Does wellbutrin cause insomnia
6 Common Wellbutrin Side Effects
It might seem unfair that the drug you're taking to relieve your depression is now giving you insomnia. But that's just one common Wellbutrin side effect that can affect people who take this medication.
While Wellbutrin (and antidepressants in general) do a lot of good, it's always smart to be aware of the downsides, too.
What is Wellbutrin?
Wellbutrin, a.k.a. bupropion, is "a mainstay treatment for major depressive disorder," along with seasonal affective disorder (SAD), says Marra Ackerman, M.D., clinical assistant professor of psychiatry at NYU Langone Health.
Unlike other antidepressants, like selective-serotonin reuptake inhibitors (SSRIs), which include Zoloft, Prozac, and Lexapro, Wellbutrin is in its own class. It’s a norepinephrine-dopamine reuptake inhibitor (NDRI). “It doesn’t actually affect the serotonin system. It affects norepinephrine and dopamine neurotransmitters in the brain,” says Ackerman, explaining that dopamine helps control the brain's reward and pleasure centers.
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Doctors also prescribe it to help wean smokers off of nicotine, says Ackerman. “The mechanism of how it impacts nicotine cravings is not entirely clear," Ackerman says. "But it does reduce cravings in patients and you can see people who are entirely able to quit."
But, as with most drugs, there are a few Wellbutrin side effects that you should definitely not ignore.
1. You're feeling more anxious than usual.
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Doctors may choose Wellbutrin for patients whose depression symptoms are more “melancholic” or “sluggish,” says Ackerman, because it can give patients a boost energy-wise. “It can be like an extra cup of coffee,” she says.
Some women, however, may find it actually revs them up too much, increasing anxiety. If that happens, talk with your doctor right away about trying a new drug, advises Ackerman.
2. Your heart is going a mile a minute.
Some people may experience heart palpitations, called tachycardia (more than 100 beats per minute), while on Wellbutrin, says Ackerman. If this happens, tell your doctor ASAP. They'll likely order an electrocardiogram (EKG or ECG), a test that measures the electrical activity of your heartbeat to check for underlying heart issues, says Ackerman.
3. You just can't fall asleep.
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It’s fairly common for Wellbutrin-takers to experience insomnia, a.k.a. difficulty falling asleep or staying asleep, but keep an eye on it to make sure it doesn't start interfering with your daily activities. “If someone’s really having issues, they may have to switch drugs,” says Ackerman.
4. You're experiencing seizures.
“The most serious side effect we worry about with Wellbutrin is the increased risk in seizures, especially in certain sub-populations like patients with eating disorders, particularly bulimia," says Ackerman.
There's also an increased risk of seizures with Wellbutrin if you have a pre-existing seizure disorder or a brain tumor, she adds. If this happens, let your doctor know right away.
5. Your daily cup makes you extra jittery.
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Because Wellbutrin can amp up some women, caffeine—like your daily latte or diet soda— may make you feel over-the-top jittery, says Ackerman. If you start to notice this symptom after taking Wellbutrin, cut out caffeine while you’re on the medication, or go decaf until you’re off the drug.
6. You've got tons of energy all of a sudden.
This can be a perk of the drug for women who want to feel more energized. But Ackerman warns: “There’s a risk of flipping someone into hypomania [a mild form of hyperactivity] or mania if they have an underlying bipolar disorder." It's for this reason, Ackerman adds, that Wellbutrin wouldn't be used in bipolar patients, unless it was paired with a mood stabilizer.
7. You don't even want to think about food.
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While it’s less common, diminished hunger and weight loss can come with Wellbutrin use, too, says Ackerman. But this side effect, and a dampened sex drive, are actually more common with other antidepressants, specifically SSRIs, adds Ackerman.
Can Wellbutrin Trigger or Worsen Insomnia?
Written by
Dr. R. Y. Langham
Medically Reviewed by
Dr Katherine Hall
Fact Checked
Yes, it is possible that Wellbutrin may trigger or worsen your insomnia.
Nineteen percent of people taking Wellbutrin, 6% of people taking Wellbutrin SR (sustained-release), and 7% of those taking Wellbutrin XL (extended-release) grapple with insomnia.
When sleep eludes you almost every night, you eventually become desperate for relief. Sometimes, this “sleeplessness” stems from a health condition or injury and other times, it stems from stress, medication side-effects, insomnia or a circadian rhythm disorder, pregnancy, anxiety, or depression. Yet, sometimes, there is no “official” reason why you can’t sleep at night.
Regardless of the origin, when you’ve been struggling with an inability to get sound sleep, any sign of respite can feel like a blessing. But what happens when you take a medication, like Wellbutrin, for your mental health and it prevents you from sleeping at night? What if this lack of sleep causes your mental health to decline even further? Struggling with mental health concerns, while suffering from insomnia can make combating mental illness challenging.
If you have concerns about being able to sleep, while taking a form of Wellbutrin (brand or generic), you have come to the right place. This article will provide you with all of the information you need to make an informed decision about your health and well-being.
Content
What is Wellbutrin?
Do I Need a Prescription for Wellbutrin?
How Much of Wellbutrin Should I Take?
How Does Wellbutrin Work?
Is There Anything I Should Consider Before Taking Wellbutrin?
Does Wellbutrin Have Side-Effects?
How is Wellbutrin Different from Other Non-Bupropion Antidepressants?
What is the Relationship between Wellbutrin and Insomnia?
How Long Does the Insomnia Side-Effect of Wellbutrin Last?
How Can I Get Some ZZZ While on Wellbutrin?
Summary
What is Wellbutrin?
Bupropion, also referred to by the brand name, Wellbutrin, is an atypical antidepressant used to treat major depressive disorder, bipolar disorder, attention-deficit hyperactivity disorder (ADHD), binge-eating disorder, and seasonal affective disorder (SAD). It is also used to help smokers quit the habit.
Bupropion is also marketed under the following labels: Wellbutrin SR, Wellbutrin XL, Zyban, Aplenzin, Budeprion SR, Budeprion XL, Buproban, Forfivo XL, and bupropion hydrochloride. Although, Wellbutrin can effectively treat conditions that involve mental health by itself, it is often combined with other psychotropic medications when a person has not experienced success with other first-line antidepressants, like SSRIs (selective-serotonin reuptake inhibitors).
Do I Need a Prescription for Wellbutrin?
Yes, you will need a prescription from your doctor for Wellbutrin.
How Much of Wellbutrin Should I Take?
The dosage varies from person-to-person, depending on the purpose. Thus, it is imperative that you follow your doctor’s instructions when taking this medication. Listed below are the typical dosages for Wellbutrin for specific uses. Ultimately, your doctor will determine the correct dosage for your condition.
Wellbutrin (tablets)
Depression
Doctors may initially prescribe 100mg twice-a-day for adults, struggling with depression. This dosage can be tweaked, as needed. However, the dosage should not exceed 150mg, 3x per day. The doses should be taken 6 hours apart. The dosage for children will vary and should be determined by your child’s pediatrician.
Wellbutrin XL (extended-release tablets)
Depression
Doctors may initially prescribe 150mg once-a-day each morning for adults, struggling with depression. This dosage can be tweaked, as needed. However, the dosage should not exceed 450mg, per day. The dosage for children will vary and should be determined by your child’s pediatrician.
Seasonal Affective Disorder (SAD)
Doctors may initially prescribe 150mg once-a-day each morning for adults, struggling with SAD. This dosage can be tweaked, as needed. However, the dose should not exceed 300mg, per day. The dosage for children will vary and should be determined by your child’s pediatrician.
Wellbutrin SR (sustained-release tablets)
Depression
Doctors may initially prescribe 150mg once-a-day each morning for adults, struggling with depression. This dosage can be tweaked, as needed. However, the dose should not exceed 200mg, per day. This dosage should be taken 8 hours apart. The dosage for children will vary and should be determined by your child’s pediatrician.
Smoking Cessation
Doctors may initially prescribe 150mg once-a-day each morning (for 3 days) for adults, wanting to stop smoking. This dosage can be tweaked, as needed. However, the dose should not exceed 300mg, per day. The dosage should be taken 8 hours apart. The dosage for teens will vary and should be determined by his or her pediatrician.
How Does Wellbutrin Work?
Experts aren’t exactly sure how Wellbutrin works.
Wellbutrin is an antidepressant that is typically prescribed to treat some form of clinical depression (major depressive disorder, bipolar disorder, and season-affective disorder). However, researchers are stumped as to how it works in the body. Still, the general consensus is that it prevents your brain from tapping into your body’s norepinephrine and dopamine reserves. Norepinephrine and dopamine are neurotransmitters/hormones responsible for stimulating your brain. This medication stops your racing and disturbing thoughts, causing your mind to become “quieter.”
Is There Anything I Should Consider Before Taking Wellbutrin?
Yes, there are a few things you should consider before taking Wellbutrin.
- First, the benefits of taking this medication should outweigh any side-effects. This decision should be made with loved ones and your doctor. It is also important that your doctor regularly monitor you to ensure that it is working properly and not negatively affecting your health overall.
- Also, alert your doctor of any allergies or allergic reactions to Wellbutrin or other medications, foods, dyes, preservatives, or even animals.
- Keep in mind that the relationship between Wellbutrin (bupropion) has not been fully defined in young children and teens. However, studies suggest that children are more vulnerable to antidepressant side-effects than adults.
Thus, most experts warn against using Wellbutrin with these populations. Still, some pediatricians prescribe Wellbutrin to children and teens, suffering from depression under strict monitoring. Studies on the safety, guidelines, and effectiveness of using Wellbutrin to help teens stop smoking have been limited and inconclusive.
- There are currently no studies on using Wellbutrin in the elderly population for age-related depression. Thus, older adults should avoid this medication unless deemed absolutely necessary.
It is important to understand that elderly patients are more likely to have age-related health conditions (i.e. kidney disease or liver problems) that may worsen with this medication. This population may also have an increased vulnerability to Wellbutrin side-effects. For these reasons, if the medication is prescribed to the geriatric population, they must be closely monitored for side-effects and health complications.
- Studies on treating postpartum depression in breastfeeding women are limited and inconclusive. Thus, it is unknown if this medication is transferred to the baby through the mother’s breastmilk. As a result, the benefits and risks should be thoroughly weighed before giving this medication to nursing mothers.
- Combining Wellbutrin with other antidepressants and psychotropic medications may increase your risk of side-effects, like insomnia. Thereby, do not take Wellbutrin with monoamine oxidase (MAO) inhibitors like: isocarboxazid or Marplan, linezolid or Zyvox, phenelzine or Nardil, selegiline or Eldepryl, or tranylcypromine or Parnate. So, wait two weeks after you stop a MAO inhibitor to start taking Wellbutrin.
If you combine Wellbutrin with a MAO inhibitor, you may experience mental confusion, anger and agitation, restlessness, gastrointestinal distress (vomiting, nausea, upset stomach, etc. ), fevers, severe hypertension (high blood pressure) and/or convulsions.
- Do not take this medication with alcohol, drugs, or any other medication that affects your central nervous system (CNS). Alcohol, drugs and certain medications can intensify the effects of Wellbutrin, leading to confusion, lightheadedness, inattention, daytime grogginess, strange dreams and/or nightmares, and insomnia.
Examples of medications that affect your CNS include: antihistamines, allergy or colds meds, sedatives, tranquilizers, or sleeping pills, antidepressants, anti-anxiety meds, prescription pain pills or narcotics, ADHD medications, like Ritalin, seizures medications, barbiturates, muscle relaxants, and dental anesthetics (numbing agents).
- You have an increased risk of becoming anxious, while taking Wellbutrin. You also have a heightened risk of exhibiting uncharacteristic behaviors during this time. It may also cause some people to become extremely depressed and suicidal. Thus, this medication has a “Black Box” label.
So, alert your doctor if you suddenly have a hard time falling and staying asleep at night, become easily angered or irritated, experience a sudden and abnormal boost in energy, exhibit violent tendencies, or begin to behave impulsively after taking this medication. Also, alert your doctor if you begin to experience suicidal thoughts after starting Wellbutrin.
- Your blood pressure may rise while you are taking this medication. An elevated blood pressure may lead to headaches, confusion, lightheadedness, and/or blurred vision. Therefore, it is important that you check your blood pressure at least twice a day and call your doctor immediately if it becomes dangerously high.
- Wellbutrin may trigger anaphylaxis, a life-threatening allergic reaction. So, call your doctor immediately if you experience shortness of breath, chest pain, dizziness, a rash, muscle rigidity, itching of the face or throat, or tongue-swelling.
- Wellbutrin can also cause skin reactions. So, call your doctor immediately if you experience peeling or blistering skin, red skin sores, rashes, ulcers, or lesions, a severe acne breakout, chills, or a high fever.
- Wellbutrin may cause daytime drowsiness, inattention, or mental confusion. So, avoid or use caution when driving or operating machinery.
- Do not stop this medication without consulting your doctor first. You will most likely need to be gradually weaned-off Wellbutrin. Stopping the medication too quickly can lead to vertigo, anxiety and agitation, mood swings, headaches, excessive perspiration, nausea, vomiting, diarrhea, or upset stomach, tremors or shakiness, insomnia, mobility problems, and/or extreme fatigue.
- Call your doctor immediately if you have stomach pain or tenderness, pale stools, dark or abnormally-colored urine, poor appetite, nausea or vomiting, extreme tiredness, muscle weakness, and/or jaundice (yellow eyes or skin). Wellbutrin can affect your liver.
- Wellbutrin may cause you to suddenly lose weight. So, monitor your weight loss and alert your doctor if you lose a lot of weight with little-to-no effort.
- Do not take Wellbutrin with other medications (i.e., prescription, OTC, or supplements) without discussing it with your doctor first. Combining medications may reduce their effectiveness.
Does Wellbutrin Have Side-Effects?
Yes, Wellbutrin is linked to a variety of side-effects, such as:
- Dry “cotton” mouth
- Gastrointestinal distress (i.e. nausea, vomiting, upset stomach, constipation, or diarrhea)
- Poor appetite
- Chronic insomnia
- Anxiety and irritability
- Excessive perspiration (sweating)
- Hyperventilation
- Irregular heartbeats
- Mood swings
- Restlessness
- Tremors or shakiness
The following rare, but serious side-effects can also occur:
- Seizures
- Liver toxicity or damage
- Psychosis
- Overdose or death
- Congenital heart defects when used during pregnancy
- Mental confusion
- Sudden change in behavior
- Anger and aggressiveness
- Loss of consciousness
- Distrust and paranoia
- Hallucinations and delusions
- Inattention
- Buzzing or ringing in the ears
- Severe headaches or migraines
- Rashes, hives, and/or severe itching
- Suicidal ideation (suicidal thoughts or attempts)
Note: According to an FDA report, children, teens, and young adults have an increased risk of suicidal ideation when taking Wellbutrin. Researchers also suggest that older individuals (65+), who take Wellbutrin for age-related depression, have an increased risk of suicidal ideation. Thus, it is important that you call your doctor if you experience suicidal thoughts and behaviors. It is also important that you tell your friends, caregivers, and loved ones that you are taking the medication so they can alert your doctor if they notice a change in your behavior.
How is Wellbutrin Different from Other Non-Bupropion Antidepressants?
Wellbutrin has the lowest risk of sexual dysfunction (i.e., erectile dysfunction, poor libido, premature ejaculation, orgasm dysfunction, vaginal hemorrhage, hormonal fluctuations, or impotence), compared to non-bupropion antidepressants. There is also less of a risk of sleepiness or weight gain with Wellbutrin, and it appears to be more effective at improving hypersomnia and severe fatigue than non-bupropion antidepressants.
What is the Relationship between Wellbutrin and Insomnia?
Wellbutrin was originally developed for people, who have some form of depression. It is now also used for other “off-label” purposes, such as ADHD, eating disorders, and even smoking cessation. This antidepressant “activates” your brain’s neurotransmitters (chemical messengers), so they can more effectively send messages to various parts of your body. Active neurotransmitters can lead to racing thoughts, increased physical activity, chronic insomnia (due to an inability to quiet your thoughts) and poor sleep quality, especially when this medication is taken shortly before bed.
It is important to note that insomnia is a common side-effect of depression and that Wellbutrin may worsen your inability to fall and stay asleep all night. It may also lead to tossing-and-turning and frequent wake-ups throughout the night. So, it is important that you contact your doctor if the insomnia lasts more than a few days, frequently reoccurs, or is worsening. Depending on the severity of your insomnia, your doctor may lower your dose, prescribe a sleep aid to take at night, or change your medication altogether.
Fortunately, many people, who take Wellbutrin, experience an improvement in sleep once their bodies become acclimate to the medication. And, in the case of depression, typically once the depression improves, the insomnia also improves. Thus, determining if the “sleeplessness” is stemming from Wellbutrin or depression can be challenging. As a result, many doctors treat the insomnia as it occurs.
How Long Does the Insomnia Side-Effect of Wellbutrin Last?
If they insomnia is due to Wellbutrin it could, theoretically, last up to 4 weeks (once you have developed a sound sleep routine). However, if they insomnia is due to depression or psychological distress, the insomnia will likely last until your emotional distress (depression or anxiety) improves. In this case, your doctor may try to counteract the insomnia by prescribing sleeping pills or suggesting natural sleep aids (i.e. an online sleep program, reading, establishing a bedtime routine, etc.).
It is important that you refrain from taking Wellbutrin too close to bedtime because there is a strong chance it may affect your ability to fall and stay asleep all night long. However, you may be able to avoid insomnia by taking your medication in the mornings and/or afternoons (if you are prescribed it 2x a day). Your doctor may also prescribe a sleep aid or another antidepressant, like Ambien or Trazodone, to combat the “sleeplessness.”
How Can I Get Some ZZZ While on Wellbutrin?
The truth is insomnia can be an unpleasant problem when you’re taking Wellbutrin or antidepressants, in general. As a result, many doctors prescribe the lowest dose possible. Studies suggest that 150mg of Wellbutrin reduces your risk of side-effects (like insomnia) better than 300mg, Researchers also suggest that Wellbutrin XL produces fewer side-effects (like insomnia), than other forms of Wellbutrin. Still, some people may experience insomnia, regardless of the form of Wellbutrin.
Thankfully, if you experience insomnia after taking Wellbutrin, there are steps that you can take to get the sleep you crave.
These steps are listed below:
- Establish a consistent bedtime routine – A consistent routine, such as taking a warm bath, turning-off your devices (including the television), reading a book for an hour before bed, and/or turning on soft music or a sound machine before turning off the lights and closing your eyes can send a message to your mind and body that it is time to go to sleep.
- Read – Reading a slow-paced or mundane book may trigger sleepiness after a while.
- Complete a jigsaw puzzle – A puzzle (even an online one) may relax you and “tire you out” so you become sleepy.
- Play Solitaire – The “quietness” and “stillness” of Solitaire can “calm” your mind, so your become relaxed and sleepy.
- Exercise – Exercising during the day can help you sleep better at night. Exercise can “tire you out,” so you are ready to go to sleep when bedtime rolls around. However, avoid exercising too close to your bedtime because doing so may stimulate you and prevent you from falling asleep.
- Eat a reasonable time – The worst thing you can do is eat too much too late, especially if you suffer from insomnia. So, try not to eat past 6:30pm or at the very latest, 7:00pm each night. This gives your stomach time to digest your food, so you don’t feel bloated and uncomfortable. You can’t sleep if you are uncomfortable. This time is based on a 10:00pm bedtime. However, you may need to adjust your last meal based on your bedtime. Allow 2-3 hours between your last meal and your bedtime.
- Turn-off your devices and lights – Turn-off your devices and the lights if you have trouble sleeping. If you have trouble sleeping in total darkness, leave a small nightlight on. Leave your television, smartphone, computer, and/or tablet off because the blue light from these screens can stimulate your mind and prevent you from falling asleep.
- Say NO to caffeine – Caffeine is a stimulant, as is chocolate, so cut it off a few hours before bed.
- Engage in an online sleep program – Online sleep programs, like Somnus Therapy, can alter how you view your bedroom, bed, and sleep, in general, so you can get some much-needed zzz. Somnus Therapy uses a variety of techniques, like cognitive-behavioral therapy for insomnia (CBT-I), guided meditation, and visualization to help you relax so you can peacefully drift-off to sleep. The best part about an online sleep program is you can do it in the comfort of your home!
- Repeat a mantra – Saying a word or phrase over and over again will eventually make you sleepy. The key to success with this tip is to stay focused on the word or phrase.
Summary
Wellbutrin appears to be effective for depression and other “off label” conditions; however, it may not help your sleep quality, if you also suffer from insomnia. In fact, researchers suggest that it could actually trigger insomnia, so it is important to alert your doctor if you experience chronic “sleeplessness.”
References
- eHealthMe. (2021). Wellbutrin SR and insomnia – A phase IV clinical study of FDA data. Retrieved from https://www.ehealthme.com/ds/wellbutrin-sr/insomnia/
- eHealthMe. (2021). Wellbutrin XL and insomnia – A phase IV clinical study of FDA data. Retrieved from https://www.ehealthme.com/ds/wellbutrin-xl/insomnia/FDA
- FDA. (2017). Wellbutrin clinical study. Retrieved from https://www.accessdata.fda.gov/drugsatfda_docs/label/2017/018644s052lbl.pdf
- Wiese, B. S. (2011). Geriatric depression: The use of antidepressants in the elderly. BCMJ, 53(7). Retrieved from https://bcmj.org/sites/default/files/public/BCMJ_53_Vol7_depression.pdf
- Yasin, W., Ahmed, S. I., & Gouthro, R. V. (2019). Does bupropion impact more than mood? A case report and review of the literature. Cureus, 11(3), e4277. Retrieved from https://doi.org/10.7759/cureus.4277
- Patel, K., Allen, S., Haque, M. N., Angelescu, I., Baumeister, D., & Tracy, D. K. (2016). Bupropion: A systematic review and meta-analysis of effectiveness as an antidepressant. Therapeutic Advances in Psychopharmacology, 6(2), 99–144. Retrieved from https://doi.org/10.1177/2045125316629071
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Bupropion (BPR)
Bupropion is an atypical antidepressant also used to treat nicotine addiction. Bupropion is a non-tricyclic antidepressant that differs from the commonly prescribed selective serotonin reuptake inhibitors (SSRIs) because its main pharmacological action is the selective inhibition of norepinephrine and dopamine reuptake. It is selectively taken up by dopamine transport, but the main therapeutic effect is caused by inhibition of norepinephrine reuptake. It also acts as a nicotinic acetylcholine receptor antagonist. Bupropion belongs to the chemical class of psychoanaleptics and is similar in structure to the stimulants methcathinone, diethylpropion, and other amphetamines.
Bupropion has a stimulating, energizing effect and is preferred in the treatment of depression that occurs with motor retardation, fatigue and hypersomnia. For opposing symptoms such as agitation, anxiety and insomnia, it is best used in combination with mirtazapine, an antidepressant with characteristic sedative and anti-anxiety properties.
Initially developed and marketed as an antidepressant, bupropion soon proved effective in the treatment of nicotine addiction. In 2007, it was prescribed over 20 million times, making it the fourth most prescribed antidepressant in the US market after sertraline, escitalopram, and fluoxetine.
Bupropion was excluded from the state register of medicines on August 22, 2016 and cannot be sold in the Russian Federation as a medicine in the pharmacy chain.
Bupropion lowers the seizure threshold of the brain. The potential to induce an epileptic seizure became widely known shortly after bupropion was introduced to the market. However, the risk of seizures at the prescribed dosage of bupropion is comparable to that of other antidepressants. Bupropion is an effective antidepressant both on its own and as an adjunct in cases where first-line antidepressants (SSRIs) are not effective enough. Unlike many other antidepressants, bupropion does not cause weight gain or sexual dysfunction.
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Wellbutrin versus Prozac: Main Differences and Similarities - Drug Vs. Friend
Home >> Drug Vs. Friend >> Wellbutrin vs Prozac: Differences, Similarities and Which One is Best for You
Medicine vs Wellbutrin and Prozac are prescription drugs that treat depression
Key Differences | Conditions of treatment | Efficiency | Insurance coverage and cost comparison | Side effects | Drug Interactions | Warnings | Frequently Asked Questions
Wellbutrin (bupropion) and Prozac (fluoxetine) are medicines that can treat: depression. In particular, these drugs are prescribed for the treatment of major depressive disorder. Symptoms of major depressive disorder may include feelings of sadness or hopelessness, loss of interest in daily activities, and trouble sleeping.
Wellbutrin and Prozac are only available with a prescription from a doctor or health care provider. Although they have similar uses, Wellbutrin and Prozac work differently and have different side effects. Keep reading to learn more about the similarities and differences between Wellbutrin and Prozac.
What are the main differences between Wellbutrin and Prozac?
Wellbutrin is an aminoketone antidepressant, also known by the generic name bupropion. The exact mode of action of Wellbutrin is not well understood. However, it is thought to increase the levels of certain neurotransmitters called norepinephrine and dopamine in the brain. People with depression may have an imbalance of these neurotransmitters. Unlike other commonly prescribed antidepressants, Wellbutrin does not affect serotonin levels.
Wellbutrin is available in three different formulations: immediate release (IR), sustained release (SR) and extended release (XL). Depending on the dosage form, Wellbutrin can be taken once, twice or three times a day. The active ingredient in Wellbutrin, bupropion, is also sold as Zyban to support smoking cessation.
Prozac is one of the most commonly prescribed antidepressants. It is also known by the generic name fluoxetine. Prozac belongs to a class of drugs called selective serotonin reuptake inhibitors (SSRIs). These drugs work by increasing levels of the neurotransmitter serotonin to help relieve symptoms of depression.
Prozac is available as daily oral capsules. The exact dosage depends on the condition being treated. Prozac is also available as a delayed-release capsule that is taken once a week.
Differences between Vellbutrin and Prozak | ||
---|---|---|
Vellbutrin | Prozak | |
Grade0198 Selective serotonin reuptake inhibitor | ||
Brand/generic status | Brands and generics available | Brands and generics available |
What is the generic name? | Bupropion | Fluoxetine |
What form(s) does the drug come in? | Oral tablet | Oral capsule, Expired |
What is the standard dosage? | 100 mg thrice daily Dose dependent on condition | 20 mg once daily Dose dependent on condition |
How long does typical treatment last? | Long term depending on the condition being treated | Long term depending on the condition being treated |
Who usually takes this medicine? | Adults | Adults; children 8 years and older (depression) |
Conditions treated by Wellbutrin and Prozac
All forms of Wellbutrin are approved by the Food and Drug Administration (FDA) for the treatment of major depressive disorder, also known as major depression . Wellbutrin XL, an extended-release form of Wellbutrin, is also approved to prevent seasonal affective disorder (SAD), a type of depression that develops during seasonal changes. Wellbutrin is sometimes used off-label to treat bipolar disorder.
Prozac is FDA approved for the treatment of major depressive disorder. Also approved for the treatment of obsessive-compulsive disorder (OCD) and panic disorder, as well as an eating disorder called bulimia nervosa. When used with an antipsychotic called Zyprexa (olanzapine), Prozac is used to treat depressive episodes in people with bipolar disorder. Some people with depression may not respond to other medications, so they may be given Prozac and Zyprexa (olanzapine). Prozac is marketed under the different brand name Sarafem for the treatment of premenstrual dysphoric disorder.
Is Wellbutrin more effective than Prozac?
Wellbutrin and Prozac are effective prescription drugs for treating depression. The best antidepressant will depend on a number of factors such as cost, individual response to treatment, and possible side effects. Talk to your doctor about the best treatment options for your condition.
According to one double-blind comparative study, bupropion and fluoxetine were found to be similar in efficacy for treating depression. The study was conducted over a period of seven weeks using the Hamilton Depression Rating Scale, among other tools to assess the effectiveness of treatment. Both bupropion and fluoxetine helped relieve symptoms of depression without serious side effects.
One systematic review found Wellbutrin to be an effective and safe drug compared to other antidepressants. Wellbutrin may have fewer side effects compared to SSRIs. It also causes fewer sexual side effects and weight gain than other antidepressants.
A systematic review found Prozac to be an effective treatment for several mental health conditions, including depression, bulimia, and OCD. Some of the studies included in the review found Prozac to be more effective than placebo. It has also been found to be as effective as Anafranil (clomipramine) for treating OCD.
Wellbutrin vs. Prozac Coverage and Cost Comparison
The average cost of Wellbutrin XL without insurance is about $194 dollars. Wellbutrin XL is available in generic form, which is usually covered by most Medicare and health insurance plans. With a SingleCare Prescription Discount Card, you can reduce the cost of your generic drug. Wellbutrin XL up to about $5, depending on dosage and amount prescribed.
Prozac is available in generic form. This is usually covered by most insurance plans. The average cash price for Prozac is about $300. However, the price may vary depending on the prescribed dosage and quantity. A SingleCare prescription discount card for generic Prozac is available, which can help bring the cost down to $4.
Wellbutrin | Prozac | ||||||||||||||||||||||||||||||
Usually covered? | yes | yes | |||||||||||||||||||||||||||||
Usually covered by Medicare Part D? | yes | yes | |||||||||||||||||||||||||||||
quantity0007 The most common side effects of Prozac include sexual dysfunction, decreased sex drive, diarrhea, indigestion, nausea, fatigue, dizziness, and drowsiness. Prozac can also cause rashes, flu-like symptoms, and tremors. Changes in weight have also been reported with Prozac. Serious side effects of Wellbutrin and Prozac include increased depression and suicidal thoughts or behavior. Seek immediate medical attention if symptoms of depression worsen. You should also seek medical attention if you have an allergic reaction to Wellbutrin or Prozac. Symptoms of an allergic reaction include hives, difficulty breathing, or swelling of the face or throat.
*Consult your doctor about drug interactions. Wellbutrin and Prozac WarningsWellbutrin and Prozac have black box warnings on labels for suicidal thoughts and behavior. There may be an increased risk of worsening depression when taking Wellbutrin or Prozac. Seek immediate medical attention if your symptoms do not improve or if you experience suicidal thoughts and behavior. There may be an increased risk of seizures when taking Wellbutrin, especially at higher doses. Wellbutrin use has also been associated with an increased risk of high blood pressure, mania, psychosis, and glaucoma in some people. Talk to your doctor if you had a history of these conditions prior to taking Wellbutrin. Like Wellbutrin, Prozac is also associated with a risk of seizures, mania and glaucoma. In addition, the use of Prozac may also increase the risk of serotonin syndrome. Signs and symptoms of serotonin syndrome include confusion, palpitations, and muscle stiffness, among others. Low sodium levels (hyponatremia), heart rhythm problems (QT prolongation), and abnormal bleeding have also been observed with Prozac in some people. Talk to your doctor before starting treatment with Wellbutrin or Prozac. Wellbutrin and Prozac Frequently Asked QuestionsWhat is Wellbutrin?Wellbutrin is an aminoketone antidepressant that is FDA approved for the treatment of major depressive disorder. It is available in immediate release, sustained release, and extended release forms. In addition to treating major depressive disorder, Wellbutrin XL is also approved for the prevention of seasonal affective disorder. Wellbutrin's generic name is bupropion. What is Prozac?Prozac is a selective serotonin reuptake inhibitor (SSRI) approved by the FDA for the treatment of major depressive disorder. As an SSRI antidepressant, Prozac can also treat depression associated with bipolar disorder. Prozac is also approved for other mental illnesses, including OCD, panic disorder, bulimia, and premenstrual dysphoric disorder (like Sarafem). Prozac is available as oral capsules for daily or weekly use. The generic name for Prozac is fluoxetine. Are Wellbutrin and Prozac the same thing?Both Wellbutrin and Prozac are antidepressants, but they work differently. Wellbutrin is an aminoketone that increases the levels of norepinephrine and dopamine in the brain. Prozac is an SSRI that increases serotonin levels in the brain. A doctor who specializes in psychiatry can prescribe these prescription drugs to treat a variety of mental illnesses, primarily depression. Is Wellbutrin or Prozac better?Wellbutrin and Prozac are equally effective in treating depression. The best antidepressant is the one that causes the fewest side effects and is the most economical, depending on the situation. Wellbutrin causes fewer sexual side effects and weight gain than SSRIs such as Prozac. Other SSRIs include Paxil (paroxetine), Zoloft (sertraline), Lexapro (escitalopram), and Celexa (citalopram). Prozac may be more suitable than Wellbutrin for treating depression in a person with bipolar disorder, bulimia, or OCD. |