What is the appropriate starting dose of Contrave (naltrexone/bupropion) for weight loss in a patient with postural orthostatic tachycardia syndrome (POTS)? | Rounds What is the appropriate starting dose of Contrave (naltrexone/bupropion) for weight loss in a patient with postural orthostatic tachycardia syndrome (POTS)? | Rounds
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What is the appropriate starting dose of Contrave (naltrexone/bupropion) for weight loss in a patient with postural orthostatic tachycardia syndrome (POTS)?

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Contrave (naltrexone/bupropion) Starting Dose for Weight Loss

CONTRAVE should be initiated at 1 tablet (8 mg naltrexone / 90 mg bupropion) taken in the morning with no evening dose during Week 1. [1]

Dose Escalation Schedule

  • Week 1: 1 tablet in the morning, evening dose none. [1]
  • Week 2: 1 tablet in the morning and 1 tablet in the evening. [1]
  • Week 3: 2 tablets in the morning and 1 tablet in the evening. [1]
  • Week 4 and onward: 2 tablets in the morning and 2 tablets in the evening. [1]

Practical Administration Constraints

  • CONTRAVE tablets should not be cut, chewed, or crushed. [1]
  • CONTRAVE should not be taken with a high-fat meal because of increased systemic exposure. [1]

Postural Orthostatic Tachycardia Syndrome Considerations

No POTS-specific dose adjustment is described in the CONTRAVE prescribing information. [1]

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