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Effexor XR vs. Wellbutrin XL

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

Key takeaways

Venlafaxine (Effexor XR) and bupropion (Wellbutrin XL, Wellbutrin SR) are both medications used to treat depression. Venlafaxine is a serotonin and norepinephrine reuptake inhibitor (SNRI) that also treats generalized anxiety disorder, social anxiety disorder, and panic disorder, while bupropion is an atypical antidepressant that also treats seasonal affective disorder (SAD). Venlafaxine is available in both immediate-release and extended-release forms, with the extended-release form being taken once daily. Bupropion is available in immediate-release, sustained-release, and extended-release forms, with dosing varying from once to multiple times a day. Venlafaxine is more likely to cause sexual side effects and interacts with many medications, while bupropion has fewer sexual side effects but carries a higher risk of seizures, especially if you have a history of seizures or eating disorders. Both medications can cause dizziness, nausea, and trouble sleeping, but venlafaxine may also lead to weight gain, whereas bupropion is less likely to cause weight gain. It's important to avoid alcohol with both medications, as it can increase side effects.

Venlafaxine

 

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Bupropion

 

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Summary for Effexor XR

Prescription only

Venlafaxine is an antidepressant used to treat mental health conditions like depression, generalized anxiety disorder, social anxiety disorder, and panic disorder. It comes in two forms: extended-release, which is taken once a day, and immediate-release, which is taken in split doses throughout the day. This medication can interact with many things, including other medications and alcohol. Possible side effects can include nausea, weight changes, and sexual problems. It can also cause withdrawal symptoms if you stop taking it suddenly.

Indications for Effexor XR

Pros and Cons for Effexor XR

Pros

  • Can treat multiple mental health conditions
  • Affects two chemicals in the brain that impact your mood
  • Lower risk of weight gain compared to other antidepressants
  • Comes in both immediate-release and extended-release versions

Cons

  • Might raise your blood pressure, especially at higher doses
  • Interacts with many medications
  • Can take up to 4 to 8 weeks before you feel the full effect
  • High risk of causing withdrawal symptoms if suddenly stopped

Common Side Effects for Effexor XR

Extended-release:

  • Nausea (29-31%)
  • Trouble sleeping (17-23%)
  • Dizziness (16-20%)
  • Loss of appetite (10-20%)
  • Drowsiness (15-17%)
  • Dry mouth (12-17%)
  • Abnormal ejaculation (10-16%)
  • Sweating (11-14%)
  • Weakness (8-13%)

Immediate-release:

  • Nausea (37%)
  • Headache (25%)
  • Drowsiness (23%)
  • Dry mouth (22%)
  • Dizziness (19%)
  • Trouble sleeping (18%)
  • Constipation (15%)
  • Nervousness (13%)
  • Weakness (12%)
  • Sweating (12%)
  • Abnormal ejaculation (12%)
  • Loss of appetite (11%)

Warnings for Effexor XR

  • Suicidal thoughts and behavior
  • Serotonin syndrome
  • High blood pressure
  • Higher bleeding risk
  • Mania
  • Glaucoma
  • Withdrawal
  • Seizures
  • Low sodium levels
  • Lung problems and pneumonia
  • Sexual problems

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 Effexor XR vs. Wellbutrin XL

Price Card Drug Icon
Venlafaxine90 tablets / 75mg
$21.31$196.63
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Bupropion30 tablets / 75mg
$8.37$8.37
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