*An off-label use of a medication is a use that is not FDA-approved. Prescribers can decide to use a medication off-label because, in their professional judgment, they believe it may offer a benefit to someone.
Common Auvelity side effects include dizziness, headache, drowsiness, and sexual dysfunction. Serious side effects require medical attention such as a risk of suicidal thoughts, symptoms of mania, and allergic reactions.
One of the main reasons people stop taking a medication is unwanted side effects. If Auvelity side effects persist beyond the first few weeks, a prescriber can help you determine next steps. This may include a change in dosage, the timing, or switching to a different medication.
If you are considering Auvelity or want to discuss your current medication treatment with a provider, online psychiatry platforms, such as Talkiatry and Brightside Health are a good place to start. Their providers offer assessments and prescription consultation, and can answer any questions you have about Auvelity’s side effects.
Boxed Warning: Dextromethorphan hydrobromide and bupropion hydrochloride (Auvelity) - Risk of Suicidal Thoughts and Behaviors in Certain People
Dextromethorphan hydrobromide and bupropion hydrochloride, the active ingredients in Auvelity, has a black box warning. These are the most serious types of warnings from the Food and Drug Administration (FDA). Dextromethorphan hydrobromide and bupropion hydrochloride can increase the risk of suicidal thoughts and behaviors in children, adolescents, and young adults. Regardless of your age, you should talk with your doctor about serious risks with dextromethorphan hydrobromide and bupropion hydrochloride and any other medications before starting treatment.
Key Takeaways
Common Auvelity side effects may include digestive issues, sleep changes, and sexual dysfunction. These effects are often temporary, but some may be serious and require medical attention.
If Auvelity side effects persist longer than a few weeks, your provider can help you navigate next steps. Your provider may suggest a change in dosage, timing of dosage, or medication.
There are several ways to cope with Auvelity side effects, including small changes in daily habits, medication adjustments, and therapy.
If you are considering Auvelity or an alternative, start with an evaluation from a medical provider. Many online psychiatry platforms offer online assessments and medication management, such as Talkiatry, or Circle Medical.
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Common Auvelity Side Effects
Common Auvelity side effects can cause changes to your digestion, sleep, and sexual functioning. While these are often temporary, some side effects may require medical attention if they become severe or persistent.
Common side effects of Auvelity may include:*1
- Dizziness
- Headache
- Diarrhea
- Drowsiness
- Dry mouth
- Excessive sweating
- Sexual dysfunction (orgasm difficulties, erectile dysfunction, low sex drive)
*All medications, including Auvelity, can cause side effects that can be mild or serious. This is not a comprehensive list of all possible side effects. You should talk with your doctor about any questions you have and understand the potential side effects and benefits of any medication.
Serious Auvelity Side Effects
Some side effects may be severe or persistent. Call your healthcare provider right away if you experience any of these symptoms.
Serious side effects of Auvelity that require immediate medical attention include:*1
- Suicidal thoughts or actions
- Seizures or convulsions
- Increased blood pressure
- Symptoms of mania or hypomania
- Angle-closure glaucoma (severe eye condition)
- Dizziness (risk of falls)
- Serotonin syndrome
- Risk of birth defects or pregnancy complications
*All medications, including Auvelity, can cause side effects which can be mild or serious. This is not a comprehensive list of all possible side effects. You should talk with your doctor about any questions you have and to understand the potential side effects and benefits of any medication.
What Are the Risks & Warnings for Auvelity?
Suicidal Thoughts & Behaviors
Dextromethorphan hydrobromide and bupropion hydrochloride, the active ingredients in Auvelity, have a black box warning. Dextromethorphan hydrobromide and bupropion hydrochloride can increase the risk of suicidal thoughts and behaviors in children, adolescents, and young adults. Regardless of your age, you should talk with your doctor about serious risks with dextromethorphan hydrobromide and bupropion hydrochloride and any other medications before starting treatment.
Triggering Manic Episodes
Patients with bipolar disorder are at a higher risk for developing mania and should be screened and monitored for signs of a developing manic episode while taking Auvelity.
Psychosis
Both active ingredients in Auvelity are known to cause psychosis at high doses. Therefore patients should not take Auvelity with other medications containing bupropion or dextromethorphan.
Seizures
When bupropion is taken in high doses, those with a history of seizures can have a higher chance of experiencing them again. Patients diagnosed with anorexia or bulimia also have an increased risk of seizures.
Glaucoma (Serious Eye Condition)
Taking Auvelity can put some patients at risk of developing Glaucoma. Patients should complete eye health screening before starting Auvelity, and prescribers should not use it in patients with untreated anatomically narrow angles.
Serotonin Syndrome
Taking Auvelity with other medications like SSRIs or tricyclic antidepressants increase the risk for serotonin syndrome, which can be fatal in some cases.
Risks During Pregnancy
Auvelity is known to cause fetal toxicity when taken by pregnant patients and should not be used during pregnancy.
Allergic Reactions
As with any medication, Auvelity may cause allergic reactions in some individuals. Some individuals may be more susceptible to experiencing allergic reactions to the drug. While allergic reactions are typically rare, they can be serious and require immediate attention.
Allergic reactions to Auvelity include:
- Skin rash or hives
- Itching or swelling, especially of the face, tongue, or throat
- Severe dizziness or trouble breathing
Seek medical help immediately if you suffer any of these symptoms. Allergic responses can be severe and may need quick medical attention to stop future problems.
Drug Interactions
Taking certain medications, herbs, or supplements alongside Zoloft can change how Zoloft works in your body or increase the risk for serious side effects. Do not start, stop, or change the dosage of any medicines without your doctor’s approval.
Substances you should avoid using while taking Zoloft include:
- SSRI or SNRI medications
- Monoamine oxidase inhibitors (MAOIs)
- Tricyclic antidepressants (TCAs)
- Nonsteroidal anti-inflammatory drugs (NSAIDs)
- Buspirone
- Alcohol
This is not a comprehensive list of medications that interact with Zoloft. Be sure to talk with your doctor or pharmacist about any prescription or over the counter medications you take, as well as supplements, herbs, and teas.
*This is not a comprehensive list of all warnings and precautions for Auvelity. You should talk with your doctor about any questions you have and to understand the potential warning and precautions of any medication.
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Important Things to Know About Taking Auvelity
Before starting Auvelity, it’s important to understand what to expect in the first few weeks. Your prescriber will discuss your dosage and how to take your medication properly. They will also go over precautions, potential side effects you may experience, and what to do if they become a problem.
How Long Does It Take for Auvelity to Work?
It typically takes 4-8 weeks to become fully effective. Some may start to feel better after the first week or two. Each person may have a different response time based on how their body absorbs and processes the medication.
Can Auvelity Make You Feel Worse at First?
Yes, some people starting Auvelity may experience uncomfortable side effects such as increased dizziness and a headache.1 Auvelity can also increase the risk of suicidal thoughts and behaviors in some people. If you experience worsened symptoms or side effects of any kind, contact your provider immediately.
What Happens If I Miss a Dose?
If you forget to take your Auvelity dose, take it as soon as you remember. If your next dose is due soon, skip the missed one and take your next scheduled dose. Never take two doses at once. Keep taking your medication consistently unless your prescriber gives you different instructions.1
Who Experiences Side Effects More?
Some patients may experience more side effects from Auvelity than others. While predicting who may have a strong reaction is difficult, certain patients should be cautious.
Those Taking Other Medications
Combining Auvelity with other medications can increase the risk of side effects and other complications. Medications that increase serotonin in your body can be unsafe. This includes selective serotonin reuptake inhibitors (SSRIs) and serotonin-norepinephrine reuptake inhibitors (SNRIs), two common types of antidepressants. Taking these medications with Auvelity can increase the risk of a serious condition called serotonin syndrome.This is not a complete list of medications that can interact with Auvelity.
Those With Certain Health Risks
Auvelity may not be safe for those with certain health risks. For example, young adults age up to age 24 have an increased risk of suicidal ideation when taking Auvelity. For those with a history of seizures, Auvelity may cause them to occur more frequently. Discussing your health history with your healthcare provider can help avoid these risks.
Those with a higher risk of side effects from Auvelity include anyone who:1
- Has a history of seizures
- Has been diagnosed with anorexia nervosa or bulimia nervosa
- Is breastfeeding or plans to breastfeed
- Has high blood pressure
- Has a history of bipolar disorder, symptoms of mania or hypomania
- Has a history or risk of developing glaucoma
- Has a history of liver problems
- Has a history of kidney problems
- Has had prior allergic reactions to dextromethorphan hydrobromide or bupropion hydrochloride
How to Cope With Common Auvelity Side Effects
There are ways to cope with the most common Auvelity side effects*. Many may go away on their own during the first few weeks. If side effects persist or worsen, tell your provider as soon as possible.
Drowsiness
It’s common to feel drowsy when taking Auvelity. If it affects your daily activities or becomes worse, talk to your provider. They may adjust your dosage or the time you take your medication. Until you understand how Auvelity affects you, avoid driving or other tasks that require you to stay fully alert.
Digestive Symptoms
Some people experience digestive issues when taking Auvelity, such as nausea, constipation, and vomiting. To minimize these, follow meal timing recommendations for Auvelity. Also, drink plenty of water, eat smaller, more frequent meals, and avoid spicy foods.
Ginger or peppermint teas may help, but talk with your healthcare provider first. Prescription medication can interact with over-the-counter medications, herbal remedies, and even tea.
Sexual Side Effects
Auvelity may cause changes in sexual function for some people. Men taking Auvelity may experience erectile dysfunction, decreased sex drive, and delayed ejaculation. Women may have problems with orgasms and decreased sex drive.1
Sexual side effects often improve over time. Scheduling sexual activity before taking a dose may also reduce the risk or impact of sexual side effects. Your provider may consider changing your dosage or switching medications if they keep bothering you.
*All medications, including Auvelity, can cause side effects which can be mild or serious. This is not a comprehensive list of all possible side effects. You should talk with your doctor about any questions you have and to understand the potential side effects and benefits of any medication.
More Ways to Manage Auvelity Side Effects
Here are more ways to cope with and reduce the impact of Auvelity side effects.
Practice Good Sleep Hygiene
Good sleep habits can make a big difference as your body adjusts to Auvelity. Try waking up and going to bed about the same time each day. A comfortable and relaxing sleep environment is also important. If you become drowsy while taking Auvelity, avoid driving or operating machinery until you understand how it affects you.
Healthy Lifestyle Activities
A balanced diet, regular exercise, and proper rest are important for good physical and mental health. These habits can also help your body handle medication adjustments more smoothly.
Follow a Daily Routine
Following your normal routine is important, even if the medication hasn’t started working yet. Doing your regular daily activities can keep life more predictable and reduce stress as you adjust to the medication. Also, take your medication as prescribed and at the same time each day.
Consider Therapy
Psychotherapy can be a valuable tool for managing the impact of side effects. For in-person treatment, your primary care provider or insurance company can connect you with a provider. Or, your family or friends may recommend one.
To find an online therapist, an online therapist directory is a great starting point. Many online psychiatry platforms, such as Talkiatry and Brightside Health, also offer therapy services.
Should I Stop Taking Auvelity If I Start Feeling Side Effects?
Do not stop taking Auvelity unless your provider tells you to. If you experience side effects from your medication, tell your provider as soon as possible. They can help adjust your dosage, change the timing of your medication, or explore alternative treatments. If your provider determines that stopping your medication is best for you, they will provide a plan for tapering off safely.
When Should I Call My Doctor About Auvelity Side Effects?
Many people stop taking medication because of side effects. While some effects can be managed or fade away on their own, others may only disappear if the medication is stopped. Side effects can occur even if you are taking your medication correctly.
Contact your provider as soon as possible if side effects persist or become hard to cope with. Although serious side effects are rare, they can happen and may require immediate medical care. Some may even be life-threatening. If you notice any of the serious side effects listed above, seek medical care right away.
Additional Resources
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When Should I Seek an Alternative to Auvelity Due to Side Effects?
Auvelity’s initial side effects often get better after a few weeks. But if they persist or worsen, a provider can help you explore alternatives to Auvelity. While the potential benefits and risks are different for everyone, all types of antidepressants can help with depression symptoms.
SNRIs and SSRIs are often a first choice as an alternative for Auvelity. These newer antidepressants are known for their safety and effectiveness.
Atypical antidepressants work differently than other medications to improve symptoms. Tricyclic antidepressants (TCAs) and monoamine oxidase inhibitors (MAOIs) are older medications. They can still be effective but come with more side effects. They may be helpful for those who need to avoid or don’t respond well to other antidepressants.
How to Get a Prescription for Auvelity or Alternative Medications
To get a prescription for Auvelity or an alternative in person, start with an evaluation for your symptoms. Your primary care provider can help you get the process started. This may be a physician, nurse practitioner, or physician assistant. They may refer you to a psychiatrist or specialist to determine the best treatment plan, including medication options.
For an online prescription, you’ll also begin with an evaluation from an online psychiatric provider. We have carefully reviewed platforms like Talkiatry or Circle Medical which can prescribe non-controlled substances such as antidepressants.
Questions to Ask Your Provider
Before starting Auvelity, have a conversation about potential side effects with your doctor, psychiatrist, or therapist. They can discuss which side effects may go away on their own and if any need extra attention.
Online psychiatry services offer convenient treatment options for depression. You can get a mental health evaluation, diagnosis, and personalized treatment plan. And many platforms allow you to change providers to find the best care for you.
Questions to ask your care team about Auvelity side effects may include:
- How long will it take for my body to get used to taking Auvelity?
- How quickly do side effects from Auvelity typically start?
- What do the first days of Auvelity side effects feel like?
- Is there a starting dose that reduces the risk of side effects, especially in the first week?
- When should I reach out if I notice side effects?
- If I can’t tolerate side effects, are there Auvelity alternatives to consider?
- What are some strategies for coping with side effects?
- What can I do if side effects don’t improve after a few weeks?
- Is it safe to skip or lower a dose to avoid the side effects?
- Can I switch antidepressants if side effects last longer or get worse?
- What can I do if I have serious side effects?
Frequently Asked Questions
What Is Auvelity & What Is It Used to Treat?
How Does Auvelity Work?
How Does Auvelity Make You Feel During the First Week?
During the first week of taking Auvelity, the medication is building up in your body. This may trigger side effects for some people. Some who take Auvelity may start noticing their symptoms improving in the first week or two. But medication affects everyone differently and it may take longer for some people.1,3
How Long Do Auvelity Side Effects Last?
Most people find that common Auvelity side effects improve within the first few days or weeks. But side effects from Auvelity can be different for everyone. The way your body reacts, the dosage, and the length of treatment can affect how long your side effects last.
Can You Overdose on Auvelity?
Yes, it is possible to overdose on Auvelity. Signs of an overdose on Auvelity include confusion or disorientation, seizures, severe dizziness or fainting, rapid or irregular heartbeat, excessive sweating, severe nausea or vomiting, extreme agitation, and tremors.
What Should I Do If I Take Too Much Auvelity?
If you take too much Auvelity, seek immediate medical attention or call Poison Control at 1-800-222-1222.
Which Antidepressants Cause the Fewest Side Effects?
SNRIs and SSRIs are antidepressants that cause the fewest side effects. These are newer classes of antidepressants and are often preferred for their milder side effects.
Which Antidepressants Cause the Most Side Effects?
Monoamine oxidase inhibitors (MAOIs), tetracyclic antidepressants, and tricyclic antidepressants (TCAs) tend to cause the most side effects. These are older classes of medication and are not first-line treatments for depression because they have more side effects than newer antidepressants.
Should I Stop Taking Auvelity If I Experience Side Effects?
Do not stop taking Auvelity unless you have been advised to do so by your provider. However, if you have a seizure while taking Auvelity, seek medical attention immediately and do not take another dose. Make sure to call your healthcare provider right away if you experience any serious side effects, including suicidal thoughts or behaviors.
Choosing Therapy strives to provide our readers with mental health content that is accurate and actionable. We have high standards for what can be cited within our articles. Acceptable sources include government agencies, universities and colleges, scholarly journals, industry and professional associations, and other high-integrity sources of mental health journalism. Learn more by reviewing our full editorial policy.
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Auvelity – dextromethorphan hydrobromide, bupropion hydrochloride tablet, multilayer, extended release. (January 10, 2025). DailyMed.nlm.nih.gov. Retrieved from https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm
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How Auvelity Works. (October, 2022). Auvelity.com. Retrieved from https://www.auvelity.com/how-auvelity-works
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Auvelity Resources. (October, 2022). Auvelity.com. Retrieved from https://www.auvelity.com/resources
We regularly update the articles on ChoosingTherapy.com to ensure we continue to reflect scientific consensus on the topics we cover, to incorporate new research into our articles, and to better answer our audience’s questions. When our content undergoes a significant revision, we summarize the changes that were made and the date on which they occurred. We also record the authors and medical reviewers who contributed to previous versions of the article. Read more about our editorial policies here.
Author: No Change
Reviewer: No Change
Primary updates: Added “Key Takeaways” feature. Edited for clarity. Condensed “What is Auvelity & How Is It Used?” and moved to FAQs. Revised and moved content from “Are There Potential Drug Interactions With Auvelity?”, “Allergic Reactions”, and “Auvelity Warnings & Precautions” sections with new “What Are the Warnings & Risks of Auvelity?” feature. Revised “Can You Overdose on Auvelity?” and “What Should You Do If You Take Too Much Auvelity?” to FAQs. Add new section “Important Things to Know About Taking Auvelity” and”Who Experiences Side Effects More?” sections. Revised and retitled “How to Manage Side Effects” to “How to Cope With Common Auvelity Side Effects”, added “More Ways to Manage Auvelity Side Effects”, “Should I Stop Taking Auvelity If I Start Feeling Side Effects?”, “When Should I Seek an Alternative to Auvelity Due to Side Effects?”, “How to Get a Prescription for Auvelity or Alternative Medications” and all included subsections. Retitled “Questions to Ask Your Health Team” to “Questions to Ask Your Provider”. Replaced “Final Thoughts” with “Prescriber’s Tips” feature. Removed “For Further Reading”, Revised and moved FAQs to the end.
Author: Max Ruvinov, PharmD, MBA
Medical Reviewer: Heidi Moawad, MD
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