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Wellbutrin XL vs. Xanax

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

Key takeaways

Bupropion (Wellbutrin XL, Wellbutrin SR) and alprazolam (Xanax) are both prescription medications used for mental health conditions, but they have important differences. Bupropion is an atypical antidepressant used to treat depression and seasonal affective disorder (SAD), while alprazolam is a benzodiazepine used for generalized anxiety disorder (GAD) and panic disorder. Bupropion is available in various forms, including immediate-release, sustained-release, and extended-release tablets, and is not a controlled substance. In contrast, alprazolam is a V controlled medication, typically taken three times a day, and is meant for short-term use due to the risk of dependence. Bupropion can cause side effects like headaches and trouble sleeping, and it has a risk of seizures, especially if you have a history of seizures or eating disorders. Alprazolam can cause drowsiness and memory problems and should not be mixed with alcohol or opioids due to the risk of severe sedation and breathing problems. Both medications are available as a lower-cost generic.

Bupropion

 

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Alprazolam

(Xanax)

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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 Xanax

Prescription only

Alprazolam (Xanax) is a benzodiazepine. It's approved to treat generalized anxiety disorder (GAD) and panic attacks in adults. It's taken by mouth, typically 3 times a day or as directed by your healthcare team. To avoid the risk of dependence, alprazolam (Xanax) is meant for short-term treatment only. Some of the more common side effects of this medication include drowsiness and memory problems. You should avoid drinking alcohol while taking alprazolam (Xanax) because this can lead to serious interactions.

Indications for Xanax

Pros and Cons for Xanax

Pros

  • Taken by mouth
  • Can start to work in 30 minutes
  • Available as quick-dissolving tablets or liquid for people who have trouble swallowing pills

Cons

Common Side Effects for Xanax

Generalized anxiety disorder:

  • Drowsiness (41%)
  • Lightheadedness (21%)
  • Dry mouth (15%)

Panic disorder:

  • Drowsiness (77%)
  • Fatigue (49%)
  • Poor coordination (40%)
  • Memory issues (33%)
  • Irritability (33%)
  • Appetite changes (28-33%)
  • Thinking problems (29%)
  • Constipation (26%)

Side effects listed are for the immediate-release forms. Side effects for extended-release form might differ.

Warnings for Xanax

  • Sedation and difficulty breathing
  • Potential for misuse, addiction, dependence, and withdrawal
  • Effect on driving and concentration
  • Harm to babies
  • Interactions with other medications
  • Use with caution in people with depression

Prices with our coupons for Wellbutrin XL vs. Xanax

Price Card Drug Icon
Bupropion30 tablets / 75mg
$8.37$8.37
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Alprazolam30 tablets / 0.5mg
$10.40$13.20
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