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Auvelity

Auvelity 45-105MG

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What is Auvelity?

Auvelity (dextromethorphan/bupropion) is a novel oral medication approved by the FDA for the treatment of major depressive disorder in adults. It uniquely combines a sigma-1 receptor agonist and a norepineptide reuptake inhibitor, working through a mechanism that differs from traditional antidepressants, potentially offering benefits in both onset of action and efficacy. This combination targets both chemical and neural circuitry aspects of depression, providing a new option for patients who have not responded to other treatments.

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What is Auvelity ?

Auvelity (dextromethorphan/bupropion) is a novel oral medication approved by the FDA for the treatment of major depressive disorder in adults. It uniquely combines a sigma-1 receptor agonist and a norepineptide reuptake inhibitor, working through a mechanism that differs from traditional antidepressants, potentially offering benefits in both onset of action and efficacy. This combination targets both chemical and neural circuitry aspects of depression, providing a new option for patients who have not responded to other treatments.
  • Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing
  • Anxiety, restlessness, fever, sweating, muscle spasms, twitching, nausea, vomiting, diarrhea, seeing or hearing things that are not there
  • Blurred vision, severe headache, slow or fast heartbeat, lightheadedness, or dizziness
  • Problems with sex
  • Seizures
  • Unusual behavior, thoughts of hurting yourself or others, trouble sleeping
  • It is not safe to take this medicine during pregnancy. It could harm an unborn baby. Tell your doctor right away if you become pregnant.
  • Do not breastfeed during treatment and for 5 days after the last dose.
  • Tell your doctor if you have kidney disease, liver disease, diabetes, glaucoma, heart disease, brain tumors, low blood sugar, mental problems (including bipolar disorder, suicide, or depression), high blood pressure, or a history of stroke or falls. Tell your doctor if you have a history of drug addiction or if you drink alcohol.
  • For some children, teenagers, and young adults, this medicine may increase mental or emotional problems. This may lead to thoughts of suicide and violence. Talk with your doctor right away if you have any thoughts or behavior changes that concern you. Tell your doctor if you or anyone in your family has a history of bipolar disorder or suicide attempts.
  • This medicine may cause the following problems:Increased risk of seizuresHypertension (high blood pressure)Changes in mood or behaviorSerotonin syndrome (may be life-threatening when used with certain other medicines)
  • This medicine may make you dizzy. Do not drive or do anything that could be dangerous until you know how this medicine affects you.
  • Tell any doctor or dentist who treats you that you are using this medicine. This medicine may affect certain medical test results.
  • Your doctor will do lab tests at regular visits to check on the effects of this medicine. Keep all appointments.
  • Keep all medicine out of the reach of children. Never share your medicine with anyone.
What is Auvelity used for?
Auvelity is FDA-approved to treat major depressive disorder in adults, and separately, to treat agitation associated with dementia due to Alzheimer's disease in adults.
Is there a generic version of Auvelity?
Not currently. Auvelity (dextromethorphan-bupropion) does not yet have an FDA-approved generic equivalent.
Does Auvelity have a boxed warning?
Yes. Like other antidepressant medicines, Auvelity carries a boxed warning about increased risk of suicidal thoughts and behavior in children, adolescents, and young adults. It is not approved for pediatric use.
How is Auvelity different from taking bupropion alone?
Auvelity pairs bupropion with dextromethorphan, an NMDA receptor antagonist; bupropion also boosts dextromethorphan levels in the body. This combination works differently than bupropion by itself and is FDA-approved for both major depressive disorder and Alzheimer's-related agitation, uses that plain bupropion doesn't have.
Can I get help paying for Auvelity if I don't have commercial insurance?
The manufacturer's savings card generally requires commercial insurance, but an Rx.com cash coupon can be used at the pharmacy counter no matter your insurance status.
How much does Auvelity cost without insurance?
The price of Auvelity without insurance varies by pharmacy, dosage, and quantity. Rx.com compares cash prices at more than 60,000 US pharmacies so you can find the lowest price near you.
What are the common side effects of Auvelity?
Common side effects of Auvelity may include: Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing, Anxiety, restlessness, fever, sweating, muscle spasms, twitching, nausea, vomiting, diarrhea, seeing or hearing things that are not there, Blurred vision, severe headache, slow or fast heartbeat, lightheadedness, or dizziness, Problems with sex, Seizures. This is not a complete list — consult your pharmacist or doctor for full side effect information.
Is there a generic version of Auvelity?
Generic versions may be available for Auvelity. Generics contain the same active ingredients as brand-name drugs and are typically 80–90% cheaper. Search Auvelity on Rx.com to compare generic and brand prices at pharmacies near you.
What is the cheapest pharmacy for Auvelity?
The cheapest pharmacy for Auvelity depends on your location and dosage. Rx.com compares prices at CVS, Walgreens, Walmart, Kroger, Costco, and thousands of independent pharmacies. Enter your ZIP code on Rx.com to find the lowest price for Auvelity near you.

Auvelity Coupons & Prices

Auvelity 45-105MG

Prescriptions & Refills
Licensed US providers · Online visit in minutes
Auvelity Tablet Extended Release — prescription drug image
Prescription
Auvelity 45-105mg (10)
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Auvelity (dextromethorphan-bupropion) is a brand-name extended-release tablet approved for major depressive disorder in adults, and, more recently, for agitation associated with dementia due to Alzheimer's disease. If you're searching for an Auvelity coupon, it currently has no generic equivalent, so comparing pharmacy cash prices matters. Enter your ZIP above to see today's price near you.

What Is Auvelity and How Does It Work?

Auvelity combines dextromethorphan, an NMDA receptor antagonist and sigma-1 receptor agonist, with bupropion, which acts partly as a CYP2D6 inhibitor to raise dextromethorphan levels in the body. It's FDA-approved as extended-release tablets, taken by mouth, for the treatment of major depressive disorder (MDD) in adults. In 2026, the FDA also approved Auvelity for agitation associated with dementia due to Alzheimer's disease in adults — a separate, specific indication that doesn't extend to other causes of dementia-related agitation. It's not a controlled substance and isn't approved for use in children.

Manufacturer Savings Card vs. an Rx.com Cash Coupon

Auvelity's manufacturer, Axsome Therapeutics, offers an official savings and support program for eligible patients, but like most manufacturer copay programs, it's generally limited to people with commercial (private) insurance, and terms and eligibility vary and can change. It typically isn't available to patients on Medicare, Medicaid, or other government-funded insurance. An Rx.com cash coupon works differently — it can be used at the pharmacy counter regardless of insurance status, which is helpful if the manufacturer program doesn't apply to you.

There's currently no FDA-approved generic version of Auvelity, so comparing cash prices across pharmacies is one of the more reliable ways to find savings on the brand-name product.

Auvelity vs. Other Depression Treatments

  • Bupropion (Wellbutrin and generic) — one of Auvelity's two active ingredients, available on its own as a lower-cost generic antidepressant, though it works differently than the combination product.
  • SSRIs (such as sertraline or escitalopram, generic) — commonly prescribed first-line antidepressants with a different mechanism and side-effect profile.

Auvelity works faster for some patients than traditional antidepressants in clinical trials, but it isn't automatically the right choice for everyone — your prescriber will weigh your history, other medications, and side-effect tolerance.

Safety Information

Auvelity carries a boxed warning, standard for antidepressant medicines, about an increased risk of suicidal thoughts and behavior in children, adolescents, and young adults; it is not approved for use in pediatric patients. Because it contains bupropion, Auvelity can increase the risk of seizures, and shouldn't be used by people with a seizure disorder or certain eating disorders. It can also raise blood pressure, and has been associated with activation of mania, psychosis, angle-closure glaucoma, and serotonin syndrome when combined with other serotonergic drugs — never combine it with an MAOI. This isn't a complete list of risks; talk with your prescriber or pharmacist about your full health history before starting Auvelity.

Sources & accuracy

This Auvelity information was written and reviewed against authoritative U.S. medical sources — MedlinePlus (U.S. National Library of Medicine), DailyMed, and FDA prescribing information — and checked for accuracy. It is provided for education and is not a substitute for professional medical advice.

Verify the official label: Auvelity on DailyMed (FDA)

Reviewed against FDA labeling · Last reviewed July 2026

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Medical disclaimer: This information is provided for general educational purposes only and is not medical advice. It is not a substitute for professional diagnosis or treatment. Always consult a licensed physician, pharmacist, or other qualified healthcare provider before starting, stopping, or changing any medication or treatment. Never disregard professional medical advice or delay seeking it because of something you read here. If you think you may have a medical emergency, call your doctor or 911 immediately.


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