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Wellbutrin XL vs. Phentermine

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

Key takeaways

Bupropion (Wellbutrin SR, Wellbutrin XL, Forfivo XL) and phentermine (Adipex-P) are both oral medications, but they belong to different drug classes and treat different conditions. Bupropion is an atypical antidepressant used to treat depression and seasonal affective disorder (SAD), while phentermine is a sympathomimetic used for short-term weight management in adults with a high body mass index (BMI). Bupropion is available in various formulations, including immediate-release, sustained-release (Wellbutrin SR), and extended-release (Wellbutrin XL, Forfivo XL) tablets, and is available as a generic. Phentermine is available as tablets and capsules and is also available as a generic. Bupropion can cause side effects like headache, dry mouth, and trouble sleeping, and it carries a risk of seizures, especially if you have a history of seizures. Phentermine can cause side effects like dry mouth, headache, and high blood pressure, and it has a risk of misuse and dependence because it is a controlled substance. Additionally, bupropion is not recommended for people with a history of seizures or eating disorders, while phentermine should be avoided if you have heart problems or uncontrolled high blood pressure.

Bupropion

 

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Phentermine

(Adipex-P)

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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)

Summary for Phentermine

Prescription only

Phentermine (Adipex-P) is an appetite suppressant. It's a prescription weight loss pill for people ages 17 years and older. This medication works best when it's part of a treatment plan that involves healthy diet and regular exercise. Phentermine (Adipex-P) is taken by mouth once daily, typically in the morning. Some of the more common side effects of this medication include dry mouth, trouble sleeping, and headache.

Indications for Phentermine

Short-term treatment for weight management in adults with a body mass index (BMI) of:

Pros and Cons for Phentermine

Pros

  • Can help you lose 5% to 10% of body weight
  • Usually taken by mouth once per day
  • Available as a lower-cost generic
  • Comes as tablets, capsules, and orally disintegrating tablets

Cons

  • Most insurance companies don't cover the cost of phentermine (Adipex-P).
  • Has a risk of misuse and dependence since it's a stimulant medication that's similar to amphetamines
  • Might not be a good choice for people with high blood pressure
  • Should be avoided in children 16 years of age and younger, pregnant and breastfeeding women, and people with serious heart problems

Common Side Effects for Phentermine

  • Dry mouth
  • Headache
  • Tremor
  • Constipation
  • Diarrhea
  • High blood pressure
  • Fast heart rate
  • Difficulty sleeping

Warnings for Phentermine

  • Not safe to combined with other weight loss medications
  • Phentermine not working well
  • Risk of misuse and dependence
  • Trouble concentrating or problem with coordination
  • Heart and lung problems
  • Risk of high blood pressure
  • Risk of low blood sugar in people with diabetes

Prices with our coupons for Wellbutrin XL vs. Phentermine

Price Card Drug Icon
Bupropion30 tablets / 75mg
$7.50$7.50
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Phentermine30 tablets / 37.5mg
$12.05-
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