Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
Buspirone (Buspar) and bupropion (Wellbutrin XL, Forfivo XL) are both oral prescription medications used for mental health conditions, but they have some impotant differences. Buspirone is an antianxiety medication used to relieve anxiety, while bupropion is an atypical antidepressant used to treat depression and seasonal affective disorder (SAD). Buspirone is typically taken twice daily, whereas bupropion is available in short-acting and long-acting forms, with dosing ranging from once to three times daily depending on the formulation. Both medications are available as a lower-cost generic. Common side effects of buspirone include dizziness and headache, while bupropion can cause headaches and trouble sleeping. Buspirone has a lower risk of dependency and withdrawal symptoms compared to other anxiety medications, like benzodiazepines. Bupropion increases the risk of seizures and is not recommended for those with a history of seizures or eating disorders. Buspirone interacts with many medications and grapefruit juice, while bupropion can interact with alcohol and other medications that affect blood pressure.
Buspirone
Bupropion
Buspirone
Bupropion
Summary of Buspirone vs. Wellbutrin XL
Summary for Antianxiety
Prescription only
Buspirone is used to relieve anxiety, but it's not a first-choice medication. Your provider might consider adding on buspirone if your anxiety symptoms aren't well-controlled by other medications. It's taken by mouth, typically twice daily. Unlike some other anti-anxiety medications, it's not a controlled substance. Some common side effects of buspirone include dizziness, nausea, headache, and nervousness. The brand name Buspar is no longer available.
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.