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Two medicines, side by side

Aripiprazole vs bupropion

Aripiprazole and bupropion are both labeled for depression. Drugs@FDA records approvals of aripiprazole since 2002 and of bupropion since 1985. Pharmacies paid $0.110 per aripiprazole 5 mg tablet and $0.0785 per bupropion HCl xl 150 mg tablet (NADAC, October 7, 2026); the strengths differ, so the two prices are not like for like. In FDA's classes, aripiprazole is an atypical antipsychotic and bupropion an aminoketone.

Check it at the source: the aripiprazole FDA label on DailyMed (effective January 29, 2025); the bupropion FDA label on DailyMed (effective June 21, 2024).

Highlights of the aripiprazole record

Aripiprazole (Abilify) · label of January 29, 2025

Boxed warning

INCREASED MORTALITY IN ELDERLY PATIENTS WITH DEMENTIA-RELATED PSYCHOSIS and SUICIDAL THOUGHTS AND BEHAVIORS WITH ANTIDEPRESSANT DRUGS Elderly patients with dementia-related psychosis treated with antipsychotic drugs are at an increased risk of death. ABILIFY is not approved for the treatment of patients with dementia-related psychosis [see Warnings and Precautions (5.1) ].

Used for

From the label: indications

ABILIFY (aripiprazole) Tablets are indicated for the treatment of: Schizophrenia Acute Treatment of Manic and Mixed Episodes associated with Bipolar I Disorder Adjunctive Treatment of Major Depressive Disorder Irritability Associated with Autistic Disorder Treatment of Tourette's Disorder ABILIFY is an atypical antipsychotic. […]

On the market

Earliest approval on file
November 15, 2002
Generic labelers
47 labelers
Pharmacy cost
$0.110 per tablet

Supply and safety

Shortage
No current entry
Recalls
25

Highlights of the bupropion record

Bupropion (Wellbutrin) · label of June 21, 2024

Boxed warning

SUICIDAL THOUGHTS AND BEHAVIORS SUICIDALITY AND ANTIDEPRESSANT DRUGS Antidepressants increased the risk of suicidal thoughts and behavior in children, adolescents, and young adults in short-term trials. These trials did not show an increase in the risk of suicidal thoughts and behavior with antidepressant use in subjects over age 24; there was a reduction in risk with antidepressant use in subjects aged 65 and older [see Warnings and Precautions (5.1)].

Used for

From the label: indications

Bupropion hydrochloride extended-release tablets (SR) are indicated for the treatment of major depressive disorder (MDD), as defined by the Diagnostic and Statistical Manual (DSM). The efficacy of bupropion in the treatment of a major depressive episode was established in two 4-week controlled inpatient trials and one 6-week controlled outpatient trial of adult subjects with MDD [see Clinical Studies (14)]. […]

On the market

Earliest approval on file
December 30, 1985
Generic labelers
69 labelers
Pharmacy cost
$0.0785 per tablet

Supply and safety

Shortage
No current entry
Recalls
35

Source: FDA drug labels via openFDA (Aripiprazole label of January 29, 2025, Bupropion label of June 21, 2024); NDC Directory, Drugs@FDA, NADAC, FDA shortages and recalls (October 8, 2026)

How do aripiprazole and bupropion differ on the record?

In FDA's classes, aripiprazole is an atypical antipsychotic and bupropion an aminoketone.

How each works, in its label's words: Aripiprazole, “The mechanism of action of aripiprazole in schizophrenia or bipolar mania, is unclear.”; Bupropion, “The exact mechanism of the antidepressant action of bupropion is not known, but is presumed to be related to noradrenergic and/or dopaminergic mechanisms.”

Half-life, in each label's words: Aripiprazole, “For CYP2D6 poor metabolizers, the mean elimination half-life for aripiprazole is about 146 hours.”; Bupropion, “The mean elimination half-life (±SD) of bupropion after chronic dosing is 21 (±9) hours, and steady-state plasma …”

Both labels carry a boxed warning; the records quote them.

Generics: aripiprazole since 2015; bupropion since 1999 (Drugs@FDA).

AripiprazoleBupropion
Labeled forDepression, Bipolar disorder, SchizophreniaDepression, Quitting smoking
Pharmacologic classAtypical AntipsychoticAminoketone
How it works (label)The mechanism of action of aripiprazole in schizophrenia or bipolar mania, is unclear.The exact mechanism of the antidepressant action of bupropion is not known, but is presumed to be related to noradrenergic and/or dopaminergic mechanisms.
Half-life (label)For CYP2D6 poor metabolizers, the mean elimination half-life for aripiprazole is about 146 hours.The mean elimination half-life (±SD) of bupropion after chronic dosing is 21 (±9) hours, and steady-state plasma concentrations of bupropion are reached within 8 days.
Earliest approval on file (Drugs@FDA)November 15, 2002December 30, 1985
First generic approvedApril 28, 2015November 29, 1999
Generic labelers (NDC)47 labelers69 labelers
Pharmacy cost (NADAC, each one's most listed form; strengths differ)$0.110 per tablet (Aripiprazole 5 mg tablet)$0.0785 per tablet (Bupropion HCl xl 150 mg tablet)
12-month price change+3%-21%
Boxed warningYesYes
Shortage nowNo current entryNo current entry
Recalls recorded2535
FAERS reports (a report is not proof of cause; counts follow how widely a medicine is used)121,736140,269
DEA schedulenonenone

Source: Drugs@FDA, FDA NDC Directory, CMS NADAC of October 7, 2026, FDA shortages and recalls, FAERS via openFDA (FDA files October 8, 2026)

What next?

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