Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
Atomoxetine (Strattera) and bupropion (Wellbutrin XL, Wellbutrin SR) are both medications that can affect norepinephrine levels in the brain, but they are used for different primary conditions. Atomoxetine is a selective norepinephrine reuptake inhibitor (NRI) used to treat attention-deficit hyperactivity disorder (ADHD) in people 6 years and older. Bupropion, on the other hand, is an atypical antidepressant used to treat depression and seasonal affective disorder (SAD). Atomoxetine is taken once or twice a day, while bupropion can be taken in different forms, including immediate-release, sustained-release, and extended-release, with varying dosing schedules. Both medications are available as a generic and are not controlled substances. Common side effects of atomoxetine include nausea, dry mouth, and sleepiness, while bupropion can cause headache, dry mouth, and trouble sleeping. Both medications carry a risk of suicidal thoughts, but bupropion also has a risk of seizures, especially if you have a history of seizures or eating disorders. Both medications interact with certain antidepressants and should not be taken with monoamine oxidase inhibitors (MAOIs).
Atomoxetine (Strattera)
Bupropion
Atomoxetine (Strattera)
Bupropion
Summary of Atomoxetine vs. Wellbutrin XL
Summary for Selective norepinephrine reuptake inhibitor
Prescription only
Atomoxetine, also known by its brand name Strattera, is a non-stimulant medication. It's used to treat attention-deficit hyperactivity disorder (ADHD) in adults and children ages 6 years and up. Atomoxetine (Strattera) comes as capsules that are swallowed whole. You take your dosage either once or twice a day. Side effects are stomach upset and low appetite. It's not a controlled substance like some ADHD medications are. But atomoxetine (Strattera) still has a few serious risks like behavioral changes and heart problems.
Summary for Atypical antidepressant
Prescription only
Bupropion is taken by mouth to treat depression and seasonal affective disorder (SAD). It's available as short-acting tablets that are taken two or three times a day, as well as long-acting versions that are taken once daily. Bupropion has fewer sexual side effects compared to other antidepressants, but it's not a good choice for people with a history of seizures, eating disorders, or drink alcohol regularly.