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Sunosi vs. Wellbutrin XL

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

Key takeaways

Sunosi (solriamfetol) and Wellbutrin (bupropion hydrochloride) are both medications that can affect norepinephrine and dopamine levels in the brain, but they are used for different reasons. Sunosi is a dopamine and norepinephrine reuptake inhibitor used to improve wakefulness in adults with narcolepsy or obstructive sleep apnea. In contrast, Wellbutrin is an atypical antidepressant used to treat depression and seasonal affective disorder (SAD). Sunosi is taken once daily in the morning, while Wellbutrin can be taken in various forms, including immediate-release, sustained-release, and extended-release, with dosing frequency ranging from once to three times a day. Sunosi is only available as a brand-name medication, whereas Wellbutrin is available as a lower-cost generic. Common side effects of Sunosi include headache, loss of appetite, and nausea, while Wellbutrin may cause headache, dry mouth, and trouble sleeping. Both medications can raise blood pressure and heart rate, and Wellbutrin increases the risk of seizures, especially in people with a history of seizures or eating disorders.

Sunosi

(solriamfetol)

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Bupropion

 

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Summary for Sunosi

Prescription only

Sunosi (solriamfetol) is used to improve wakefulness in adults with narcolepsy or obstructive sleep apnea. Sunosi (solriamfetol) belongs to the drug class called dopamine and norepinephrine reuptake inhibitors, and it's currently only available as a brand-name medication. Sunosi (solriamfetol) is available as tablets that are taken by mouth once daily when you first wake up. Common side effects include headache, a smaller appetite, and nausea.

Indications for Sunosi

Extreme daytime sleepiness caused by:

Pros and Cons for Sunosi

Pros

  • Taken once a day
  • Comes in two different strengths
  • Unlikely to cause withdrawal symptoms if you stop taking the medication suddenly

Cons

  • No lower-cost generic available
  • Can make your blood pressure go up
  • Is a controlled substance so there are special requirements to getting a prescription filled
  • Not approved for children

Common Side Effects for Sunosi

  • Headache (16%)
  • Having a smaller appetite (9%)
  • Nausea (7%)
  • Anxiety (6%)
  • Insomnia (trouble sleeping, 5%)

Note: Side effect percentages were reported from studies of adults with narcolepsy. These percentages might differ slightly for adults with obstructive sleep apnea.

Warnings for Sunosi

  • High blood pressure and fast heart rate
  • Symptoms of mental health 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 Sunosi vs. Wellbutrin XL

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Sunosi30 tablets / 150mg
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Bupropion30 tablets / 75mg
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