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Vraylar vs. Wellbutrin XL

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

Key takeaways

Cariprazine (Vraylar) and bupropion (Wellbutrin XL, Wellbutrin SR) are both prescription medications used to treat mental health conditions, but they belong to different drug classes and have different uses. Cariprazine is an atypical antipsychotic used for schizophrenia, bipolar I disorder, and as an add-on for major depressive disorder (MDD). Bupropion is an atypical antidepressant used for depression and seasonal affective disorder (SAD). Cariprazine is taken once daily as an oral capsule, while bupropion is available in various forms, including immediate-release, sustained-release, and extended-release tablets, with dosing frequency ranging from once to three times a day. Cariprazine is only available as a brand-name medication, whereas bupropion is available in generic form, making it more affordable. Common side effects of cariprazine include uncontrolled muscle movements and restlessness, while bupropion may cause dry mouth and trouble sleeping. Cariprazine can cause tardive dyskinesia, a serious movement disorder, while bupropion carries a risk of seizures, especially in those with a history of seizures or eating disorders.

Vraylar

(cariprazine)

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Bupropion

 

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Summary for Vraylar

Prescription only

Vraylar (cariprazine) is an atypical antipsychotic used to treat schizophrenia and bipolar I disorder in teens and adults. It can also be added to other medications to help treat depression in adults. You take a dose by mouth once a day. Common side effects include uncontrolled body movements and restlessness. Compared to some other antipsychotic medications, Vraylar (cariprazine) usually causes little to no weight gain.

Indications for Vraylar

Pros and Cons for Vraylar

Pros

Cons

  • Might take several weeks to fully work
  • Risk of uncontrolled body movements
  • Can cause restlessness or feeling like you can't sit still
  • Not safe during pregnancy

Common Side Effects for Vraylar

  • Uncontrolled muscle movements (up to 19%)
  • Trouble sleeping (up to 13%)
  • Headache (up to 11%)
  • Drowsiness (up to 8%)
  • Constipation (up to 7%)
  • Nausea (up to 7%)
  • Restlessness (up to 6%)

*Note: Side effects listed were reported by people in studies who took Vraylar (cariprazine) for schizophrenia.

Warnings for Vraylar

  • Higher risk of death in older adults with dementia-related psychosis
  • Suicidal thoughts and behavior
  • Neuroleptic malignant syndrome
  • Difficulty controlling movements (tardive dyskinesia)
  • High blood sugar, high cholesterol, and weight gain
  • Low white blood cell count
  • Higher risk of falls and fainting
  • Seizures
  • Trouble controlling body temperature
  • Difficulty swallowing

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 Vraylar vs. Wellbutrin XL

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Vraylar30 capsules / 1.5mg
$1,546.42$1,905.90
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Bupropion30 tablets / 75mg
$7.50$7.50
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