Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
Bupropion (Wellbutrin XL, Wellbutrin SR) and escitalopram (Lexapro) are both medications used to treat depression. However, they belong to different medication classes and have distinct characteristics. Bupropion is an atypical antidepressant that also treats seasonal affective disorder (SAD) and works by boosting norepinephrine and dopamine levels in the brain. In contrast, escitalopram is a selective serotonin reuptake inhibitor (SSRI) that increases serotonin levels and is also used for generalized anxiety disorder (GAD). Bupropion is available in various formulations, including immediate-release, sustained-release, and extended-release tablets, while escitalopram is available as a tablet and oral solution. Bupropion is typically taken once or multiple times a day, depending on the formulation, whereas escitalopram is taken once daily. Bupropion is less likely to cause weight gain and sexual side effects but can increase the risk of seizures, especially in people with a history of seizures or eating disorders. Escitalopram, on the other hand, can cause sexual side effects and may lead to serotonin syndrome if taken with other medications that increase serotonin. Both medications can cause withdrawal symptoms, especially if stopped suddenly.
Bupropion
Escitalopram (Lexapro)
Bupropion
Escitalopram (Lexapro)
Summary of Wellbutrin XL vs. Lexapro
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.
Summary for SSRI
Prescription only
Escitalopram, also known by its brand name, Lexapro, is a selective serotonin reuptake inhibitor (SSRI). It's a first-choice antidepressant to treat depression and anxiety in adults and children. The medication is available as a tablet and oral solution, in both brand and generic forms. A dose is typically taken by mouth once per day. Some common side effects include nausea, trouble sleeping (insomnia), and dizziness.