CommunityFood & Appetite

Wellbutrin+naltrexone

11 replies8 peopleOct 30, 2025☆ Follow
Summary

Can wellbutrin plus naltrexone help with sugar cravings and motivation problems when already using reta or tirz?

Users report mixed personal results with the combination or its components. Some note reduced cravings from naltrexone but unpleasant side effects like numbness or depression, while others saw little appetite change from wellbutrin alone. Tirz is repeatedly described as stronger than naltrexone for both alcohol and sugar cravings. Wellbutrin is linked to possible mood worsening or hair loss in individual accounts.

What this discussion establishesWhere people disagree

Whether the combo meaningfully improves motivation or eating behavior beyond what reta or tirz already provide; some saw benefit for cravings while others experienced no change or new side effects.

Still open

Optimal dosing when layering with GLP-1 agonists and long-term tolerance of the psychotropic effects.

Nothing here is advice.

11 replies · 8 people
WarmQuill32archiveopening postOct 30, 2025

My results with reta have been solid once I settled at a steady weekly amount. Over four months the numbers moved in the right direction for weight, cholesterol, blood sugar, blood pressure, and thyroid. Even so my connection to food stays off, especially the urge to grab sweets when stressed, though the total volume is down. That pattern looks like part of a bigger issue with drive, focus, and energy that others have labeled ADHD or hypomania. Food troubles feel like one piece of it. Tesofensine is off the table for me because of worries about mood swings and heart effects. The wellbutrin and naltrexone pair is said to cut cravings and support weight loss, so any experiences with it would be useful.

AmberMarble84archiveOct 31, 2025

I recognize that pattern too and probably have some undiagnosed attention issues myself. I currently take the combination product as well, just one tablet in the morning at the moment. It acts through the melanocortin route that affects hunger and fullness signals. It does not seem especially strong by itself for dropping weight, yet it does appear to ease the kind of cravings you described. For many people reta does not suppress appetite very effectively either. Still, your other numbers look solid.

KeenMeadow10archiveOct 31, 2025

Both drugs are psychiatric medications. Naltrexone is approved for alcohol and opioid cravings and is sometimes used off-label for other compulsive behaviors. Wellbutrin is an NDRI prescribed for depression, seasonal mood issues, and quitting smoking, with off-label use for attention problems. The two together form the approved weight-loss product. Anyone considering them should expect the usual psychiatric warnings around anxiety and suicidal thoughts and should track their own mental state closely. I would not have tried the NDRI without a prescriber overseeing it and first adding mood and anxiety support, because without those I could not sleep and had severe panic. Naltrexone quickly pushed me into deep low mood so I stopped it.

GreyLedger11archiveNov 4, 2025

The pair did nothing for me and I simply continued overeating while on the NDRI. Hair loss is another possible effect to watch for. Low-dose naltrexone at levels below the weight-loss combination is supposed to carry other health upsides, so I may finish what I still have at that lower amount instead.

QuietAlder20archiveNov 4, 2025

I have already described elsewhere how naltrexone and tirz compared for my alcohol urges, with the latter working better. Years earlier I also used the NDRI to stop smoking and found it unpleasant, with intense dreams and confused waking thoughts. Seeing the two drugs combined for weight loss immediately raised concerns for me. In my own experience tirz has been the most reliable way to quiet sugar cravings.

SlowLantern99archiveNov 4, 2025
↳ replying to @QuietAlder20

You may be mixing up the NDRI smoking-aid version with the other smoking medication that is known for strange dreams. I have tried both. The NDRI mainly made me short-tempered and my friends wanted me to resume smoking, whereas the other drug let me quit for about a year but definitely produced odd dreams early on.

QuietAlder20archiveNov 4, 2025
↳ replying to @SlowLantern99

Thanks for the correction. It was definitely the other smoking drug. I had mixed up which medication carried the suicidal-thought warnings.

PlainSignal69archiveNov 4, 2025
↳ replying to @GreyLedger11

I have taken low-dose naltrexone for nearly five years to help with lingering brain fog after covid. It has helped noticeably and also produces vivid, full-color dreams that are not disturbing. My current amount is 4.5 mg right before sleep.

WarmQuill32archiveNov 6, 2025

From the replies so far no one has described the combination as particularly effective. The sample is small, of course. I have never taken either medication before, so I started the NDRI by itself to check tolerance. Some leftover extended-release tablets at 150 mg have been used for about a week now. Motivation and energy may be slightly better but overall I notice little difference and no appetite shift. The naltrexone component is supposed to block the reward pathway that the NDRI turns on. Assuming no manic reaction appears by the time the generic version arrives, I plan to begin at 90 mg and 8 mg.

QuietKettle85archiveNov 7, 2025

Before trying tirz I used a mix of the NDRI, naltrexone, and metformin. A few pounds came off but I had to drop the naltrexone after side effects appeared, including numbness on half of my face. The prescriber said it was recognized and might fade, yet I did not want to continue long enough to find out. Hope your choice works out without that issue.

WarmQuill32archiveNov 8, 2025

Thanks. Out of curiosity, what amount of naltrexone were you using?

QuietAlder20archiveNov 9, 2025
↳ replying to @WarmQuill32

Not sure which reply you meant, but the usual amount for substance recovery is 50 mg according to the doctor at the facility I attended. I was considered a difficult case and stayed at 100 mg daily for twelve months. Alcohol urges stayed low yet sugar cravings stayed high. Once I stopped that medication and began compounded tirz both alcohol and sweets stopped being appealing.

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Wellbutrin+naltrexone · ZyraTrack Community