Zepbound vs Contrave

A side-by-side look at two weight management medications advertised on TV. Informational only — not medical advice.

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Information reviewed July 24, 2026

US ZepboundUS Contrave
Generic nametirzepatidenaltrexone/bupropion
Drug classGIP/GLP-1 Receptor AgonistOpioid Antagonist / Aminoketone Combination
TreatsChronic weight management, obstructive sleep apneaChronic weight management
CategoryWeight ManagementWeight Management
ManufacturerEli LillyCurrax Pharmaceuticals
Year approved20232014
FDA warningBlack box warningBlack box warning
Est. TV ad spend$300M
Common side effectsNausea, Diarrhea, Vomiting, ConstipationNausea, Constipation, Headache, Increased blood pressure

Frequently asked questions

Is Zepbound or Contrave better?

Neither is universally "better." Zepbound (tirzepatide) and Contrave (naltrexone/bupropion) are both used for weight management, but the right choice depends on your medical history, insurance and your doctor's guidance. This comparison is informational only.

What's the difference between Zepbound and Contrave?

Zepbound is a GIP/GLP-1 Receptor Agonist made by Eli Lilly, while Contrave is a Opioid Antagonist / Aminoketone Combination made by Currax Pharmaceuticals. See the table above for a side-by-side breakdown.

Which one spends more on TV ads?

Zepbound has the larger estimated TV advertising budget of the two.

TVPills

A reference tool to help identify prescription medications and supplements seen in television advertising. This is not medical advice. Always consult a healthcare professional.

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