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Can I take Fluanxol and Wellbutrin together?

Drug interaction guide

Taking these two medicines together can significantly increase your risk of having a seizure (a fit). Both drugs can also affect each other's levels in your blood, which may lead to more side effects such as restlessness, tremors, or unusual muscle movements.

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Why this happens

Both Fluanxol (flupentixol) and Wellbutrin (bupropion) lower the 'seizure threshold', meaning they make it easier for a seizure to occur. Additionally, Wellbutrin blocks the liver enzyme (CYP2D6) that breaks down Fluanxol, which can cause Fluanxol to build up to higher, potentially toxic levels in your body.

What you should do

You must speak to your doctor before taking these two medicines together. They may need to adjust your doses or choose an alternative treatment. If you are prescribed both, seek medical help immediately if you experience a seizure, extreme shakiness, or severe agitation.

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Important precautions

Seizure disorders or epilepsy

This medicine significantly increases the risk of having a seizure. You must not take it if you have a history of epilepsy, an eating disorder (bulimia or anorexia), or if you are undergoing sudden withdrawal from alcohol or sedatives.

Maladie de Parkinson

This medicine can severely worsen the symptoms of Parkinson's disease and may interfere with the effectiveness of your Parkinson's medication.

Bipolar disorder

These medicines can trigger a switch from depression to mania or rapid cycling in people with bipolar disorder. Monitor closely for racing thoughts, extreme energy, or impulsive behaviour.

Food and drink warnings

Alcool

You should avoid or strictly limit alcohol while taking these medicines. Alcohol can increase the sedative effects of Fluanxol, making you very drowsy. More importantly, both Wellbutrin and alcohol (or alcohol withdrawal) can lower the seizure threshold; combining them significantly increases the risk of having a fit (seizure).

High-fat meals

If you are taking the modified-release version of bupropion, taking it with a very high-fat meal can increase the amount of medicine absorbed into your bloodstream, which may increase the risk of side effects. It is best to be consistent in how you take it.

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Using other medicines

Taking multiple medicines? Our Medicines Interaction Checker helps you check whether your prescriptions, over-the-counter medicines, and supplements are safe to take together. Simply search for your medicines to see potential interactions and what to do about them.

Clause de non-responsabilité

This information is for general educational purposes only and should not be relied upon as a substitute for professional medical advice. Always consult your GP, pharmacist, or another qualified healthcare professional before making decisions about your medications. Individual circumstances may vary, and only a healthcare professional who knows your medical history can provide personalised guidance.

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Historique de l'article

Les informations contenues dans cette page sont rédigées et évaluées par des cliniciens qualifiés.

  • 25 janvier 2026 | Publié à l'origine
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