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Citalopram vs. Wellbutrin XL

Head-to-head comparisons of medication uses, side effects, warnings, and more.

Key takeaways

Citalopram (Celexa) and bupropion (Wellbutrin XL, Wellbutrin SR) are both medications used to treat depression, but they belong to different medication classes. Citalopram is a selective serotonin reuptake inhibitor (SSRI), while bupropion is an atypical antidepressant. Citalopram is typically taken once daily and is also available in a liquid form, whereas bupropion comes in immediate-release, sustained-release, and extended-release tablets, with dosing varying from once to three times daily depending on the formulation. Bupropion is also FDA-approved for treating seasonal affective disorder (SAD), which is not an indication for citalopram. Common side effects of citalopram include nausea and dry mouth, while bupropion may cause headaches and trouble sleeping. Both medications can interact with medications affecting serotonin levels, increasing the risk of serotonin syndrome, while bupropion has a higher risk of seizures, especially in those with a history of seizures or eating disorders. Both medications are available in generic forms, making them more affordable options for treating depression.

Citalopram

(Celexa)

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Bupropion

 

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Summary for Citalopram

Prescription only

Citalopram (Celexa) is a first-choice medication for treating depression in adults. This antidepressant belongs to the drug class called selective serotonin reuptake inhibitors (SSRIs). Citalopram (Celexa) is typically taken by mouth once daily. It typically takes a few weeks or longer of consistent treatment to notice an improvement to your mood. Common side effects include nausea and dry mouth. There's a low risk for weight gain, but suddenly stopping the medication can lead to withdrawal symptoms (e.g., upset stomach, trouble sleeping, anxiety).

Indications for Citalopram

Pros and Cons for Citalopram

Pros

Cons

  • Can take a couple months before you feel the full effects of this medication
  • Can interact with other medications, especially those affecting serotonin levels or heart rhythm
  • Can cause withdrawal symptoms if you suddenly stop taking it
  • Not FDA-approved for children

Common Side Effects for Citalopram

  • Nausea (21%)
  • Dry mouth (20%)
  • Sleepiness (18%)
  • Trouble sleeping (15%)
  • Sweating (11%)
  • Tremor (8%)
  • Diarrhea (8%)
  • Ejaculation problems (6%)

Warnings for Citalopram

  • Worsening depression, suicidal thoughts, and unusual behavior
  • Life-threatening abnormal heart rhythm (QT prolongation)
  • Serotonin syndrome
  • Withdrawal
  • Higher risk of bleeding
  • Not for use in bipolar disorder by itself
  • Glaucoma
  • Low sodium levels

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 Citalopram vs. Wellbutrin XL

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Citalopram30 tablets / 20mg
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Bupropion30 tablets / 75mg
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