What is the recommended procedure for discontinuing Auvelity (dextromethorphan/bupropion)? | Rounds What is the recommended procedure for discontinuing Auvelity (dextromethorphan/bupropion)? | Rounds
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What is the recommended procedure for discontinuing Auvelity (dextromethorphan/bupropion)?

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Discontinuation of Auvelity (dextromethorphan/bupropion)

Discontinuation of AUVELITY should be managed by the prescribing clinician. Stopping AUVELITY suddenly is stated to be associated with serious side effects. [1]

Medication Discontinuation Procedure

  • AUVELITY should not be stopped without discussing the discontinuation plan with the healthcare provider. [1]
  • AUVELITY can be discontinued due to clinical reasons such as adverse reactions or lack of efficacy per clinical judgment. [1]
  • If discontinuation is needed, medication changes should be directed by the healthcare provider rather than performed by the patient. [1]

Abrupt Discontinuation Risk

  • Stopping AUVELITY suddenly is stated to possibly cause serious side effects. [1]

Switching to or from a Monoamine Oxidase Inhibitor (MAOI)

  • At least 14 days must elapse between discontinuation of an MAOI intended to treat depression and initiation of AUVELITY. [1]
  • At least 14 days must be allowed after stopping AUVELITY before starting an MAOI antidepressant. [1]

Co-medication Changes Around Discontinuation

  • Starting or stopping other medications during AUVELITY treatment should occur only after discussion with the healthcare provider. [1]

Safety Monitoring After Discontinuation

  • Patients should be monitored for recurrence of depression symptoms and for adverse effects related to medication change per clinical follow-up after discontinuation. [1]

Key Clinical Counseling Points

  • AUVELITY dosing and regimen changes should be performed only under healthcare provider direction, including changes related to stopping treatment. [1]

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