Key takeaways
- Bupropion and sertraline work through different pharmacologic pathways and have different labeling.
- A clinician reviews diagnosis, seizure and eating-disorder history, other medicines, symptoms, and monitoring needs.
- The two may be used differently in clinical care and should never be substituted based only on a side-by-side chart.
How they compare
EDITORIAL GUIDETopicBupropion XLbupropion hydrochlorideSertralinesertraline hydrochloride
Medication familyNorepinephrine-dopamine reuptake inhibitorSSRI antidepressant
Common discussionDepression and selected other labeled usesDepression and selected anxiety-related disorders
Product formExtended-release oral tabletOral tablet or solution
AccessPrescription requiredPrescription required
DecisionRequires an individual clinician reviewRequires an individual clinician review
Primary sources
Labeling can change. Use the current FDA prescribing information and speak with a licensed clinician or pharmacist before making a treatment decision.