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AUVELITY

dextromethorphan hydrobromide, bupropion hydrochloride · Kit

Prescription NDA RLD Official labelling
Informational index, not medical advice. Content is reproduced from public FDA and NLM data. Always confirm against the manufacturer's current prescribing information.

Overview

Brand name
AUVELITY
Generic name
dextromethorphan hydrobromide, bupropion hydrochloride
Dosage form
Kit
Route
—
Marketing category
NDA · NDA
Labeler
Axsome Therapeutics, Inc.
Product type
Human Prescription Drug
DEA schedule
Not scheduled
Active ingredients
0
NDC product codes
2
Packages
3
Data completeness
76% of corroborating sources present

Forms, strengths and routes

Source: NDC Directory
Dosage form
Kit
Route of administration
—
Presentations
5

Regulatory status

Source: Drugs@FDANDC Directory
Application number
215430
Application type
NDA · New Drug Application
Approval date
August 18, 2022
Sponsor
AXSOME
Products on application
2
Submissions recorded
5
Products approved under application 215430.
Product Trade name Form Strength Ingredient Status TE Flags
215430-001 AUVELITY TABLET, EXTENDED RELEASE BUPROPION HYDROCHLORIDE; DEXTROMETHORPHAN HYDROBROMIDE Prescription — RLD RS
215430-002 AUVELITY TABLET, EXTENDED RELEASE BUPROPION HYDROCHLORIDE; DEXTROMETHORPHAN HYDROBROMIDE Prescription — RLD

Therapeutic equivalence

Source: Orange Book
TE code
—
Reference Listed Drug
Yes
Reference Standard
Yes

Codes beginning with “A” indicate products the FDA considers therapeutically equivalent. Codes beginning with “B” indicate bioequivalence has not been established. See methodology.

Patents and exclusivity

Source: Orange Book
Patent listings submitted under 21 U.S.C. 355(b)(1) and (c)(2).
Patent Expires Product Substance Use code Submitted
8569328 July 18, 2032 001 No U-3419 September 16, 2022
8569328 July 18, 2032 001 No U-4516 September 16, 2022
8569328 July 18, 2032 002 No U-4516 May 29, 2026
11524008 November 5, 2034 001 No U-3419 December 21, 2022
11524007 November 5, 2034 001 No U-3419 December 21, 2022
11517542 November 5, 2034 001 No U-3419 December 21, 2022
11517543 November 5, 2034 001 No U-3419 December 21, 2022
11510918 November 5, 2034 001 No U-3419 December 7, 2022
11382874 November 5, 2034 001 No U-3419 September 16, 2022
11364233 November 5, 2034 001 No U-3419 September 16, 2022
9457025 November 5, 2034 001 No U-3419 September 16, 2022
10058518 November 5, 2034 001 No U-3419 September 16, 2022
9278095 November 5, 2034 001 No U-3419 September 16, 2022
9867819 November 5, 2034 001 No U-3419 September 16, 2022
9168234 November 5, 2034 001 No U-3419 September 16, 2022
9861595 November 5, 2034 001 No U-3419 September 16, 2022
9700553 November 5, 2034 001 No U-3419 September 16, 2022
11357744 November 5, 2034 001 No U-3419 September 16, 2022
11344544 November 5, 2034 001 No U-3419 September 16, 2022
9486450 November 5, 2034 001 No U-3419 September 16, 2022
9474731 November 5, 2034 001 No U-3419 September 16, 2022
9375429 November 5, 2034 001 No U-3419 September 16, 2022
9421176 November 5, 2034 001 No U-3419 September 16, 2022
9408815 November 5, 2034 001 No U-3419 September 16, 2022
9763932 November 5, 2034 001 No U-3419 September 16, 2022
11311534 November 5, 2034 001 No U-3419 September 16, 2022
9205083 November 5, 2034 001 No U-3419 September 16, 2022
9707191 November 5, 2034 001 No U-3419 September 16, 2022
10898453 November 5, 2034 001 No U-3419 September 16, 2022
11433067 November 5, 2034 001 No U-3419 September 16, 2022
9700528 November 5, 2034 001 No U-3419 September 16, 2022
9370513 November 5, 2034 001 No U-3419 September 16, 2022
9457023 November 5, 2034 001 No U-3419 September 16, 2022
9238032 November 5, 2034 001 No U-3419 September 16, 2022
11096937 November 5, 2034 001 No U-3419 September 16, 2022
11298352 November 5, 2034 001 No U-3419 September 16, 2022
10966941 November 5, 2034 001 No U-3419 September 16, 2022
11298351 November 5, 2034 001 No U-3419 September 16, 2022
11090300 November 5, 2034 001 No U-3419 September 16, 2022
10894047 November 5, 2034 001 No U-3419 September 16, 2022
10064857 November 5, 2034 001 No U-3419 September 16, 2022
11291665 November 5, 2034 001 No U-3419 September 16, 2022
10780066 November 5, 2034 001 No U-3419 September 16, 2022
11291638 November 5, 2034 001 No U-3419 September 16, 2022
10786469 November 5, 2034 001 No U-3419 September 16, 2022
11253492 November 5, 2034 001 No U-3419 September 16, 2022
10881657 November 5, 2034 001 No U-3419 September 16, 2022
10874663 November 5, 2034 001 No U-3419 September 16, 2022
10799497 November 5, 2034 001 No U-3419 September 16, 2022
11058648 November 5, 2034 001 No U-3419 September 16, 2022
11273133 November 5, 2034 001 No U-3419 September 16, 2022
10864209 November 5, 2034 001 No U-3419 September 16, 2022
10806710 November 5, 2034 001 No U-3419 September 16, 2022
10881624 November 5, 2034 001 No U-3419 September 16, 2022
10786496 November 5, 2034 001 No U-3419 September 16, 2022
11020389 November 5, 2034 001 No U-3419 September 16, 2022
11185515 November 5, 2034 001 No U-3419 September 16, 2022
10945973 November 5, 2034 001 No U-3419 September 16, 2022
11285146 November 5, 2034 001 No U-3419 September 16, 2022
11285118 November 5, 2034 001 No U-3419 September 16, 2022
10596167 November 5, 2034 001 No U-3419 September 16, 2022
11439636 November 5, 2034 001 No U-3419 September 16, 2022
9314462 November 5, 2034 001 No U-3419 September 16, 2022
9198905 November 5, 2034 001 No U-3419 September 16, 2022
11426401 November 5, 2034 001 No U-3419 September 16, 2022
11426370 November 5, 2034 001 No U-3419 September 16, 2022
11419867 November 5, 2034 001 No U-3419 September 16, 2022
10772850 November 5, 2034 001 No U-3419 September 16, 2022
11273134 November 5, 2034 001 No U-3419 September 16, 2022
11253491 November 5, 2034 001 No U-3419 September 16, 2022
11234946 November 5, 2034 001 No U-3419 September 16, 2022
10548857 November 5, 2034 001 No U-3419 September 16, 2022
11229640 November 5, 2034 001 No U-3419 September 16, 2022
10874665 November 5, 2034 001 No U-3419 September 16, 2022
10933034 November 5, 2034 001 No U-3419 September 16, 2022
10251879 November 5, 2034 001 No U-3419 September 16, 2022
10092561 November 5, 2034 001 No U-3419 September 16, 2022
10894046 November 5, 2034 001 No U-3419 September 16, 2022
11191739 November 5, 2034 001 No U-3419 September 16, 2022
10874664 November 5, 2034 001 No U-3419 September 16, 2022
10080727 November 5, 2034 001 No U-3419 September 16, 2022
11197839 November 5, 2034 001 No U-3419 September 16, 2022
11147808 November 5, 2034 001 No U-3419 September 16, 2022
11207281 November 5, 2034 001 No U-3419 September 16, 2022
11141416 November 5, 2034 001 No U-3419 September 16, 2022
11141388 November 5, 2034 001 No U-3419 September 16, 2022
11213521 November 5, 2034 001 No U-3419 September 16, 2022
11129826 November 5, 2034 001 No U-3419 September 16, 2022
11123343 November 5, 2034 001 No U-3419 September 16, 2022
10966974 November 5, 2034 001 No U-3419 September 16, 2022
10512643 November 5, 2034 001 No U-3419 September 16, 2022
10463634 November 5, 2034 001 No U-3419 September 16, 2022
10105361 November 5, 2034 001 No U-3419 September 16, 2022
10105327 November 5, 2034 001 No U-3419 September 16, 2022
10092560 November 5, 2034 001 No U-3419 September 16, 2022
9968568 November 5, 2034 001 No U-3419 September 16, 2022
11969421 November 5, 2034 001 No U-3419 May 7, 2024
11590124 November 5, 2034 001 No U-3419 November 20, 2025
11576909 November 5, 2034 001 No U-3419 November 20, 2025
11571417 November 5, 2034 001 No U-3419 November 20, 2025
11123344 November 5, 2034 001 No U-3419 November 20, 2025
11065248 November 5, 2034 001 No U-3419 November 20, 2025
11478468 November 5, 2034 001 No U-3419 November 10, 2022
11541048 November 5, 2034 001 No U-3419 January 23, 2023
11541021 November 5, 2034 001 No U-3419 January 23, 2023
11534414 November 5, 2034 001 No U-3419 January 23, 2023
11779579 November 5, 2034 001 No U-3419 October 12, 2023
11617728 November 5, 2034 001 No U-3419 May 3, 2023
11617747 November 5, 2034 001 No U-3563 May 3, 2023
11596627 November 5, 2034 001 No U-3419 April 4, 2023
11497721 November 5, 2034 001 No U-3419 December 2, 2022
12109178 November 5, 2034 001 No U-3419 October 15, 2024
9968568 November 5, 2034 001 No U-4517 September 16, 2022
11285146 November 5, 2034 001 No U-4517 September 16, 2022
9168234 November 5, 2034 001 No U-4517 September 16, 2022
11382874 November 5, 2034 001 No U-4517 September 16, 2022
11344544 November 5, 2034 001 No U-4517 September 16, 2022
11571417 November 5, 2034 001 No U-4526 November 20, 2025
11298352 November 5, 2034 001 No U-4517 September 16, 2022
11007189 November 5, 2034 001 No U-4516 May 29, 2026
11534414 November 5, 2034 001 No U-4516 January 23, 2023
11191739 November 5, 2034 001 No U-4516 September 16, 2022
11197839 November 5, 2034 001 No U-4516 September 16, 2022
11234946 November 5, 2034 001 No U-4526 September 16, 2022
10881624 November 5, 2034 001 No U-4517 September 16, 2022
9861595 November 5, 2034 001 No U-4517 September 16, 2022
9486450 November 5, 2034 001 No U-4517 September 16, 2022
9314462 November 5, 2034 001 No U-4517 September 16, 2022
9205083 November 5, 2034 001 No U-4520 September 16, 2022
10092560 November 5, 2034 001 No U-4517 September 16, 2022
11207281 November 5, 2034 001 No U-4537 September 16, 2022
9457025 November 5, 2034 001 No U-4517 September 16, 2022
9421176 November 5, 2034 001 No U-4517 September 16, 2022
9370513 November 5, 2034 001 No U-4520 September 16, 2022
9707191 November 5, 2034 001 No U-4522 September 16, 2022
9474731 November 5, 2034 001 No U-4520 September 16, 2022
11590124 November 5, 2034 001 No U-4526 November 20, 2025
11253492 November 5, 2034 001 No U-4526 September 16, 2022
9198905 November 5, 2034 001 No U-4520 September 16, 2022
10064857 November 5, 2034 001 No U-4517 September 16, 2022
11426370 November 5, 2034 001 No U-4526 September 16, 2022
10092561 November 5, 2034 001 No U-4517 September 16, 2022
10780066 November 5, 2034 001 No U-4517 September 16, 2022
10058518 November 5, 2034 001 No U-4522 September 16, 2022
11273134 November 5, 2034 001 No U-4517 September 16, 2022
11273133 November 5, 2034 001 No U-4526 September 16, 2022
11065248 November 5, 2034 001 No U-4517 November 20, 2025
11433067 November 5, 2034 001 No U-4516 September 16, 2022
11357744 November 5, 2034 001 No U-4517 September 16, 2022
11576909 November 5, 2034 001 No U-4526 November 20, 2025
11439636 November 5, 2034 001 No U-4517 September 16, 2022
11426401 November 5, 2034 001 No U-4517 September 16, 2022
10966941 November 5, 2034 001 No U-4517 September 16, 2022
10806710 November 5, 2034 001 No U-4517 September 16, 2022
10596167 November 5, 2034 001 No U-4517 September 16, 2022
11291638 November 5, 2034 001 No U-4517 September 16, 2022
11285118 November 5, 2034 001 No U-4526 September 16, 2022
11419867 November 5, 2034 001 No U-4517 September 16, 2022
11291665 November 5, 2034 001 No U-4517 September 16, 2022
9278095 November 5, 2034 001 No U-4517 September 16, 2022
9867819 November 5, 2034 001 No U-4517 September 16, 2022
9763932 November 5, 2034 001 No U-4517 September 16, 2022
9700553 November 5, 2034 001 No U-4517 September 16, 2022
9700528 November 5, 2034 001 No U-4517 September 16, 2022
9457023 November 5, 2034 001 No U-4517 September 16, 2022
11123344 November 5, 2034 001 No U-4517 November 20, 2025
10786496 November 5, 2034 001 No U-4517 September 16, 2022
10105361 November 5, 2034 001 No U-4522 September 16, 2022
9238032 November 5, 2034 001 No U-4520 September 16, 2022
9375429 November 5, 2034 001 No U-4517 September 16, 2022
10512643 November 5, 2034 001 No U-4517 September 16, 2022
10080727 November 5, 2034 001 No U-4520 September 16, 2022
10251879 November 5, 2034 001 No U-4517 September 16, 2022
9408815 November 5, 2034 001 No U-4517 September 16, 2022
10463634 November 5, 2034 001 No U-4517 September 16, 2022
11617747 November 5, 2034 001 No U-4526 May 3, 2023
9968568 November 5, 2034 002 No U-4517 May 29, 2026
9168234 November 5, 2034 002 No U-4517 May 29, 2026
10080727 November 5, 2034 002 No U-4520 May 29, 2026
11590124 November 5, 2034 002 No U-4526 May 29, 2026
11291638 November 5, 2034 002 No U-4517 May 29, 2026
11007189 November 5, 2034 002 No U-4516 May 29, 2026
9700528 November 5, 2034 002 No U-4517 May 29, 2026
11253492 November 5, 2034 002 No U-4526 May 29, 2026
9861595 November 5, 2034 002 No U-4517 May 29, 2026
9700553 November 5, 2034 002 No U-4517 May 29, 2026
9486450 November 5, 2034 002 No U-4517 May 29, 2026
9370513 November 5, 2034 002 No U-4520 May 29, 2026
9375429 November 5, 2034 002 No U-4517 May 29, 2026
9314462 November 5, 2034 002 No U-4517 May 29, 2026
9457023 November 5, 2034 002 No U-4517 May 29, 2026
11207281 November 5, 2034 002 No U-4537 May 29, 2026
10092560 November 5, 2034 002 No U-4517 May 29, 2026
10780066 November 5, 2034 002 No U-4517 May 29, 2026
9198905 November 5, 2034 002 No U-4520 May 29, 2026
9205083 November 5, 2034 002 No U-4520 May 29, 2026
9707191 November 5, 2034 002 No U-4522 May 29, 2026
10058518 November 5, 2034 002 No U-4522 May 29, 2026
11571417 November 5, 2034 002 No U-4526 May 29, 2026
10105361 November 5, 2034 002 No U-4522 May 29, 2026
10251879 November 5, 2034 002 No U-4517 May 29, 2026
11285146 November 5, 2034 002 No U-4517 May 29, 2026
11273134 November 5, 2034 002 No U-4517 May 29, 2026
11273133 November 5, 2034 002 No U-4526 May 29, 2026
11298352 November 5, 2034 002 No U-4517 May 29, 2026
11344544 November 5, 2034 002 No U-4517 May 29, 2026
11426370 November 5, 2034 002 No U-4526 May 29, 2026
11382874 November 5, 2034 002 No U-4517 May 29, 2026
11234946 November 5, 2034 002 No U-4526 May 29, 2026
9763932 November 5, 2034 002 No U-4517 May 29, 2026
11617747 November 5, 2034 002 No U-4526 May 29, 2026
11285118 November 5, 2034 002 No U-4526 May 29, 2026
11419867 November 5, 2034 002 No U-4517 May 29, 2026
11291665 November 5, 2034 002 No U-4517 May 29, 2026
9421176 November 5, 2034 002 No U-4517 May 29, 2026
9408815 November 5, 2034 002 No U-4517 May 29, 2026
9238032 November 5, 2034 002 No U-4520 May 29, 2026
9474731 November 5, 2034 002 No U-4520 May 29, 2026
9457025 November 5, 2034 002 No U-4517 May 29, 2026
9867819 November 5, 2034 002 No U-4517 May 29, 2026
10092561 November 5, 2034 002 No U-4517 May 29, 2026
9278095 November 5, 2034 002 No U-4517 May 29, 2026
10512643 November 5, 2034 002 No U-4517 May 29, 2026
10463634 November 5, 2034 002 No U-4517 May 29, 2026
10881624 November 5, 2034 002 No U-4517 May 29, 2026
10064857 November 5, 2034 002 No U-4517 May 29, 2026
10780064 January 7, 2040 001 No U-3419 September 16, 2022
10966942 January 7, 2040 001 No U-3419 September 16, 2022
10940124 January 7, 2040 001 No U-3419 September 16, 2022
10925842 January 7, 2040 001 No U-3419 September 16, 2022
12576078 June 5, 2040 001 No U-4516 May 29, 2026
12433884 June 5, 2040 001 No U-4514 May 29, 2026
12472156 June 5, 2040 001 No U-4516 May 29, 2026
12576078 June 5, 2040 002 No U-4516 May 29, 2026
12433884 June 5, 2040 002 No U-4514 May 29, 2026
12472156 June 5, 2040 002 No U-4516 May 29, 2026
12390428 December 1, 2041 001 No U-3419 August 26, 2025
11896563 December 1, 2041 001 No U-3419 February 16, 2024
12310961 January 20, 2043 001 No U-3419 June 3, 2025
11925636 January 20, 2043 001 No U-3419 March 14, 2024
12357697 January 20, 2043 001 No U-3419 July 29, 2025
11717518 January 20, 2043 001 No U-3419 August 15, 2023
12661408 January 20, 2043 001 No U-3419 July 14, 2026
12239642 January 20, 2043 001 No U-4515 May 29, 2026
12472174 January 20, 2043 001 No U-4515 May 29, 2026
12263161 January 20, 2043 001 No U-4515 May 29, 2026
12564587 January 20, 2043 001 No U-4515 May 29, 2026
12478622 January 20, 2043 001 No U-4515 May 29, 2026
12678506 January 20, 2043 001 No August 12, 2026
12156914 January 20, 2043 001 No December 19, 2024
12472174 January 20, 2043 002 No U-4515 May 29, 2026
12678506 January 20, 2043 002 No August 12, 2026
11730706 January 23, 2043 001 No U-3419 August 28, 2023
11883373 January 23, 2043 001 No U-3419 February 8, 2024
12194005 January 23, 2043 001 No U-4523 May 29, 2026
12364674 January 23, 2043 001 No U-4516 May 29, 2026
12036191 February 15, 2043 001 No U-3419 August 5, 2024
11986444 February 15, 2043 001 No U-3419 May 31, 2024
12370154 February 15, 2043 001 No U-4518 May 29, 2026
12599576 February 15, 2043 001 No U-4518 May 29, 2026
12146889 February 23, 2043 001 No U-3419 November 20, 2024
11752144 February 23, 2043 001 No U-3419 September 14, 2023
12042473 February 23, 2043 001 No U-3419 August 5, 2024
12472155 February 23, 2043 001 No U-4519 May 29, 2026
11839612 March 2, 2043 001 No U-3419 January 5, 2024
11844797 April 20, 2043 001 No U-3778 January 5, 2024
12194036 April 20, 2043 001 No U-4521 May 29, 2026
12653795 November 28, 2043 001 No U-4516 July 14, 2026
Regulatory exclusivity periods.
Code Expires Product
I-913 April 30, 2029 001
I-913 April 30, 2029 002

Approval history

Source: Drugs@FDA
Most recent submissions on application 215430.
Type No. Action Status Date Review
Supplement 18 Efficacy Approved April 30, 2026 Priority
Supplement 9 Labeling Approved April 30, 2026 Standard
Supplement 16 Labeling Approved November 5, 2025 Standard
Supplement 8 Labeling Approved May 7, 2024 Standard
Original application 1 Type 3 - New Dosage Form and Type 4 - New Combination Approved August 18, 2022 Priority

Review documents

  • 0 · Supplement · May 12, 2026
  • 0 · Supplement · May 12, 2026
  • 0 · Supplement · May 6, 2026
  • 0 · Supplement · May 4, 2026
  • 0 · Supplement · May 1, 2026
  • 0 · Supplement · November 6, 2025
  • 0 · Supplement · November 6, 2025
  • 0 · Supplement · November 6, 2025
  • 0 · Original application · June 27, 2024
  • 0 · Supplement · May 8, 2024
  • 0 · Supplement · May 7, 2024
  • 0 · Original application · August 29, 2022
  • 0 · Original application · August 19, 2022

Prescribing information

Source: openFDA Drug Labeling

Reproduced verbatim from the Structured Product Labeling submitted to the FDA (effective 20260817). This is the manufacturer's labelling text, not a summary and not advice.

HUMAN PRESCRIPTION DRUG · 20260817

Boxed Warning

openFDA Drug Labeling

WARNING: SUICIDAL THOUGHTS AND BEHAVIORS Antidepressants increased the risk of suicidal thoughts and behaviors in pediatric and young adult patients in short-term studies. Closely monitor all antidepressant-treated patients for clinical worsening, and emergence of suicidal thoughts and behaviors [see Warnings and Precautions (5.1)] . AUVELITY is not approved for use in pediatric patients [see Use in Specific Populations (8.4)] . WARNING: SUICIDAL THOUGHTS AND BEHAVIORS See full prescribing information for complete boxed warning. Increased risk of suicidal thoughts and behavior in pediatric and young adult patients taking antidepressants. Closely monitor all antidepressant-treated patients for clinical worsening and emergence of suicidal thoughts and behaviors. AUVELITY is not approved for use in pediatric patients. ( 5.1 , 8.4 )

Recent Major Changes

openFDA Drug Labeling

RECENT MAJOR CHANGES Indications and Usage, Agitation Associated with Dementia Due to Alzheimer’s Disease ( 1.2 )------------------------------------------------------------------------- 4/2026 Dosage and Administration, Recommended Dosage for Treatment of Agitation Associated with Dementia Due to Alzheimer’s Disease ( 2.3 )----------- 4/2026 Warnings and Precautions, Hyponatremia ( 5.10 )------------------------------ 4/2026

Indications and Usage

openFDA Drug Labeling

1 INDICATIONS AND USAGE AUVELITY is a combination of dextromethorphan, an uncompetitive N -methyl D -aspartate (NMDA) receptor antagonist and sigma-1 receptor agonist, and bupropion, an aminoketone and CYP450 2D6 inhibitor, indicated for the treatment of major depressive disorder (MDD) in adults ( 1.1 ) the treatment of agitation associated with dementia due to Alzheimer’s disease ( 1.2 ) Limitations of Use: AUVELITY is not indicated as an as needed (“prn”) treatment for agitation associated with dementia due to Alzheimer’s disease (1.2). 1.1 Major Depressive Disorder AUVELITY is indicated for the treatment of major depressive disorder (MDD) in adults. 1.2 Agitation Associated with Dementia Due to Alzheimer’s Disease AUVELITY is indicated for the treatment of agitation associated with dementia due to Alzheimer’s disease. Limitations of Use: AUVELITY is not indicated as an as needed (“prn”) treatment for agitation associated with dementia due to Alzheimer’s disease [see Clinical Studies Section 14.2 ].

Dosage and Administration

openFDA Drug Labeling

2 DOSAGE AND ADMINISTRATION Prior to initiating treatment with AUVELITY: assess blood pressure; screen patients for history of bipolar disorder, mania, or hypomania; and determine if patients are receiving any other medications that contain bupropion or dextromethorphan. ( 2.1 ) For MDD, the starting dosage is AUVELITY 45 mg/105 mg once daily in the morning. On day 4, increase to the maximum recommended dosage of AUVELITY 45 mg/105 mg twice daily, separated by at least 8 hours. Do not exceed two doses within the same day. ( 2.2 ) For agitation associated with dementia due to Alzheimer’s disease, the starting dosage is AUVELITY 30 mg/105 mg once daily in the morning. On day 8, increase to AUVELITY 30 mg/105 mg twice daily, separated by at least 8 hours, based on tolerability. On day 15, increase to the maximum recommended dosage of AUVELITY 45 mg/105 mg twice daily, separated by at least 8 hours, based on tolerability. Do not exceed two doses within the same day. ( 2.3 ) Swallow tablets whole, do not crush, divide, or chew. ( 2.2 , 2.3 ) Moderate renal impairment: For patients with MDD or agitation associated with dementia due to Alzheimer’s disease, the maximum recommended dosage is one tablet of 45 mg/105 mg by mouth once daily in the morning. ( 2.4 , 8.6 ) CYP2D6 poor metabolizers: For patients with MDD or agitation associated with dementia due to Alzheimer’s disease, the maximum recommended dosage is one tablet of 45 mg/105 mg by mouth once daily in the morning. ( 2.6 , 8.8 , 12.3 ) 2.1 Important Recommendations Prior to Initiating and During Treatment with AUVELITY Prior to initiating and during treatment with AUVELITY: assess blood pressure and monitor periodically during treatment [see Warnings and Precautions ( 5.3 )] . screen patients for a personal or family history of bipolar disorder, mania, or hypomania [see Warnings and Precautions ( 5.4 )] . screen patients to determine if they are receiving any other medications that contain bupropion or dextromethorphan [see Warnings and Precautions ( 5.2 , 5.5 , 5.8 )] . 2.2 Recommended Dosage for the Treatment of Major Depressive Disorder The recommended starting dosage ofis AUVELITY (45 mg of dextromethorphan hydrobromide and /105 mg of bupropion hydrochloride) is one tablet once daily in the morning. After 3 daysOn day 4, increase to the maximum recommended dosage of one tablet twice daily, given at least 8 hours apart. Do not exceed two doses within the same day. Administer AUVELITY orally with or without food [see Clinical Pharmacology ( 12.3 )] . Swallow tablets whole, do not crush, divide, or chew. 2.3 Recommended Dosage for Treatment of Agitation Associated with Dementia Due to Alzheimer’s Disease The recommended titration schedule is as follows: The recommended starting dose is AUVELITY 30 mg/105 mg once daily, in the morning. On day 8, increase to AUVELITY 30 mg/105 mg twice daily, given at least 8 hours apart, based on tolerability. On day 15, after starting AUVELITY, increase to the maximum recommended dosage of 45 mg/105 mg twice daily, given at least 8 hours apart, based on tolerability. Do not exceed two doses within the same day. Administer AUVELITY orally with or without food [see Clinical Pharmacology ( 12.3 )]. Swallow tablets whole, do not crush, divide, or chew. 2.4 Dosage Recommendations in Patients with Renal Impairment For patients with moderate renal impairment (eGFR 30 to 59 mL/minute/1.73 m2), the dosing recommendations for AUVELITY are as follows: For patients with MDD, the recommended starting and maximum dosage is 45 mg/105 mg once daily in the morning [see Use in Specific Populations ( 8.6 ), Clinical Pharmacology ( 12.3 )]. For patients with Agitation Associated with Dementia due to Alzheimer’s Disease, the recommended starting dosage is 30 mg/105 mg once daily in the morning. On day 8, increase to the maximum recommended dosage of 45 mg/105 mg once daily in the morning, based on tolerability [see Use in Specific Populations ( 8.6 ), Clinical Ph …

Dosage Forms and Strengths

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3 DOSAGE FORMS AND STRENGTHS AUVELITY extended-release tablets are available in two strengths: 30 mg dextromethorphan hydrobromide/105 mg bupropion hydrochloride. The tablets are white and round with “AXS” above “30” debossed on one side 45 mg dextromethorphan hydrobromide/105 mg bupropion hydrochloride. The tablets are beige and round with “45/105” debossed on one side Extended-release tablets: dextromethorphan hydrobromide/ bupropion hydrochloride 45 mg/105 mg, 30 mg/105 mg. ( 3 )

Contraindications

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4 CONTRAINDICATIONS AUVELITY is contraindicated in patients: with a seizure disorder [see Warnings and Precautions ( 5.2 )] . with a current or prior diagnosis of bulimia or anorexia nervosa as a higher incidence of seizures was observed in such patients treated with the immediate-release formulation of bupropion [see Warnings and Precautions ( 5.2 )] . undergoing abrupt discontinuation of alcohol, benzodiazepines, barbiturates, and antiepileptic drugs [see Warnings and Precautions ( 5.2 ), Drug Interactions ( 7.1 )] . taking, or within 14 days of stopping, MAOIs due to the risk of serious and possibly fatal drug interactions, including hypertensive crisis and serotonin syndrome [see Dosage and Administration ( 2.7 ), Warnings and Precautions ( 5.8 ), Drug Interactions ( 7.1 )] . Starting AUVELITY in a patient treated with reversible MAOIs such as linezolid or intravenous methylene blue is contraindicated. with known hypersensitivity to bupropion, dextromethorphan, or other components of AUVELITY. Anaphylactoid/anaphylactic reactions and Stevens-Johnson syndrome have been reported with bupropion. Arthralgia, myalgia, fever with rash, and other serum sickness-like symptoms suggestive of delayed hypersensitivity have also been reported with bupropion [see Adverse Reactions ( 6.2 )] . Seizure disorder. ( 4 ) Current or prior diagnosis of bulimia or anorexia nervosa. ( 4 ) Abrupt discontinuation of alcohol, benzodiazepines, barbiturates, and antiepileptic drugs. ( 4 ) Use with an MAOI or within 14 days of stopping treatment with AUVELITY. Do not use AUVELITY within 14 days of discontinuing an MAOI. ( 4 ) Known hypersensitivity to bupropion, dextromethorphan, or other components of AUVELITY. ( 4 )

Warnings and Cautions

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5 WARNINGS AND PRECAUTIONS Seizure: Risk is dose-related. Discontinue if seizure occurs. ( 4 , 5.2 ) Increased Blood Pressure and Hypertension: AUVELITY can increase blood pressure and cause hypertension. Assess blood pressure before initiating treatment and monitor periodically during treatment. ( 5.3 ) Activation of Mania or Hypomania: Screen patients for bipolar disorder. ( 5.4 ) Psychosis and Other Neuropsychiatric Reactions: Instruct patients to contact a healthcare provider if such reactions occur. ( 5.5 ) Angle-Closure Glaucoma: Angle-closure glaucoma has occurred in patients with untreated anatomically narrow angles treated with antidepressants. ( 5.6 ) Dizziness: AUVELITY may cause dizziness. Take precautions to reduce falls and use caution when operating machinery. ( 5.7 ) Serotonin Syndrome: Use of AUVELITY with selective serotonin reuptake inhibitors (SSRIs) or tricyclic antidepressants increases the risk. Discontinue if occurs. ( 5.8 , 7.1 ) Embryo-fetal Toxicity: May cause fetal harm. Advise pregnant females of the potential risk to a fetus. Discontinue treatment in pregnant females and use alternative treatment for females who are planning to become pregnant. ( 5.9 , 8.1 , 8.3 ) Hyponatremia: Can occur in association with SIADH. ( 5.10 ) 5.1 Suicidal Thoughts and Behaviors in Adolescents and Young Adults In pooled analyses of placebo-controlled trials of antidepressant drugs (SSRIs and other antidepressant classes) that included approximately 77,000 adult patients and 4,500 pediatric patients, the incidence of suicidal thoughts and behaviors in antidepressant-treated patients age 24 years and younger was greater than in placebo-treated patients. There was considerable variation in risk of suicidal thoughts and behaviors among drugs, but there was an increased risk identified in young patients for most drugs studied. There were differences in absolute risk of suicidal thoughts and behaviors across the different indications, with the highest incidence in patients with MDD. The drug-placebo differences in the number of cases of suicidal thoughts and behaviors per 1000 patients treated are provided in Table 1. Table 1: Risk Differences of the Number of Patients of Suicidal Thoughts and Behavior in the Pooled Placebo-Controlled Trials of Antidepressants in Pediatric* and Adult Patients *AUVELITY is not approved for use in pediatric patients. Age Range Drug-Placebo Difference in Number of Patients of Suicidal Thoughts or Behaviors per 1000 Patients Treated Increases Compared to Placebo <18 years old 14 additional patients 18-24 years old 5 additional patients Decreases Compared to Placebo 25-64 years old 1 fewer patient ≥65 years old 6 fewer patients It is unknown whether the risk of suicidal thoughts and behaviors in children, adolescents, and young adults extends to longer-term use, i.e., beyond four months. However, there is substantial evidence from placebo-controlled maintenance studies in adults with MDD that antidepressants delay the recurrence of depression and that depression itself is a risk factor for suicidal thoughts and behaviors. Monitor all antidepressant-treated patients for any indication for clinical worsening and emergence of suicidal thoughts and behaviors, especially during the initial few months of drug therapy, and at times of dosage changes. Counsel family members or caregivers of patients to monitor for changes in behavior and to alert the healthcare provider. Consider changing the therapeutic regimen, including possibly discontinuing AUVELITY, in patients whose depression is persistently worse, or who are experiencing emergent suicidal thoughts or behaviors. 5.2 Seizure Bupropion, a component of AUVELITY, can cause seizure. The risk of seizure with bupropion is dose-related. When a bupropion hydrochloride (HCl) sustained-release tablet was dosed up to 300 mg per day (approximately 1.5 times the maximum recommended daily dosage of AUVELITY), the incidence of seizure was approximately 0.1% (1/ …

Adverse Reactions

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6 ADVERSE REACTIONS The following adverse reactions are discussed in more detail in other sections of the labeling: Suicidal Thoughts and Behaviors in Adolescents and Young Adults [see Warnings and Precautions ( 5.1 )] Seizure [see Warnings and Precautions ( 5.2 )] Increased Blood Pressure and Hypertension [see Warnings and Precautions ( 5.3 )] Activation of Mania or Hypomania [see Warnings and Precautions ( 5.4 )] Psychosis and Other Neuropsychiatric Reactions [see Warnings and Precautions ( 5.5 )] Angle-closure Glaucoma [see Warnings and Precautions ( 5.6 )] Dizziness [see Warnings and Precautions ( 5.7 )] Serotonin Syndrome [see Warnings and Precautions ( 5.8 )] Embryo-fetal Toxicity [see Warnings and Precautions ( 5.9 )] Hyponatremia [see Warnings and Precautions ( 5.10 )] MDD: Most common adverse reactions (≥5% and more than twice as frequently as placebo): dizziness, headache, diarrhea, somnolence, dry mouth, sexual dysfunction, and hyperhidrosis. (6.1) Agitation associated with dementia due to Alzheimer’s disease: Most common adverse reactions (≥5% and more than twice as frequently as placebo): dizziness and dyspepsia. (6.1) To report SUSPECTED ADVERSE REACTIONS, contact Axsome Therapeutics at 1-800-484-1672 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch . 6.1 Clinical Trials Experience Because clinical trials are conducted under widely varying conditions, adverse reaction rates observed in the clinical trials of a drug cannot be directly compared to rates in the clinical trials of another drug and may not reflect the rates observed in clinical practice. AUVELITY has been evaluated for safety in 2,550 adult patients who participated in multiple-dose clinical trials for major depressive disorder, agitation associated with dementia due to Alzheimers disease, or another indication. Among them, 918 patients were treated with AUVELITY for at least 6 months, and 251 patients were treated with AUVELITY for at least 1 year. Major Depressive Disorder The data below are based on the 6-week, placebo-controlled study in which either AUVELITY (n=162) or placebo (n=164) was administered twice daily to patients with MDD (Study 1). Demographics of the patients who participated in this study are summarized in Clinical Studies [see Clinical Studies (Section 14.1 )]. Adverse Reactions Leading to Discontinuation In the 6-week placebo-controlled study, 4% of patients treated with AUVELITY and 0% of placebo-treated patients discontinued participation due to adverse reactions. The adverse reaction that led to study discontinuation in 1% of patients treated with AUVELITY was anxiety (2%). Most Common Adverse Reactions In the 6-week placebo-controlled clinical study, the most common (incidence 5% for AUVELITY and more than twice as frequently as placebo) adverse reactions were dizziness (16%), headache (8%), diarrhea (7%), somnolence (7%), dry mouth (6%), sexual dysfunction (6%), and hyperhidrosis (5%). Table 2 shows the incidence of adverse reactions that occurred in 2% of patients treated with AUVELITY and more frequently than in patients treated with placebo in Study 1. Table 2: Adverse Reactions Occurring in ≥2% of Adult Patients with MDD Treated with AUVELITY and More Frequently than in Patients Treated with Placebo in a 6-Week Placebo-Controlled Study (Study 1) a Sexual dysfunction includes orgasm abnormal, erectile dysfunction, libido decreased, anorgasmia b Fatigue includes fatigue, lethargy c Paraesthesia includes paraesthesia, hypoaesthesia Adverse Reaction AUVELITY (N=162) % Placebo (N=164) % Dizziness 16 6 Nausea 13 9 Headache 8 4 Diarrhea 7 3 Somnolence 7 3 Dry mouth 6 2 Sexual dysfunction a 6 0 Hyperhidrosis 5 0 Anxiety 4 1 Constipation 4 2 Decreased appetite 4 1 Insomnia 4 2 Arthralgia 3 0 Fatigue b 3 2 Paraesthesia c 3 0 Vision blurred 3 0 Agitation Associated with Dementia Due to Alzheimers Disease The data below are based on the 5-week, placebo-controlled, parallel-group study in which either AUVELITY (n=159) or placebo (n=1 …

Drug Interactions

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7 DRUG INTERACTIONS Strong CYP2D6 inhibitors: For patients with MDD or agitation associated with dementia due to Alzheimer’s disease, maximum recommended dosage is one tablet of 45 mg dextromethorphan hydrobromide/105 mg bupropion hydrochloride by mouth once daily in the morning. ( 2.5 , 7.1 ) Strong CYP2B6 inducers: Avoid use. ( 7.1 ) CYP2D6 Substrates: Increases the exposures of drugs that are substrates of CYP2D6. ( 7.1 ) Digoxin: May decrease plasma digoxin levels. Monitor digoxin levels. ( 7.1 ) Drugs that lower seizure threshold: Coadministration may increase risk of seizure. ( 7.1 ) Dopaminergic drugs: Central Nervous System (CNS) toxicity can occur with concomitant use. ( 7.1 ) Drug-laboratory test interactions: AUVELITY can cause false-positive urine test results for amphetamines. ( 7.2 ) 7.1 Drugs Having Clinically Important Interactions with AUVELITY Table 4: Clinically Important Drug Interactions with AUVELITY Monoamine Oxidase Inhibitors (MAOIs) Clinical Impact Concomitant use of AUVELITY with MAOIs increases the risk of hypertensive crisis and serotonin syndrome. Intervention AUVELITY is contraindicated in patients taking MAOIs (including MAOIs such as linezolid or intravenous methylene blue) or in patients who have taken MAOIs within the preceding 14 days. Allow at least 14 days after stopping AUVELITY before starting an MAOI [see Dosage and Administration ( 2.7 ), Contraindications ( 4 ), Warnings and Precautions ( 5.3 , 5.8 )] Serotonergic Drugs Clinical Impact Concomitant use of AUVELITY with other serotonergic drugs increases the risk of serotonin syndrome. Intervention Monitor for symptoms of serotonin syndrome when AUVELITY is used concomitantly with other drugs that may affect the serotonergic neurotransmitter systems. If serotonin syndrome occurs, consider discontinuation of AUVELITY and/or concomitant serotonergic drug [see Dosage and Administration ( 2.1 ), Warnings and Precautions ( 5.8 )] . Drugs that Lower Seizure Threshold Clinical Impact AUVELITY contains bupropion which can cause seizure. Co-administration with other drugs that lower seizure threshold may increase risk of seizure. Intervention Use caution when administering AUVELITY concomitantly with drugs that lower the seizure threshold [see Warnings and Precautions ( 5.2 )] . Discontinue AUVELITY and do not restart treatment if the patient experiences a seizure. Strong Inhibitors of CYP2D6 Clinical Impact Concomitant use of AUVELITY with strong CYP2D6 inhibitors increases plasma concentrations of dextromethorphan. Intervention Dosage adjustment is necessary when AUVELITY is co-administered with strong inhibitors of CYP2D6 [see Dosage and Administration ( 2.5 )] . Monitor patients for adverse reactions potentially attributable to dextromethorphan, such as somnolence and dizziness. Strong Inducers of CYP2B6 Clinical Impact Concomitant use of AUVELITY with strong CYP2B6 inducers decreases plasma concentrations of dextromethorphan and bupropion and may decrease efficacy of AUVELITY [see Clinical Pharmacology ( 12.3 )] . Intervention Avoid co-administration of AUVELITY with strong inducers of CYP2B6. Consider alternatives to strong CYP2B6 inducers if needed. Drugs Metabolized by CYP2D6 Clinical Impact CYP2D6 Substrates Coadministration of AUVELITY with drugs that are metabolized by CYP2D6 can increase the exposures of drugs that are substrates of CYP2D6. Drugs that Require Metabolic Activation by CYP2D6 Drugs that require metabolic activation by CYP2D6 to be effective could have reduced efficacy when administered concomitantly with AUVELITY. Intervention CYP2D6 Substrates When used concomitantly with AUVELITY, it may be necessary to decrease the dose of CYP2D6 substrates, particularly for drugs with a narrow therapeutic index. Drugs that Require Metabolic Activation by CYP2D6 Patients treated concomitantly with AUVELITY may require increased doses of drugs that require activation by CYP2D6 to be effective. Digoxin Clinical Impact Coadministration …

Use in Specific Populations

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8 USE IN SPECIFIC POPULATIONS Lactation: Breastfeeding not recommended. ( 8.2 ) Severe Hepatic Impairment: Avoid use. ( 8.7 ) 8.1 Pregnancy Pregnancy Exposure Registry There is a pregnancy exposure registry that monitors pregnancy outcomes in women exposed to antidepressants, including AUVELITY, during pregnancy. Healthcare providers are encouraged to register patients by contacting the National Pregnancy Registry for Antidepressants at 1-866-961-2388 or online at: https://womensmentalhealth.org/research/pregnancyregistry/antidepressants/ . Risk Summary Based on animal studies, AUVELITY may cause fetal harm when administered during pregnancy. AUVELITY is not recommended during pregnancy. If a female becomes pregnant while being treated with AUVELITY, discontinue treatment and counsel the patient about the potential risk to a fetus [see Warnings and Precautions ( 5.9 )] . In oral studies conducted in rats and rabbits, a combination of dextromethorphan/quinidine demonstrated developmental toxicity, including fetal malformations (rabbits) and embryolethality, when given to pregnant animals. When bupropion alone was administered to pregnant rats during organogenesis, there was no evidence of fetal malformations at doses up to approximately 21 times the maximum recommended human dose (MRHD) of 210 mg/day. When bupropion alone was given to pregnant rabbits during organogenesis, non-dose–related increases in incidence of fetal malformations, and skeletal variations were observed at doses approximately 2 to 5 times the MRHD and greater. Decreased fetal weights were seen at bupropion doses approximately 5 times the MRHD and greater. Neurotoxicity findings were observed in juvenile rats treated with a combination of dextromethorphan/quinidine on postnatal day (PND) 7, which corresponds to the third trimester of gestation through the first few months of life and may extend through the first three years of life in humans. Based on these findings, AUVELITY may cause fetal harm when administered to pregnant women (see Data ) . The available clinical data on the use of AUVELITY during pregnancy is insufficient to evaluate for a drug-associated risk of major birth malformations, miscarriage, or other adverse maternal or fetal outcomes. However, there are available data on one of the individual components of AUVELITY, bupropion. Data from epidemiological studies of pregnant women exposed to bupropion in the first trimester have not identified an increased risk of congenital malformations overall (see Data ) . There are risks to the mother associated with untreated depression in pregnancy (see Clinical Considerations ) . The estimated background risk of major birth defects and miscarriage for the indicated population is unknown. All pregnancies have a background risk of birth defect, loss, or other adverse outcomes. In the U.S. general population, the estimated background risk of major birth defects and miscarriage in clinically recognized pregnancies is 2% to 4% and 15% to 20%, respectively. Clinical Considerations Disease-Associated Maternal and/or Embryo/Fetal Risk A prospective, longitudinal study followed 201 pregnant women with a history of major depressive disorder who were euthymic and taking antidepressants during pregnancy at the beginning of pregnancy. The women who discontinued antidepressants during pregnancy were more likely to experience a relapse of major depression than women who continued antidepressants. Consider the risks to the mother of untreated depression and potential effects on the fetus when discontinuing or changing treatment with antidepressant medications during pregnancy and postpartum. Data Human Data Bupropion Data from the international bupropion Pregnancy Registry (675 first trimester exposures) and a retrospective cohort study using the United Healthcare database (1,213 first trimester exposures) did not show an increased risk for malformations overall. The Registry was not designed or powered to evaluate spe …

Mechanism of Action

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12.1 Mechanism of Action Dextromethorphan is an uncompetitive antagonist of the NMDA receptor (an ionotropic glutamate receptor) and a sigma-1 receptor agonist. The mechanism of dextromethorphan in the treatment of MDD and agitation associated with dementia due to Alzheimer’s disease is unclear. Bupropion increases plasma levels of dextromethorphan by competitively inhibiting cytochrome P450 2D6, which catalyzes a major biotransformation pathway for dextromethorphan. The mechanism of action of bupropion in the treatment of MDD is unclear; however, it may be related to noradrenergic and/or dopaminergic mechanisms. Bupropion is a relatively weak inhibitor of the neuronal reuptake of norepinephrine and dopamine and does not inhibit monoamine oxidase or the reuptake of serotonin.

Description

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11 DESCRIPTION AUVELITY is a combination of dextromethorphan hydrobromide, an uncompetitive NMDA receptor antagonist and sigma-1 receptor agonist, and bupropion hydrochloride, an aminoketone and CYP450 2D6 inhibitor. The chemical name of dextromethorphan hydrobromide is morphinan, 3- methoxy-17-methyl-, (9α, 13α, 14α), hydrobromide monohydrate. Dextromethorphan hydrobromide has the empirical formula C 18 H 25 NO•HBr•H 2 O and a molecular weight of 370.33 (271.4 dextromethorphan base). The structural formula is: Dextromethorphan hydrobromide powder is white or almost white, crystalline, and sparingly soluble in water. The chemical name of bupropion hydrochloride is:(±)-1-(3-chlorophenyl)-2-[(1,1-dimethylethyl)amino]-1­propanone hydrochloride. Bupropion hydrochloride has the empirical formula C 13 H 18 ClNO•HCl and a molecular weight of 276.2 (239.74 bupropion base). The structural formula is: Bupropion hydrochloride powder is white and highly soluble in water. AUVELITY is for oral administration and is available as round bilayer tablets. Each tablet contains either 30 mg or 45 mg dextromethorphan hydrobromide (equivalent to 21.99 and 32.98 mg, respectively, dextromethorphan base) in an immediate-release formulation and 105 mg bupropion hydrochloride (equivalent to 91.14 mg bupropion base) in an extended-release formulation. Each tablet contains the following inactive ingredients: carbomer homopolymer, colloidal silicon dioxide, crospovidone, glyceryl monocaprylocaprate, l-cysteine hydrochloride monohydrate, magnesium stearate, microcrystalline cellulose, polyvinyl alcohol, sodium lauryl sulfate, stearic acid, talc, and titanium dioxide. Beige tablets additionally contain red iron oxide and yellow iron oxide. Structural Formula - Dextromethorphan Hydrobromide Structural Formula - Bupropion Hydrochloride

10 OVERDOSAGE Human Experience There is limited clinical study experience regarding human overdosage with AUVELITY. Overdosage information is based on experience with the individual components, dextromethorphan and bupropion. Metabolism of the dextromethorphan component of AUVELITY is inhibited by the bupropion component, such that overdose due to AUVELITY might be more severe or more persistent compared to overdose of dextromethorphan alone. Dextromethorphan Symptoms of dextromethorphan overdose include nausea, vomiting, stupor, coma, respiratory depression, seizures, tachycardia, hyperexcitability, and toxic psychosis. Other adverse effects include ataxia, nystagmus, dystonia, blurred vision, and changes in muscle reflexes. Dextromethorphan may cause serotonin syndrome, and this risk is increased by overdose, particularly if taken with other serotonergic agents, SSRIs or tricyclic antidepressants. Bupropion Overdoses of up to 30 grams or more of bupropion (approximately 143 times the maximum recommended dose of AUVELITY) have been reported. Seizure was reported in approximately one-third of all cases. Other serious reactions reported with overdoses of bupropion alone included hallucinations, loss of consciousness, mental status changes, sinus tachycardia, ECG changes such as conduction disturbances (including QRS prolongation) or arrhythmias, clonus, myoclonus, and hyperreflexia. Fever, muscle rigidity, rhabdomyolysis, hypotension, stupor, coma, and respiratory failure have been reported mainly when bupropion was part of multiple drug overdoses. Although most patients recovered without sequelae, deaths associated with overdoses of bupropion alone have been reported in patients ingesting large doses of the drug. Multiple uncontrolled seizures, bradycardia, cardiac failure, and cardiac arrest prior to death were reported in these patients. Overdosage Management Treatment of dextromethorphan overdosage should be directed at symptomatic and supportive measures. There are no known antidotes for bupropion. In case of an overdose, provide supportive care, including close medical supervision and monitoring. Consider the possibility of multiple drug overdose. Ensure an adequate airway, oxygenation, and ventilation. Monitor cardiac rhythm and vital signs. Induction of emesis is not recommended. Consider contacting a Poison Help Line (1-800-222-1222) or a medical toxicologist for overdosage management recommendations for AUVELITY.

How Supplied / Storage and Handling

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16 HOW SUPPLIED/STORAGE AND HANDLING AUVELITY (dextromethorphan hydrobromide / bupropion hydrochloride) extended-release tablets are film-coated, round, bilayer tablets with debossing on one side. Dextromethorphan hydrobromide 30 mg/bupropion hydrochloride 105 mg tablets are white with “AXS” above “30” debossed on one side. Dextromethorphan hydrobromide 45mg/bupropion hydrochloride 105 mg tablets are beige with “45/105” debossed on one side. Auvelity is supplied in the following packaging configurations: Titration Pack for agitation associated with dementia due to Alzheimer’s disease, NDC 81968-345-01, containing: AUVELITY 30 mg/105 mg: one bottle of 21 tablets AUVELITY 45 mg/105 mg: one bottle of 30 tablets Auvelity 45 mg/105 mg: Bottles of 30 tablets, NDC 81968-045-30 Bottles of 60 tablets, NDC 81968-045-60 Store AUVELITY in original bottle at 20°C to 25°C (68°F to 77°F), excursions permitted to 15°C to 30°C (59°F to 86°F) [see USP Controlled Room Temperature].

Packaging and NDCs

Source: NDC Directory
Every National Drug Code package associated with this medication. The NDC is the identifier used for dispensing, billing and pharmacovigilance in the United States.
Package NDC Product NDC Labeler Description Marketing start
81968-345-01 81968-345 Axsome Therapeutics, Inc. 1 KIT in 1 KIT (81968-345-01) * 30 TABLET, MULTILAYER, EXTENDED RELEASE in 1 BOTTLE * 1 BOTTLE in 1 CARTON / 14 TABLET, MULTILAYER, EXTENDED RELEASE in 1 BOTTLE * 1 BOTTLE in 1 CARTON / 21 TABLET, MULTILAYER, EXTENDED RELEASE in 1 BOTTLE June 1, 2026
81968-345-03 81968-345 Axsome Therapeutics, Inc. 1 KIT in 1 KIT (81968-345-03) * 30 TABLET, MULTILAYER, EXTENDED RELEASE in 1 BOTTLE * 1 BOTTLE in 1 CARTON / 14 TABLET, MULTILAYER, EXTENDED RELEASE in 1 BOTTLE * 1 BOTTLE in 1 CARTON / 21 TABLET, MULTILAYER, EXTENDED RELEASE in 1 BOTTLE June 1, 2026
81968-453-01 81968-453 Axsome Therapeutics, Inc. 1 KIT in 1 KIT (81968-453-01) * 1 BOTTLE in 1 CARTON / 21 TABLET, MULTILAYER, EXTENDED RELEASE in 1 BOTTLE * 1 BOTTLE in 1 CARTON / 14 TABLET, MULTILAYER, EXTENDED RELEASE in 1 BOTTLE July 30, 2026
81968-345 81968-345 Axsome Therapeutics, Inc. — June 1, 2026
81968-453 81968-453 Axsome Therapeutics, Inc. — July 30, 2026

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