Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
Zyban (bupropion) and Chantix (varenicline) are both prescription medications used to help you quit smoking, but they have some key differences. Zyban is an atypical antidepressant that increases norepinephrine and dopamine levels in your brain to help with mood and withdrawal symptoms. Chantix, on the other hand, is a partial nicotine receptor agonist that works in the same part of your brain as nicotine to reduce cravings and withdrawal symptoms. Zyban is typically taken twice daily for 7 to 12 weeks. Chantix, on the other hand, follows a specific dosing schedule and is usually taken for 12 weeks, with the possibility of an additional 12 weeks. Zyban can cause mood changes, seizures, and high blood pressure, while Chantix can cause nausea, vivid dreams, and mental health changes. Both medications are available in generic forms, making them more affordable options.
Bupropion extended-release (SR), brand name Zyban, is an atypical antidepressant. It's taken by adults for smoking cessation (quitting smoking) only. It works by easing symptoms of nicotine withdrawal and lowering your cravings for nicotine. Bupropion (Zyban) isn't interchangeable with other forms of bupropion that are prescribed for mental health conditions. It comes as 150-mg tablets that are taken by mouth, typically twice per day. Side effects include trouble sleeping, dry mouth, and dizziness. This medication is only available as a generic; brand name Zyban has been discontinued.
Summary for Partial nicotine agonist
Prescription only
Varenicline (Chantix) is a medication that's used to help you quit smoking. The dosage is based on a timeline, so make sure to follow the directions carefully. Varenicline (Chantix) doesn't contain nicotine like some other medications that help you quit smoking, but it can cause side effects, including nausea and trouble sleeping. In 2021, the manufacturer Pfizer recalled and stopped making the brand-name version (called Chantix) because of potentially cancer-causing chemicals found in the medication during production. There are still generic versions available because the benefits of this medication are thought to be greater than the potential risks.