17 TOP FAQS For Contrave Weight Loss

This makes it particularly helpful for people who not only struggle with overeating but also find it hard to resist cravings for certain foods, which can be a major barrier to weight loss. Additionally, your healthcare provider or pharmacist can provide information on other cost-saving programs and options that may be available to you. This means it can affect the metabolism of other drugs processed by these enzymes, potentially leading to increased side effects or reduced effectiveness of those medications. It’s important to remember that Contrave® isn’t designed for cosmetic weight loss or people who only want to shed a few pounds. The maximum daily dose of Contrave administered in clinical trials contained 50 mg naltrexone hydrochloride and 400 mg bupropion hydrochloride. On average, people lose more weight with semaglutide than with Contrave. Research shows that semaglutide usually helps people lose more weight than Contrave. In people with type 2 diabetes and heart disease, semaglutide helped lower the risk of heart attacks and strokes. In most groups, semaglutide helped people lose weight. These include people with and without diabetes, people of different races and ages, and people with high blood pressure or sleep apnea. Research suggests that Bupropion can lead to a weight loss of around 7-10% of body weight. Of patients taking CONTRAVE achieved ≥5% weight loss While effective for weight loss, both Contrave and Phentermine can cause side effects that should be considered. In the Intent-to-Treat (ITT) population, people taking Contrave experienced a weight loss of approximately 5.4% compared to a 1.3% weight loss in the placebo group. As a combination therapy, Contrave aims to tackle the complexities of weight loss by targeting multiple aspects of the body's physiological response to food and appetite. Take charge of your weight loss journey with safe, medically supervised Contrave from NZ’s trusted online pharmacy. In a range of clinical trials, Contrave has demonstrated greater weight loss compared to placebo over a 56-week period, supporting its use as part of a holistic health plan. Adding Contrave to a diet and exercise plan may help you achieve your weight loss goals. If you have found that diet and exercise programmes are not resulting in weight loss, it might be time to talk with your doctor and ask if Contrave is right for you. Because weight loss was still ongoing at 52 weeks, researchers believe people may lose even more weight with longer treatment. Traditional GLP-1 medications were effective, but resulted in less weight loss overall. A recently published meta analysis concluded that retatrutide led to the most weight loss among GLP-1-based treatments, but it also caused the most side effects. As with many other weight-loss medications, monulubant is linked to mild to moderate GI-related side effects. “Securing a second US FDA-approved drug product manufacturing site enhances our ability to respond to shifting industry conditions and safeguards against external factors that could impact production and distribution.”The approval of this second site enhances production capacity, confirming continued patient access to Contrave while reinforcing the company’s broader commitment to obesity research and treatment. These medications typically raise the amount of insulin in your body. Contact your healthcare provider immediately if you experience any of the following. Let your healthcare provider know immediately if you continue to experience these symptoms or if they worsen over time. FDA approves weight-loss drug Contrave Other side effects not listed may also occur in some patients. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Some side effects may occur that usually do not need medical attention. Discontinuing often leads to weight regain if habits revert. It requires ongoing use alongside diet and exercise for sustained benefits. Dosing starts low and gradually increases over four weeks to minimize side effects.
  • For example, liraglutide has been shown to reduce the risk of major cardiovascular events, such as heart attacks and strokes, in individuals with type 2 diabetes.
  • Many people struggle with weight management in today’s fast-paced world.
  • Around 9% of people using it for Type 2 diabetes and 30% of people using it for weight loss reported diarrhea during clinical trials.
  • Prescription weight-loss pills like CONTRAVE can help people get closer to their weight-loss goals when used with diet and exercise.
  • This constitutes a medical emergency, and patients should contact local emergency services immediately if such symptoms arise.
  • Researchers did four major studies on Contrave before it was approved for obesity treatment.
  • Mounjaro is currently approved for the treatment of Type 2 diabetes in adults and children ages 10 and older.
  • Contrave weight loss works on hunger centers in the brain to reduce hunger and craving, making you less likely to overeat.
Remember, these are not all of the potential drug interactions these medications have. The risk of hypoglycemia (low blood glucose) with Wegovy is low. Wegovy and Contrave interact with different medications. And these are a little different between the two medications. This risk is particularly higher in children, teenagers, and young adults up to the age of 24, especially during the initial months of treatment or when the dosage is adjusted. It’s essential to be aware of possible interactions with other medications when using Contrave®. Understanding these potential side effects can help you make an informed decision and know when to seek medical advice. Before starting treatment, your healthcare provider will review your full medical history to make sure it’s the right fit for you. Your healthcare provider will start you on a low dose and increase it slowly over four weeks to help minimize side effects like nausea, headache, or dizziness. First approved in 2014, Contrave® combines bupropion and naltrexone, two medications that work together to target the brain’s reward and appetite centers. When people think of weight loss medications these days, GLP-1 receptor agonists like Wegovy® and Zepbound® often come to mind. The most common side effects of CONTRAVE include nausea, constipation, headache, vomiting, dizziness, trouble sleeping, dry mouth, and diarrhea. CONTRAVE is not approved for use in children under the age of 18. This is very important when you start taking CONTRAVE or when your dose changes. Bupropion has caused some people to have suicidal thoughts or actions or unusual changes in behavior, whether or not they are taking medicines used to treat depression. The medication works best when combined with lifestyle changes. Appetite suppression often becomes noticeable within the first month, though maximum impact usually requires reaching the full maintenance dose. The medication reaches steady levels after consistent dosing, so benefits build gradually over weeks. This brain-focused approach suits those whose weight struggles involve emotional or habitual eating.
  • Will work on sleep later with weight loss...
  • This was compared to people taking Contrave (bupropion / naltrexone), a weight-loss pill.
  • Contrave carries the antidepressant-class boxed warnings for suicidality and neuropsychiatric reactions in patients taking bupropion for smoking cessation, even though Contrave is not approved for depression or smoking cessation.8
  • Adding Contrave to a diet and exercise plan may help you achieve your weight loss goals.
  • Prescription medications to treat overweight and obesity.
  • Take charge of your weight loss journey with safe, medically supervised Contrave from NZ’s trusted online pharmacy.
  • While it can be taken with or without food, it’s important to avoid high-fat meals, as they can increase the risk of seizures.
  • This step-by-step approach helps reduce side effects and allows your body to adjust to the medication.
  • In some cases, Contrave can raise blood pressure levels.
Be sure to let your healthcare provider know if you have these or other side effects. Doctors who treat obesity say they use drugs like Contrave as a chance to educate patients on choosing a healthier, low-calorie diet. It is also approved for use by people with a BMI of 27 or higher who also have a weight-related medical condition such as diabetes. One form of medical assistance is Contrave, a prescription medication that has shown promise in aiding certain adults in achieving their weight loss goals. Are any medications effective for weight loss and improving health in adults who are obese or overweight? Both Contrave and Wegovy can be highly effective medications in helping patients to lose weight and maintain a healthy weight long-term.

Why Consider Bupropion for Weight Management?

One of the medicines in Contrave is bupropion, which can be taken to treat depression. While less common, the most serious side effects of Contrave are described below, along with what to do if they happen. There may be other side effects of Contrave that are not listed here. The most common side effects of Contrave are listed below. It should be used together with diet and exercise. It’s a Type 2 diabetes medication that also has heart and kidney benefits. Here’s a summary of medication-specific ways to save. There are many ways to save on weight-loss pills. It also should not be prescribed to patients with a known seizure disorder or those already taking opioids. However, clinical trials of the combination compared with placebo found no increase in depression and no increase in suicidality.2–4 Naltrexone/bupropion should not be given to children or adolescents. If you’re facing a medical emergency, call your local emergency services immediately, or visit the nearest emergency room or urgent care center. Thanks to the dual action of GIP and GLP-1, tirzepatide has been found to have a bigger impact on your weight than other prescription GLP-1s. GIP is another gut hormone that helps your body release insulin to control blood sugar and slows digestion, thereby making you feel less hungry. One study found that semaglutide can lead to an average 15% weight loss in a little over a year. Semaglutide is in a category of prescription drugs called glucagon-like peptide-1 agonists, or GLP-1s, and they have upended the way obesity is treated. Here’s a deeper look at all the FDA-approved options currently available, including how they work and how much weight you can expect to lose.

If There Is a History of Mental Health Conditions

The obesity medicine specialists at Form understand the complexity of overweight and obesity and the need for treatments like Contrave to assist patients with chronic weight management. The board-certified and obesity-trained medical providers at Form Health work closely with a patient and their primary care provider to get a complete understanding of a patient’s health history to be sure they are safely prescribing Contrave. Therefore, doctors and their patients may choose Contrave to help with weight loss and for its beneficial effects on mood. Do not let anyone else take your medication. Before having any laboratory test, tell your doctor and the laboratory personnel that you are taking bupropion. Do not flush this medication down the toilet. Place the medication in a safe location – one that is up and away and out of their sight and reach.

Which is right for me when choosing between Contrave® or Ozempic®?

Contrave is a combination of bupropion and naltrexone, which affect the brain’s appetite and reward systems. Both Contrave and Semaglutide are used for weight management in adults who are overweight or obese, often with other related health conditions. Contrave is less costly and taken as a pill, but the side effects and mental health warnings require attention. Some people notice a reduction in hunger and cravings earlier, while others may need more time to see significant changes in their weight. For instance, some users report feeling less hungry and more in control of their eating habits, leading to sustained weight loss over time. To minimize this risk, patients should avoid taking Contrave® with high-fat meals, as this can increase the likelihood of seizures. Additionally, bupropion, a component of Contrave, is also used to treat depression, and it is important to monitor for mood changes and suicidal thoughts during treatment. If any concerning symptoms arise, it’s important to contact a healthcare professional immediately. Even small amounts of opioids in the body can lead to serious withdrawal symptoms when mixed with naltrexone. These ingredients can cause problems for people with specific health conditions. Contrave contains two drugs—bupropion and naltrexone—that affect the brain. Semaglutide is effective for many people, but it is important to watch for side effects.
  • Let your prescriber know if you have high blood pressure or heart problems before starting Contrave so they can help you decide if it’s safe.
  • They also received lifestyle advice about eating healthier and getting more exercise.
  • The amount of time it takes to see weight loss results with Contrave may differ from person to person.
  • FEP may add them to formularies if approved.
  • Avoid taking opioid medications, MAO inhibitors, seizure medications, and other drugs that interact with bupropion or naltrexone.
Depending on your insurance coverage, you will pay $99 or less + get free shipping on your prescription for CONTRAVE through the program. The CurAccess Program helps patients save on CONTRAVE. The CONTRAVE Savings Coupon Card cannot be used for prescriptions filled through Get CONTRAVE Now. It can even become debilitating to the point of causing some people to nearly pass out. Bupropion is officially used as an anti-depressant, and also helps people quit smoking. You’d be surprised how many uses for drugs are discovered by simply observing and using their side effects. Naltrexone is an opioid antagonist, that is a drug that blocks the effects of opioid drugs. Bupropion itself is mostly used as an antidepressant, actually one of the few that don’t seem to cause weight gain. Both groups also followed a weight-loss diet, behavioral counseling, and an exercise program during the studies. These studies lasted for 56 weeks each and included 4,536 participants with obesity who were given Contrave or placebo (an inactive treatment). I had no weight loss, so the doctor didn’t give me any more,” shared another member. “I started Contrave in November, and it helped me lose weight, along with my diet and exercise,” said one member. If your prescriber gives you the OK to change medications, follow their instructions closely. Taking it for weight loss when you don’t have diabetes would be considered an off-label use. But a clinical trial compared the weight-loss results for people without diabetes taking Zepbound (which contains tirzepatide) to those taking Wegovy. Wegovy and Mounjaro can both lead to significant weight loss. Medications in this class can help manage blood sugar levels better than GLP-1 agonists for people with Type 2 diabetes. In studies, this combination proved to be an effective option for managing your weight. But it can also play a role in weight gain if it isn’t working properly. And naltrexone blocks a receptor that stops the production of the same hormone, so it helps keep hormone levels up. Taking Contrave® consistently each day helps you stay on track and manage side effects as your body adjusts. This gradual plan gives your body time to adjust and helps keep common side effects, like nausea or stomach pain, as mild as possible. Unlike GLP-1 medications that mimic hormones to slow digestion and signal fullness, Contrave® takes a different approach by working directly with your brain’s chemistry. Phentermine (Adipex-P, Lomaira) is an affordable and effective oral weight-loss medication for some people. Whether you’re considering GLP-1 medications like Ozempic® and Wegovy®, alternatives like Contrave, or non-prescription solutions, having the right support system is key. Ozempic® is often more effective for weight loss, but it requires weekly injections, while Contrave® is an oral medication that helps control cravings and emotional eating. Contrave® and Ozempic® are very different medications that can help a person lose weight when needed. Take the first step towards your weight management goals with Contrave – supplied safely, discreetly, and efficiently by New Zealand’s trusted Pay Less Pharmacy. Always take Contrave strictly as prescribed and never share your medication with others. This dual-action mechanism empowers you to manage your eating patterns and resist overeating triggers, making it easier to stick with your chosen weight management plan. Many of the top upcoming weight-loss drugs are injectable medications. Many of these medications aren’t covered by prescription insurance plans, so there’s a good chance you’ll have to pay out of pocket. It tends to lead to the largest amount of weight loss in the highest percentage of people. Because of this, different medications or combinations of medications will suit different people best. The best weight-loss pill for you is one that helps you lose about 5% to 10% of your initial body weight with few or tolerable side effects. Furthermore, the SEQUEL study, a 2-year extension trial, aimed at assessing the sustenance of weight loss in participants after completion of the CONQUER trial . EQUIP and CONQUER were 1-year randomized, double-blind, and placebo-controlled studies, including 1267 (non-diabetic patients with a BMI ≥ 35 kg/m2) and 2487 participants (BMI ranging from 27 to 45 kg/m2 and more than two obesity-related comorbid conditions), respectively 36, 37. The most common placebo-subtracted side effects of phentermine are paresthesia, dry mouth, dysgeusia, constipation, anxiety, depression, and insomnia, which are dose-dependent 36, 37. Therefore, if the patient is intolerant to the medication, a gradual titration (over 3–5 days) is required to decrease the risk of seizures. See real user reviews on results, appetite changes, side effects, and costs—plus who benefits most from microdosed semaglutide and tirzepatide. Compare FDA-approved options, results, safety, and what to ask your provider in this guide. Members of Ivy RX branded medications were paid for their testimonials. The safest option depends on your health profile; consult your provider to choose wisely. From GLP-1 injections like semaglutide and tirzepatide to proven metabolic enhancers, our treatments are personalized to your body, goals, and budget. CurAccess is available for people with or without insurance. Contrave is a brand-name medication with no generic version on the market. Contrave is an oral pill that you take twice a day (after a period of gradually raising your dose). Get medical help right away if you have a seizure while you're taking Contrave (naltrexone / bupropion). Your prescriber can check your risk and see if Contrave (naltrexone / bupropion) is safe for you. Before starting Contrave (naltrexone / bupropion), tell your prescriber about your medical history. Contrave (naltrexone / bupropion) isn't approved to help you quit smoking. Don't take Contrave (naltrexone / bupropion) if you have high blood pressure that's not controlled. Contrave (naltrexone / bupropion) can make your resting heart rate and blood pressure go up. Also if you need opioids for any reason during treatment, tell your care teams that you're taking Contrave (naltrexone / bupropion). Second, because naltrexone blocks the effects of opioids, it can be like suddenly stopping the opioid medication. Please talk to your provider before initiating any opioids or opiates after stopping Contrave. The medicine may also cause high blood pressure, fast, irregular heartbeats, seizures, acute angle-closure glaucoma, and death. DO NOT take more than 1 dose of Contrave® at a time. Let your prescriber know if you have high blood pressure or heart problems before starting Contrave so they can help you decide if it’s safe. But it may cause a small increase in your blood pressure and heart rate, especially during the first few months of taking it. Studies haven’t shown that taking Contrave raises the risk of serious heart problems. It’s important to note that the effects may take some time to show, with noticeable changes often appearing around 24 weeks. This is good news, especially for those trying to quit smoking, as Bupropion is also approved to help with smoking cessation. Let’s break them down and see how they stack up in the battle against obesity. Semaglutide usually has the opposite effect and may slightly lower blood pressure and cholesterol levels. People with high blood pressure may need to be careful with Contrave, since it can raise heart rate and blood pressure. Semaglutide does not act on the brain in the same way and is not known to increase the risk of mood changes or seizures. Because of this, Contrave is not safe for people who have had seizures, certain eating disorders like bulimia, or a history of drug or alcohol withdrawal. This may help with cravings and may also improve mood in some people. This is because Contrave can build up in your body if your liver and/or kidneys aren’t working well. If you have certain medical conditions, such as kidney or liver disease, your Contrave dosage may be slightly different from what’s outlined above. If you’re getting the results you want from treatment, Contrave can be taken long term. This included regular meetings with dietitians and coaches. They also received lifestyle advice about eating healthier and getting more exercise. In one major study called the COR-I trial, people took Contrave for one year. The goal is to help people eat less and feel full sooner. Semaglutide is taken once a week and works best when combined with healthy lifestyle changes. Researchers believe the main reason for the effectiveness shown in the clinical trial is the use of the two medications that target different areas involved in weight loss. When used individually, naltrexone is approved for treatment of opioid and alcohol dependence and bupropion as an aid in smoking cessation.2,3 There is evidence that naltrexone and bupropion individually supress hunger. Effects of long-term therapy with naltrexone on body weight in obesity. A 24-week, multicenter, randomized, double-blind, phase 2 clinical trial was conducted in 203 obese patients with a BMI of 30–40 kg/m2, in combination with an energy-restricted diet. The cetilistat group lost 3.85–4.32 kg, similar to the 3.78 kg weight loss of the orlistat group . No clinical studies have yet been performed to verify the long-term weight loss effect of SAR425899. Side effects were reported in 4%, and gastrointestinal events (nausea, diarrhea, and vomiting) were the most common side effects and were dose-related. The article also explains who should or should not take these medications, based on their health history or other risk factors. It is approved in different doses under brand names like Wegovy and Ozempic, depending on whether it is used for weight loss or for type 2 diabetes. Doctors prescribe these drugs to people who have obesity, or who are overweight with weight-related medical problems. While changes in diet, exercise, and lifestyle are the first steps toward weight loss, some people need more help to reach their goals.
  • It works for a wider group of people and helps more of them reach a higher level of weight loss.
  • Semaglutide has shown cardiovascular risk reduction in patients with type 2 diabetes and existing cardiovascular disease.
  • Due to Wellbutrin’s seizure risk, some people should avoid taking it altogether.
  • Achieved 20.7% weight loss in the STEP UP obesity trial, and 18.7% regardless of treatment adherence.
  • Some patients describe meaningful reductions in cravings and sustained weight loss when combined with lifestyle programs; others discontinue due to side effects or limited perceived benefit.
  • Its main role is to regulate blood glucose by inhibiting glucagon secretion and enhancing insulin secretion from the pancreatic β-cells in a glucose-dependent manner .
  • While GLP-1 medications provide cardiac health benefits, Qsymia is contraindicated for anybody with a history of cardiac disease, DiCristina says.
Losing weight can be a challenging and frustrating process, especially for those who have tried various diet and exercise programs without seeing significant results. Noom Med users may also choose to get access to brand name medications like Contrave® starting at $69 plus the out of pocket costs for the medication depending on your insurance coverage. Noom offers direct access to metformin, a generic oral weight-loss medication, via our Weight-Loss Pill plan for those who are clinically eligible. “It’s not a magic bullet, but it gave people a tool that helped them make better food choices and feel less controlled by cravings” In order to have a successful aesthetic practice, you need to have effective advertising to attract people to your business. Renewable certification keeps you compliant with evolving FDA guidelines and latest treatment protocols. Plus, we’ll compare it to other popular weight loss medications to help you decide if it’s the right fit for your goals. Contrave® is another FDA-approved medication designed to help people lose weight. Help your patients who are overweight or living with obesity achieve sustained weight loss. The relationship between early weight loss and weight loss maintenance with naltrexone-bupropion therapy. Contrave can be an effective weight-loss medication for many people when combined with diet and exercise. Thyroid cancer remains rare overall, with risks influenced by factors unrelated to this medication. Lifestyle factors like diet and physical activity influence long-term health. Routine health screenings catch incidental findings unrelated to treatment. No thyroid cancer clusters have surfaced in association with naltrexone-bupropion combinations. Pivotal trials for Contrave enrolled diverse adults with obesity or overweight conditions plus comorbidities. Q & A: How Safe is the Weight-Loss Drug Contrave? If your dose is different, do not change it unless your doctor tells you to do so. The following information includes only the average doses of this medicine. Follow your doctor's instructions carefully on a reduced-calorie diet plan and regular exercise. Though more rare, some serious side effects can happen. When combined with healthy eating habits and exercise, Contrave® can offer several potential benefits. If it is right for you, it will be part of a bigger plan that also includes diet changes and exercise. Some people showed improvements, but not everyone responded in the same way.
  • Weight loss medicines are used for weight loss when lifestyle changes such as healthy diet and exercise haven't been successful on their own.
  • VK2735 for weight management phase 2 (VENTURE).
  • Scroll down to learn if Contrave is the right medication for you.
  • Many individuals considering Contrave for weight management have questions about its benefits, potential downsides, and how it compares to other treatments.
  • While Contrave has shown to be effective for weight loss, it’s not without its side effects.
  • Losing weight can present a significant challenge for many individuals, often requiring a combination of dietary changes, exercise, and sometimes medical intervention.
  • This makes it easier to get prescriptions, second opinions, and ongoing support without leaving home.
Most people also need doctor visits for prescriptions and follow-ups, plus periodic lab work. Another piece people don’t always realize upfront is that Zepbound® is typically started at a lower dose and gradually increased over time, a process called titration. These new pricing deals include discounted direct-to-consumer options and are designed to make these treatments more accessible to a broader group of people. Naltrexone/bupropion has not been compared with other pharmacologic approaches. Both components are excreted in breast milk and the medication should not be taken by breastfeeding mothers.1 A large cardiovascular outcomes study that includes these patients is now ongoing. On the other hand, Naltrexone potentiates the effects of Bupropion, which is why it is advisable to use Contrave instead of using the two drugs separately. However, it has more severe adverse effects. Also, in another study involving 4500 participants, the drug helped people lose an average of 25 pounds within six months. Avoid Contrave if you are on other medication containing Bupropion or opioid-containing painkillers. Check adherence to the full dose schedule and discuss with your provider. It is approved for adults with a BMI of 30 or higher, or 27 or higher with at least one weight-related condition (e.g., hypertension, type 2 diabetes). No, Contrave is approved only for chronic weight management. Full effects often strengthen after reaching the maintenance dose of two tablets twice daily. Individuals with kidney disease should exercise caution and consult their healthcare provider before starting these medications. The average weight loss with Contrave is around 5%–10% of body weight over 6–12 months, depending on diet, exercise, and adherence to the medication. Contrave is a prescription weight-loss medication that works by reducing appetite and food cravings through its combination of naltrexone and bupropion. However, it contains bupropion, the active ingredient in Wellbutrin, along with naltrexone to enhance weight loss effects. One of the most significant differences lies in how these medications work. While originally designed for managing type 2 diabetes, it’s become popular for its off-label use in weight loss. When it comes to weight loss, the options can feel overwhelming. The content is not intended in any way as a substitute for professional medical advice, diagnosis or treatment. Nonetheless, it is important that your healthcare provider monitor your pulse and blood pressure before taking the medication, and at regular intervals after starting the medication. The exact mechanism of how this medication causes weight loss is not fully understood, however, both medications cause a reduction in appetite which helps people who are overweight to stop overeating. Some individuals may find that medications are not the right fit for them due to various factors, including medical history, preferences, or the desire for more immediate and substantial weight loss.
Ozempic® vs. Contrave®: Which is better for weight loss?
People who take the medication say that naltrexone freed them from binge eating disorders, improving their mental health and making it easier to lose weight. It is only recommended for weight control and will be carefully prescribed where patients show signs of other weight-related medical problems such as hypertension (high blood pressure), high cholesterol levels (dyslipidaemia) or type 2 diabetes. Manufactured as an extended-release, fixed-dose combination medication, each Contrave tablet contains 8mg of naltrexone and 90mg of bupropion.
Contrave Online Prescription & Clinics Near You for Weight Loss
It also gives your body and mind time to adjust. A realistic pace is losing about 1-2 pounds a week, though some people lose faster at first. Instead, it can help cut cravings and hunger so that it’s easier to follow a healthy eating plan and stay active. Sometimes, a different medication or a different plan may be more suitable. Also, almost half the participants taking Contrave saw at least a 5% weight reduction. Participants were given oral Contrave for 52 weeks, along with a calorie-restricted diet and regular exercise. Scroll down to learn if Contrave is the right medication for you. Unlock access to expert guidance and a weight care plan crafted just for you. It’s a once-daily oral capsule for weight loss for people ages 12 years and older. Among those who took the medication for the entire 15-month study period, the average weight loss was closer to 17%. In clinical studies, the Wegovy pill helped people lose a significant amount of weight when combined with a nutritious diet and routine exercise. EFFECTIVENESS
  • Each Contrave tablet contains 90 mg of bupropion, which is lower than standard Wellbutrin dosages.
  • Medicare coverage for Contrave remains limited in 2026 due to federal rules excluding weight loss drugs from standard Part D benefits.
  • Plans review medications based on FDA approval, medical necessity, and cost.
  • Healthcare providers play a crucial role in the success of Contrave treatment.
  • Whether you're experiencing side effects, not seeing the results you want, or simply looking for the best contrave alternatives, there are various options.
  • But tirzepatide (its active ingredient) is approved for weight loss under the brand name Zepbound.
Adverse events that occur with the combination therapy are in line with the known side effect profiles of the constituent drugs; teratogenicity, a slight increase in heart rate, psychiatric and cognitive adverse effects, and metabolic acidosis are concerns. Although there are several potential anti-obesity drugs, orlistat is the only agent that remains available in the market. Although lot of anti-obesity drugs are in the pipeline, the process for getting such type of drugs to be marketed has recently proven so difficult. In the present study, our group focused only on anti-obesity drugs that are currently under investigation and also understand its pathogenesis. If the patient experiences beneficial results at a low dose, their doctor may keep them at this dose, because it can minimize the risk of side effects. This maximum dose provides 32 mg of naltrexone and 360 mg of bupropion. Data from over 4,500 patients was analyzed, and the researchers found that Contrave was effective in this patient population, causing an average of pounds of weight loss over 56 weeks. 36% of patients lost greater than 5% of their body weight in 56 weeks in the worst-performing trial, while 57% of patients lost greater than 5% of their body weight in 56 weeks in the best-performing trial. For obese people with heart conditions, Contrave will likely be prescribed over phentermine, according to Batash. Because phentermine increases heart rate and blood pressure, you shouldn’t take it if you have a pre-existing heart condition (20). If you’re experiencing a mental health emergency, contact the Suicide and Crisis Lifeline at 988. However in some rare cases, Contrave can cause more serious side effects such as seizures, skin irritations, and allergic reactions (15). It can only be taken under the supervision of a qualified healthcare provider. Each of the four trials showed greater weight loss for people taking Contrave versus the placebo groups. Researchers did four major studies on Contrave before it was approved for obesity treatment. Contrave, a mix of naltrexone hydrochloride and bupropion hydrochloride, is an antiobesity drug that works on the brain. “Physicians prescribing these brain medications have to review patients other medications because they’re frequently on antidepressants and there’s an interaction,” said Tamler. Taking Zepbound (tirzepatide) with certain medications can put you at risk of having very low blood sugar. Not all weight loss medications are included, and some GLP-1 drugs may have restrictions. This article explores the details of coverage under BCBS Federal for weight loss medications. We prescribe leading weight loss medications including including Ozempic, Mounjaro, Wegovy, Contrave and more It was initially developed as a medication for Type 2 Diabetes, but found to also help patients with weight loss. Contrave vs Wegovy for Weight Loss: Some Differences to Know About Although Ozempic®, Wegovy®, Mounjaro®, and Zepbound® seem to capture all the headlines lately, they're not the only options when it comes to medication-assisted treatment for people who are overweight or have obesity. If side effects last longer than expected or interfere with daily life, consult your healthcare provider for personalized advice or adjustments to your treatment plan. Due to these risks, close monitoring by a healthcare provider is essential, particularly during the initial weeks of treatment. These serious side effects are uncommon but require immediate medical attention if they occur. While most people tolerate Contrave® well, there are some important safety considerations to know before and during treatment. Your doctor will gradually increase your dose to minimize side effects. Contrave® can cause side effects, and most are mild and temporary, but some can be serious and require immediate medical attention. Because this medication works gradually, following the right timing, dosing, and lifestyle habits helps your body adjust smoothly and improves long-term success. Patients on Contrave for a year lost 4.2 percent more weight than patients taking a dummy pill. Experts say patients need to have realistic expectations about how much weight they can lose by taking a pill. The agency approved the drug for use in combination with a reduced-calorie diet and exercise. “That means the patient is facing a life of being on medication, which is not attractive for patients or third-party payers.” Even then, he says insurers are reluctant to cover the medications. Some mild effects include nausea, vomiting, diarrhea, constipation, dizziness, and headache. Contrave has numerous side effects ranging from mild to severe. Naltrexone is an FDA-approved opioid receptor antagonist used to treat opioid addiction.
  • Conversely, it would be the last option, if used at all, in patients with uncontrolled hypertension, history of seizures, bulimia or anorexia nervosa, and chronic opioid use.
  • So taking both could raise your risk of side effects, such as nausea, vomiting, and diarrhea.
  • The COR (Contrave Obesity Research) trials provide robust data on the combination of Bupropion SR and naltrexone.
  • Unapproved semaglutide products don’t have the verified safety and effectiveness data that approved products do, which may put you at risk.
  • In clinical trials, patients using Contrave in conjunction with a reduced-calorie diet and exercise achieved significant weight loss compared to those in the placebo group.
  • A medical review on the toxicology of artificial food dyes found all of them to be potentially harmful, and the study authors suggested that all be removed and replaced with safer alternatives.
  • If you’re weighing options, it’s helpful to compare mechanisms, expected weight loss, administration route, side effect profiles, and cost.
Your risk of having a seizure can also be higher with Wellbutrin. More serious side effects include severe psychiatric changes like delusions, hallucinations, and suicidal thoughts and behavior. Common Wellbutrin side effects include tremors, agitation, and dry mouth. Zoloft is FDA approved for several anxiety disorders and has strong evidence to support its use. Contrave® carries an FDA-boxed warning for an increased risk of suicidal thoughts and behaviors, particularly in adolescents and young adults. Get immediate medical help for unexplained lumps in the throat. This warning is based on findings from animal studies, but it has not yet been confirmed whether this risk applies to humans. You’re more likely to experience nausea and vomiting with higher semaglutide doses. Up to 20% of people receiving Ozempic for Type 2 diabetes reported nausea during clinical trials. Below, we cover 19 semaglutide side effects and how to manage them. Animal studies found an increased risk of thyroid C-cell tumors with semaglutide. Some of the most commonly prescribed weight loss drugs include orlistat (Alli), phentermine (Adipex-P), lorcaserin (Belviq), naltrexone-bupropion (Contrave), and liraglutide (Saxenda). They are intended to be used in conjunction with a comprehensive weight loss plan that includes lifestyle changes, such as eating a healthy diet and increasing physical activity. However, prescription weight loss drugs may also be prescribed for individuals with a lower BMI if they have health conditions that are worsened by their weight. Some prescription weight loss drugs increase the body’s energy expenditure, while others reduce the body’s ability to store fat. Prescription weight loss drugs are medications that are prescribed by a doctor to help individuals lose weight and maintain weight loss over time.
  • Taking medications that cause you to get rid of excess water, such as diuretics (water pills), may also increase your risk.
  • The GIP receptor activity is believed to further promote weight loss, partially due to its impacts on lipid and glucose metabolism.
  • Use Contrave with caution in patients with a history of mania.
  • If you have any concerns, consult your healthcare provider and follow the instructions on the prescription label to ensure safe use of the medication.
  • Semaglutide is a medication originally used to treat type 2 diabetes.
But sales of Vivus’ Qsymia and Arena’s Belviq have been far below expectations due to limited insurance coverage and high out-of-pocket costs for patients. Bupropion is an antidepressant also used to help people quit smoking. However, understanding its potential side effects and adhering to safety precautions is vital for a positive experience. Contrave® combines Bupropion SR (90 mg) and naltrexone (8 mg) in a titrated, twice-daily formulation designed to maximize central appetite suppression. These effects, while moderate, have been shown to persist with continued use, particularly when paired with lifestyle interventions. This pharmacodynamic synergy forms the basis for the fixed-dose combination marketed as Contrave®. However, their high cost, limited insurance coverage, and gastrointestinal side effects often limit access. Semaglutide and cardiovascular outcomes in obesity without diabetes. This can damage the blood vessels of the brain, heart, and kidneys, resulting in a stroke, heart failure, or kidney failure. High blood pressure adds to the workload of the heart and arteries. It is used to treat high blood pressure (hypertension). Is ED treatment it right for you Serious Side Effects Symptoms include severe abdominal pain, nausea, and vomiting, and require immediate medical attention. They may recommend an over-the-counter (OTC) or prescription nausea medication for relief. For most people, side effects such as nausea should improve over time. That’s why your prescriber will increase your dose slowly over a few months to minimize these effects. And nausea was even more common with Wegovy for weight loss. But this risk hasn’t been confirmed in people. This is because when you stop Ozempic, its effects on your appetite and metabolism go away. Yes, it’s possible to gain weight after stopping Ozempic. And if you stop Ozempic, it’s possible to regain weight that you’ve lost. “Achieving and sustaining weight loss is difficult, most likely due to the complex brain pathways that regulate body weight and defend the body against weight loss,” he said. Head of Clinical Obesity Research at the Baker Heart and Diabetes Institute, Professor John Dixon, said that obesity is a complex medical condition and a burgeoning public health issue in Australia which is challenging for clinicians to manage. It is the first combination of naltrexone – an opioid antagonist, and bupropion – a dopamine and noradrenaline reuptake inhibitor, both of which are approved and have been in use for a number of years. In clinical trials, researchers compared Mounjaro to placebo (an injection with no medication in it) for about 18 months. Similarly, Mounjaro acts like GLP-1 in the body. After injecting a dose, it acts like the incretin GLP-1.
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Six weight-loss drugs have been approved by the U.S. But practicing healthy lifestyle habits may help limit weight gain. Many people gain back some of the weight they lost when they stop taking weight-loss drugs. We'll also discuss the risk of side effects, explain if there are foods that you have to avoid while taking Contrave, and explain the most cost-effective way to access this medication. We recommend that patients follow their doctor’s guidance in regard to prescription medication. But cost can make it hard to access weight-loss medications, including Contrave. A healthcare provider will recommend you take this medication with a reduced-calorie diet and exercise. Naltrexone and bupropion are two medications that combine to help you lose weight or maintain weight loss. Contrave (naltrexone / bupropion) is an oral combination medication for weight loss. Talk with your healthcare provider about your weight loss while taking this medicine. You may need a lower Wellbutrin dose or to switch to another antidepressant. Here’s an in-depth look at 13 Wellbutrin side effects that are worth knowing about. More severe side effects can also occur. This comprehensive approach ensures the medication complements, rather than replaces, a healthy lifestyle. For example, incorporating nutrient-dense foods and consistent exercise can enhance weight loss outcomes while promoting overall wellness. Best Results with Lifestyle ChangesContrave works most effectively when paired with a healthy diet and regular physical activity. These changes can decrease the risk of developing chronic diseases like heart disease or type 2 diabetes, providing long-term health benefits. And it can increase your risk of dangerous side effects, such as seizures. If you have questions about meal planning with Contrave, reach out to your healthcare team for guidance. This could raise your risk of experiencing serious side effects, including seizures. Each Contrave tablet contains a specific amount of naltrexone combined with bupropion. While it contains bupropion and naltrexone, the combination in Contrave is not considered to have significant abuse potential. Focus on eating balanced, nutritious meals to support your weight loss goals. Alcohol should also be avoided or limited, as it can increase the risk of seizures and other serious side effects. While taking Contrave, it's best to avoid high-fat meals, as they can increase the risk of side effects like nausea and vomiting. Even those on a lower maintenance dose (5 mg) achieved a significant average total body weight loss of 16%. In this particular trial, participants taking the highest dose of Zepbound (15 mg) experienced an average total body weight loss of 22.5% at approximately one year. Together, these medications act on the reward center in the brain to reduce food cravings, reduce appetite, and promote weight loss.