General MedicineGeneral Medicine
Auvelity

Auvelity

Brand for bupropion

Without insurance

With insurance

Most insurance accepted

Board-certified clinicians

No hidden fees

Available nationwide

What is Auvelity?

Auvelity is a prescription combination medication approved for major depressive disorder in adults, pairing dextromethorphan (DXM) — an NMDA glutamate receptor antagonist — with bupropion, which both enhances DXM's CNS activity and provides its own antidepressant effects. The combination represents a new mechanism for treating depression: targeting the glutamate system rather than solely focusing on serotonin, dopamine, or norepinephrine. Bupropion inhibits the enzyme that rapidly breaks down DXM, allowing it to reach therapeutic brain levels for antidepressant effect. Auvelity is taken twice daily and demonstrated faster onset of action in clinical trials — with some people experiencing improvement within one week.

NMDA receptor antagonism

Dextromethorphan blocks NMDA glutamate receptors in the brain, modulating excitatory neurotransmission and promoting synaptic plasticity — a depression treatment mechanism distinct from all existing monoamine-based antidepressants.

Bupropion as pharmacokinetic enhancer

Bupropion inhibits CYP2D6, the enzyme that rapidly metabolizes DXM, dramatically extending its half-life and allowing DXM to reach brain concentrations sufficient for antidepressant effect — while also contributing its own dopamine and norepinephrine reuptake inhibition.

Faster antidepressant onset

Clinical trials showed meaningful symptom improvement in some people within the first week — faster than the typical 4 to 6 week onset of standard antidepressants — which may be clinically significant for people in acute depressive episodes.

Virtual visit with clinician

Ongoing support, always available.

Your care doesn’t end after your visit. Message your care team anytime to discuss side effects, ask questions about your medication, or request a refill.

We stay proactive so your care stays steady — adjusting your plan as needed and keeping you informed every step of the way.

What our customers have to say

Everything is upfront

Everything is upfront and exactly what they state. No hidden costs or fees. Great experience!

Leslie

5 out of 5 stars on Trustpilot

I felt heard and they followed through

I felt heard and they followed through until my prior authorization was approved after it was denied. They maintained communication with me until I received my medication.

Nichelle C

5 out of 5 stars on Trustpilot

Got refills quickly and affordably

I needed medication refills, and they were able to fill them quickly and affordably.

Mya Harbison

5 out of 5 stars on Trustpilot

Quick and easy from booking to Zoom

Everything was quick and easy from booking the blood work to our Zoom appointment. The doctor was pleasant and attentive.

Judy S

5 out of 5 stars on Trustpilot

Listened and responded right away

The physician I was paired with listened to all of my concerns and responded right away. She was thorough, and I received my medication within hours.

Camille

5 out of 5 stars on Trustpilot

Prescription confirmed within 45 minutes

I’d run out of a medication while I was in the process of changing doctors. I provided some information, and my prescription was done and confirmed within 45 minutes.

Mark

5 out of 5 stars on Trustpilot

Thorough history check and a prompt prior authorization

They were very thorough in checking my medical history for any possible problems with the new medication, and very prompt in handling the prior authorization with the pharmacy and the insurance carrier.

Louis

5 out of 5 stars on Trustpilot

Frequently asked questions

What is General Medicine?

What can General Medicine help with?

How much does General Medicine cost?

Who is the care team at General Medicine?

How do you protect my health information?