bupropion vs venlafaxine

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Side-by-side comparison of bupropion and venlafaxine. Data from FDA drug databases (Orange Book, NDC Directory, recalls, shortages) covering 20,000+ approved drugs, plus CMS pricing; see our methodology.

minor Known Drug Interaction

( 7.1 ) Drugs metabolized by CYP2D6: Bupropion inhibits CYP2D6 and can increase concentrations of: antidepressants (e.g., venlafaxine, nortriptyline, imipramine, desipramine, paroxetine, fluoxetine, sertraline), antipsychotics (e.g., haloperidol, risperidone, thioridazine), beta-blockers (e.g., metoprolol), and Type 1C antiarrhythmics (e.g., propafenone, flecainide). Such drugs include certain antidepressants (e.g., venlafaxine, nortriptyline, imipramine, desipramine, paroxetine, fluoxetine, and sertraline), antipsychotics (e.g., haloperidol, risperidone, and thioridazine), beta-blockers...

Drug Class
bupropion Norepinephrine-Dopamine Reuptake Inhibitor (NDRI)
venlafaxine Serotonin-Norepinephrine Reuptake Inhibitor (SNRI)
Type
bupropion Prescription
venlafaxine Prescription
Summary
bupropion

Bupropion is a medicine used to treat depression and prevent seasonal affective disorder (SAD). It can help improve your mood and energy levels.

venlafaxine

Venlafaxine is a medication used to treat depression. It helps to improve your mood by affecting certain chemicals in the brain.

What It Treats
bupropion

Bupropion is used to treat major depressive disorder (MDD), which can cause you to feel sad, lose interest in activities, and have trouble sleeping or eating. It is also used to prevent seasonal affective disorder (SAD), a type of depression that occurs during the fall and winter.

venlafaxine

Venlafaxine is used to treat major depressive disorder. This condition can cause a persistent feeling of sadness or loss of interest in daily activities. It may also help maintain improvement in patients with recurrent depression.

How It Works
bupropion

Bupropion works by affecting certain chemicals in the brain called norepinephrine and dopamine. It helps to increase the levels of these chemicals, which can improve mood and reduce symptoms of depression.

venlafaxine

Venlafaxine is a serotonin-norepinephrine reuptake inhibitor (SNRI). It works by increasing the levels of serotonin and norepinephrine in the brain. These chemicals help regulate mood and can be low in people with depression.

Common Side Effects
bupropion
  • Dry mouth
  • Nausea
  • Trouble sleeping
  • Dizziness
  • Sore throat
venlafaxine
  • Feeling weak or tired
  • Sweating a lot
  • Feeling sick to your stomach
  • Constipation
  • Loss of appetite
FAERS Reports
bupropion
  • Completed Suicide 4,408
  • Toxicity To Various Agents 3,113
  • Fatigue 2,665
  • Nausea 2,309
  • Headache 2,218
venlafaxine
  • Nausea 4,298
  • Toxicity To Various Agents 4,265
  • Fatigue 4,198
  • Headache 3,740
  • Completed Suicide 3,169
Serious Warnings
bupropion

Antidepressants may increase the risk of suicidal thoughts and behaviors in children, teenagers, and young adults. Watch closely for worsening depression or suicidal thoughts. Tell your doctor right away if you notice any changes in mood or behavior.

venlafaxine

Antidepressants may increase the risk of suicidal thoughts and behaviors in children, adolescents, and young adults. Your doctor will monitor you closely for worsening depression, suicidal thoughts, or unusual changes in behavior. Venlafaxine is not approved for use in children.

Pregnancy
bupropion

Talk to your doctor if you are pregnant or plan to become pregnant. It is important to consider the risks of untreated depression during pregnancy. There is a pregnancy registry to monitor outcomes in women exposed to antidepressants during pregnancy. You can register by calling 1-844-405-6185.

venlafaxine

If you are pregnant or breastfeeding, talk to your doctor before taking venlafaxine. Newborns exposed to SNRIs like venlafaxine in the third trimester may have complications requiring hospitalization. Your doctor will carefully consider the risks and benefits of treatment during pregnancy.

Also Compare, Nearby Drugs

How to Read This bupropion vs venlafaxine Comparison

bupropion is classified in the Norepinephrine-Dopamine Reuptake Inhibitor (NDRI) drug class, while venlafaxine sits within the Serotonin-Norepinephrine Reuptake Inhibitor (SNRI) class. Drugs from different classes work through distinct mechanisms, so a head-to-head comparison illustrates trade-offs rather than equivalence. Both drugs are prescription-only, so a licensed provider must authorize use.

Adverse event totals above are pulled from the FDA's Adverse Event Reporting System (FAERS). For these top-ranked reactions alone, bupropion has 14,713 submissions while venlafaxine has 19,670. Those figures reflect cumulative reporting volume, not per-patient risk, so older, widely dispensed drugs typically look worse on count alone. These two drugs have a known minor interaction flagged in FDA labeling, attributed to bupropion slows down the liver's ability to clear venlafaxine, which can increase the amount of medicine in your blood.. Serious warnings, pregnancy guidance, and contraindications can differ even when indications overlap.

A table cannot represent individual circumstances. Data here is sourced from FDA Structured Product Labels (SPL) and FAERS, both of which update as manufacturers and clinicians submit new information. This registry does not provide medical, treatment, substitution, or medication-change directions for bupropion or venlafaxine.

Registry boundary: This comparison displays source-record fields and does not provide individualized medical direction.