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Atomoxetine vs. Wellbutrin XL

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)

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Bupropion

 

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Summary for Atomoxetine

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.

Indications for Atomoxetine

Pros and Cons for Atomoxetine

Pros

  • A good non-stimulant option for both adults and children with ADHD
  • Can take with or without food
  • Not a controlled substance, so there isn't a risk of addiction and it doesn't have special rules when filling a prescription

Cons

Common Side Effects for Atomoxetine

Adults:

  • Nausea (26%)
  • Dry mouth (20%)
  • Low appetite (16%)
  • Trouble sleeping (15%)
  • Feeling tired (10%)

Children:

  • Headache (19%)
  • Stomach pain (18%)
  • Low appetite (16%)
  • Sleepiness (11%)
  • Vomiting (11%)
  • Nausea (10%)

Warnings for Atomoxetine

  • Risk of suicidal thoughts
  • Severe liver damage
  • Serious heart problems
  • Changes in blood pressure and heart rate
  • Aggressive behavior or other changes in behavior
  • Risk of mania in people with bipolar disorder
  • Long-lasting and painful erection
  • Slowed growth in children

Summary for Wellbutrin XL

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.

Indications for Wellbutrin XL

  • Depression
  • Seasonal affective disorder (SAD) - only bupropion HCl extended-release (Wellbutrin XL)

Pros and Cons for Wellbutrin XL

Pros

  • Works well for depression and can be used alone or in combination with other antidepressants
  • Causes fewer sexual side effects than some other antidepressants
  • Available in a lower-cost generic form
  • Less likely to cause weight gain compared to other antidepressants
  • Good option for people who haven't had success with traditional antidepressants like selective serotonin reuptake inhibitors (SSRIs)

Cons

Common Side Effects for Wellbutrin XL

  • Headache
  • Dry mouth
  • Nausea
  • Trouble sleeping
  • Dizziness
  • Sore throat
  • Constipation
  • Restlessness (agitation)

Warnings for Wellbutrin XL

  • Suicidal thoughts or behavior and abnormal mood changes
  • Mental health changes
  • Seizures
  • High blood pressure
  • Extreme enthusiasm or excitement (mania)

Prices with our coupons for Atomoxetine vs. Wellbutrin XL

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Atomoxetine30 capsules / 40mg
$28.42$463.92
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Bupropion30 tablets / 75mg
$8.37$8.37
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