/80 mm Hg in high-risk patients or ≥140/90 mm Hg in standard-risk patients) despite antihypertensive therapy. 1
  • Assessment for neuropsychiatric adverse effects (agitation, suicidal ideation) during the first 1–2 months, particularly in adults younger than 24 years, though this patient is 78 years old. 1, 2

Alternative Approach: Lifestyle Modification Without Pharmacotherapy

  • A 15-pound weight loss in a patient with BMI 24.6 kg/m² is not medically indicated and would result in a BMI of approximately 22.5 kg/m², which is at the lower end of the normal range and offers no cardiovascular benefit. 2
  • For patients with coronary artery disease, the focus should be on optimizing cardiovascular risk factors—maintaining current weight, adhering to a Mediterranean or DASH diet, engaging in moderate-intensity aerobic exercise (as tolerated), and ensuring optimal medical management of hypertension and lipids—rather than pursuing weight loss below a normal BMI. 1

Clinical Pitfalls to Avoid

  • Do not prescribe anti-obesity medications to patients with normal BMI (18.5–24.9 kg/m²), even if they request weight loss, because there is no evidence of benefit and potential for harm. 2
  • Do not overlook the absolute contraindication of uncontrolled hypertension when considering naltrexone-bupropion; even controlled hypertension in a patient with coronary artery disease warrants extreme caution. 1, 2
  • Do not assume that a patient's desire to lose weight justifies pharmacotherapy; weight-loss drugs are indicated only when obesity or overweight with comorbidities poses a health risk, not for cosmetic goals in normal-weight individuals. 2, 3, 4

References

Guideline

Bupropion Dosing and Administration

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2026

Guideline

Naltrexone‑Bupropion Combination Therapy for Weight Management

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2026

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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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