Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
Modafinil (Provigil) and bupropion (Wellbutrin SR, Wellbutrin XL, Forfivo XL) are both medications that can affect mood and alertness, but they belong to different medication classes and have distinct uses. Modafinil is a wakefulness-promoting agent primarily used to treat excessive sleepiness due to narcolepsy, obstructive sleep apnea, or shift work disorder. Bupropion, on the other hand, is an atypical antidepressant used to treat depression and seasonal affective disorder (SAD). While modafinil is taken once daily, bupropion can be taken in various forms, including immediate-release, sustained-release, and extended-release, with dosing ranging from once to three times daily. Modafinil is a controlled substance due to its potential for misuse and dependence, whereas bupropion is not. Common side effects of modafinil include headache and nausea, while bupropion may cause dry mouth and trouble sleeping. Modafinil can interact with medications like hormonal birth control and warfarin (Coumadin, Jantoven). Bupropion can increase the risk of seizures, especially if you have a history of seizures. Both medications require careful monitoring for mood changes.
Modafinil (Provigil)
Bupropion
Modafinil (Provigil)
Bupropion
Summary of Modafinil vs. Wellbutrin XL
Summary for Wakefulness-promoting agent
Prescription only
Modafinil (Provigil) helps improve wakefulness in adults with narcolepsy, obstructive sleep apnea, or shift work disorder. This wake-promoting medication comes as a tablet that’s taken by mouth. For adults with narcolepsy or sleep apnea, you take a dosage once daily in the morning. And for those with shift work disorder, you take your dosage 1 hour before the start of your work shift. Common side effects include headache and nausea. Modafinil (Provigil) is a controlled substance because of its potential for misuse.
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.