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Contrave pack shot — a prescription medicine an EU-licensed doctor can prescribe online after a Hi-Doctor consultation in Bucharest.
Contrave · Bucharest

Contrave in Bucharest: what you should know. 

NOT AVAILABLE IN THE EUContrave has no EU marketing authorisation for this use.

We don't prescribe it today, but our doctors can review your case and propose an equivalent weight management treatment with EU approval and clinical evidence.

€25/month (billed €25 every 28 days)Full refund if a review is not approved

IN PLAIN TERMS

What Contrave is, and how to get treatment

Contrave is the United States brand name for a weight-management tablet that combines naltrexone and bupropion. There is no medicine called Contrave on sale in the European Union. The identical combination is authorised in the EU under a different brand name, Mysimba, so the medicine itself is available to EU patients on prescription, just not under the name Contrave. If you have read about Contrave online, you are reading about the American product, and any website offering to ship Contrave to an EU address is not operating within EU medicines law.

Contrave has no EU marketing authorisation for this use. It may be an approved medicine for something else, or approved in another country — but not something a doctor here can prescribe for this.

Can I get it?

Not for this use. Contrave has no EU authorisation for it, so it cannot be prescribed or dispensed here for that purpose.

Why buying it online is risky

What can I take instead?

Orlistat 120mg is approved in the EU, has published peer-reviewed trial results, and can be prescribed today if a doctor decides it suits you.

Read about Orlistat 120mg

What do the studies show?

Every trial behind Contrave is listed below with its registry number, how many people took part, and whether the results are peer-reviewed or a company announcement.

Jump to the studies

Local consultation facts

Can I get Contrave in Bucharest?

Not through Hi-Doctor. Hi-Doctor does not prescribe Contrave. People in Bucharest, Romania, can request an online consultation for Weight loss with a licensed EU doctor, who may recommend an available option when clinically appropriate. If approved, the EU prescription arrives as a PDF for a pharmacist in Romania, who dispenses the locally marketed equivalent with the prescribed active ingredient.

Availability

Hi-Doctor does not prescribe Contrave. The links below show options in Weight loss that our doctors can assess.

Country
Romania
Language of service
Spanish and English
Prescription turnaround
In less than 4 hours on average, only if the doctor approves
Honoured locally
PDF honoured locally for the prescribed active ingredient

How the EU prescription works where you are: In Romania, show the approved prescription PDF to a pharmacist. They honour it under EU cross-border rules and dispense the locally marketed equivalent with the prescribed active ingredient.

WHAT IT COSTS

One plan, reviewed by a doctor.

Weight loss

ONGOING PLAN

€25/month

Billed €25 every 28 days · cancel anytime

28-day treatment cycle

For ongoing treatment and doctor-reviewed renewals.

Renewals reviewed by your doctor

Start consultation

Full refund if a review is not approved

WHAT'S INCLUDED

  • First consultation included
  • Renewals reviewed by your doctor
  • Ongoing care with your doctor
  • Cancel anytime

Full refund if a review is not approved

If a review is not approved, we refund that period's €25 fee and cancel the plan.

Read the refund terms

Note: The medication, if the doctor prescribes it, is paid separately at the pharmacy at the price it sets. Hi-Doctor does not sell medications.

VERIFIED EVIDENCE

Contrave: evidence and regulatory guide.

WHAT IT IS

How it works

A tablet combining two older medicines, naltrexone and bupropion, which together act on the parts of the brain that control hunger and food cravings.

  • Mu-opioid receptor (blocked by naltrexone)
  • Dopamine transporter
  • Noradrenaline transporter

DEVELOPMENT STAGE

Not marketed in the EU

Trial register1 registered trials

Every NCT identifier links to its ClinicalTrials.gov record. A readout is not the same as peer-reviewed publication.

Registered trials for Contrave
TRIAL / NCTPOPULATIONPARTICIPANTSSTATUSREADOUT / COMPLETION
COR-INCT00532779Adults with obesity, or overweight with high blood pressure or abnormal blood fats, without type 2 diabetes1,742Read out2010-08-21

What the studies reported

Results are grouped by source and evidence grade so journal data and manufacturer announcements cannot be confused.

Peer-reviewed
Greenway FL, Fujioka K, Plodkowski RA, et al. Effect of naltrexone plus bupropion on weight loss in overweight and obese adults (COR-I): a multicentre, randomised, double-blind, placebo-controlled, phase 3 trial. Lancet. 2010;376(9741):595-605. doi:10.1016/S0140-6736(10)60888-4
Greenway FL, Fujioka K, Plodkowski RA, et al. Effect of naltrexone plus bupropion on weight loss in overweight and obese adults (COR-I): a multicentre, randomised, double-blind, placebo-controlled, phase 3 trial. Lancet. 2010;376(9741):595-605. doi:10.1016/S0140-6736(10)60888-4
DOSE OR GROUPMEAN WEIGHT CHANGEWEEKS
Naltrexone 32 mg + bupropion 360 mg daily (NB32)−6.1% body weight (−6.0 kg)56
Placebo−1.3% body weight (−1.3 kg)56
Naltrexone 32 mg + bupropion 360 mg daily (NB32) — responders48.0% lost at least 5% of body weight, versus 16.4% on placebo56

All participants also followed a reduced-calorie diet and exercise programme, and a large proportion of people randomised did not complete the 56 weeks, which makes the average figures harder to interpret.

NAMED SAFETY SIGNALS

What has been reported with Contrave.

Nausea

Reported by 31.8% of people taking naltrexone/bupropion in the pooled clinical trials, versus 6.7% on placebo.

Constipation

Reported by 18.1% of people taking naltrexone/bupropion, versus 7.2% on placebo.

Vomiting

Reported by 9.9% of people taking naltrexone/bupropion, versus 2.9% on placebo.

Seizures

Occurred in approximately 0.06% of trial participants taking naltrexone/bupropion (2 of 3,239), versus none of 1,515 on placebo. The combination must not be used by anyone with a current or past seizure disorder.

Stopping treatment because of side effects

23.8% of people taking naltrexone/bupropion stopped because of an adverse reaction, versus 11.9% on placebo.

Cannot be combined with opioids

Naltrexone blocks opioid receptors, so the combination is contraindicated in people who are dependent on opioids or going through opioid withdrawal.

UNAPPROVED PRODUCTS ONLINE

Why buying Contrave online is not a shortcut.

No doctor in the EU can prescribe it for this use — including ours. It may be authorised in another country, or for a different condition.

Check the EU common logo

A legitimate online pharmacy in the EU must display the common logo linked to its national register. The logo is a verification check; it cannot make an unapproved medicine legal.

How the EU common logo works

FREQUENTLY ASKED QUESTIONS

Questions about Contrave.

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