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Compare Paxil vs. Wellbutrin XL

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

Key takeaways

Paroxetine (Paxil) and bupropion (Wellbutrin) are both medications used to treat depression, but they belong to different classes and have distinct characteristics. Paroxetine is a selective serotonin reuptake inhibitor (SSRI) that works by increasing serotonin levels in the brain, and it is also used for various anxiety disorders. Bupropion, on the other hand, is an atypical antidepressant that is thought to boost norepinephrine and dopamine levels. Unlike paroxetine, bupropion is also used to treat seasonal affective disorder (SAD) and has fewer sexual side effects. Paroxetine is available in both immediate-release and extended-release forms, while bupropion comes in short-acting, sustained-release, and extended-release versions. Bupropion is less likely to cause weight gain compared to paroxetine, but it is not suitable for people with a history of seizures or eating disorders. Both medications can take several weeks to show their full effects and should not be stopped suddenly without consulting a healthcare provider.

  • Paroxetine (Paxil)
    Bupropion
  • Paroxetine (Paxil)
    Bupropion

  • Summary of Paxil vs. Wellbutrin XL

    Summary for SSRI
    Prescription only

    Paroxetine (also known by it's brand name Paxil) is a selective serotonin reuptake inhibitor (SSRI), used for different types of anxiety problems and depression. It's available as a brand name and generic version, and it comes as an immediate-release tablet, an oral suspension, and an extended-release tablet. Possible side effects include nausea, sexual side effects, and weight gain. It can also cause withdrawal symptoms (e.g., headache, trouble sleeping, anxiety) if you suddenly stop taking it.

    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.

  • Indications of Paxil vs. Wellbutrin XL

    Indications for
    •Depression
    •Panic disorder (PD)
    •Social anxiety disorder (SAD)
    •Obsessive-compulsive disorder (OCD) (IR only)
    •Generalized anxiety disorder (GAD) (IR only)
    •Post-traumatic stress disorder (PTSD) (IR only)
    •Premenstrual dysphoric disorder (PMDD) (ER only)
    Indications for
    •Depression
    •Seasonal affective disorder (SAD) - only bupropion HCl extended-release (Wellbutrin XL)

  • Pros and Cons of Paxil vs. Wellbutrin XL

    Pros and Const for SSRI
    Pros
    •Only needs to be taken once daily
    •Available as a tablet and oral liquid
    •Can be taken with or without food
    •Can be used for many different mental health conditions
    •Can be helpful for people who have both anxiety and depression
    Cons
    •Can take several weeks or months to achieve the full benefits
    •Might be more likely than other SSRIs to cause weight gain or sexual problems
    •Can interact with other medications, especially those affecting serotonin levels
    •Can cause withdrawal symptoms if you suddenly stop taking it
    Pros and Const for Atypical antidepressant
    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
    •Can take several weeks to feel the full effects
    •Not the best option if you have a history of seizures or eating disorders like as anorexia or bulimia
    •Might need to limit or avoid using alcohol during treatment
    •Can cause trouble sleeping if you take it later in the day

  • Common Side Effects of Paxil vs. Wellbutrin XL

    Common Side Effects for
    •Abnormal ejaculation (up to 28%)
    •Nausea (up to 25%)
    •Weakness (up to 22%)
    •Sleepiness or trouble sleeping (up to 24%)
    •Dry mouth (up to 18%)
    •Constipation (up to 16%)
    •Sweating (up to 14%)
    •Dizziness (up to 14%)
    •Diarrhea (up to 12%)
    •Low libido (up to 12%)
    •Shakiness (up to 11%)
    Common Side Effects for
    •Headache
    •Dry mouth
    •Nausea
    •Trouble sleeping
    •Dizziness
    •Sore throat
    •Constipation
    •Restlessness (agitation)

  • Warnings of Paxil vs. Wellbutrin XL

    Common Side Effects for
    •Worsening depression, suicidal thoughts, and unusual behavior
    •Serotonin syndrome
    •Risk of harm to unborn babies
    •Sexual problems
    •Withdrawal
    •Risk factors: Stopping paroxetine (Paxil) suddenly
    •Risk of bleeding
    •Not for use alone in bipolar disorder
    •Glaucoma
    •Low blood sodium levels
    •Seizures
    •Risk of abnormal heart rhythm from interactions
    Common Side Effects for
    •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 Paxil vs. Wellbutrin XL

    Learn more about Paroxetine
    Learn more about Bupropion

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