Does Citalopram contain Bupropion? (3 differences)

In this article, we will discuss whether Citalopram is structurally and chemically similar to Bupropion. We will also talk about the key differences to help you understand the basic pharmacological use of these medications.

Does Citalopram contain Bupropion?

No, Citalopram does not contain Bupropion. Citalopram and Bupropion are prescription medications and should be used under medical supervision.

Although both drugs can be used to treat mental health conditions, they have different mechanisms of action and are usually prescribed for different purposes.

The choice between Citalopram and Bupropion would depend on the specific diagnosis, individual patient factors and the potential side effects of the two medications.

Always consult your healthcare provider for guidance on medication selection and potential risks and benefits.

What are the differences between Citalopram and Bupropion?

Citalopram and Bupropion are antidepressant medications. Although both medications are used to treat mental health conditions, they work through different mechanisms.

Mechanism of action

Citalopram belongs to a class of medications called selective serotonin reuptake inhibitors (SSRIs). It works by increasing the level of serotonin in the brain. Serotonin is a mood stabilizer chemical, which can help improve mood and decrease symptoms of anxiety and depression (1).

Bupropion belongs to a class of medications called norepinephrine dopamine reuptake inhibitors (NDRIs). It works by increasing the level of norepinephrine and dopamine (neurotransmitters) in the brain. It regulates mood and reduces the symptoms of depression (2).

Both SSRIs and NDRIs function similarly by increasing the level of neurotransmitters in the brain. However, SSRIs like Citalopram increase serotonin levels while Bupropion increases norepinephrine and dopamine levels in the brain.

Therapeutic uses 

Citalopram is approved by the FDA to treat the following conditions (1):

  • Major depressive disorder (MDD)
  • Panic disorder
  • Generalized anxiety disorder (GAD)

Bupropion, on the other hand, is used to treat the following conditions (2):

  • Major depressive disorder (MDD)
  • Seasonal affective disorder (SAD)
  • Smoking cessation (3)

Side effects

Side effects of Citalopram include (1):

  • Nausea
  • Vomiting
  • Diarrhoea
  • Insomnia
  • Tiredness
  • Excessive sweating
  • Dizziness
  • Sexual dysfunction
  • Tinnitus (less common)

Bupropion, on the other hand, is associated with side effects like (2):

These side effects differ from person to person depending on factors like the patient’s age, current symptoms, underlying conditions and dosage of the medication used.

Discontinuation syndrome

Abrupt discontinuation of antidepressants can lead to discontinuation syndrome resulting in withdrawal symptoms such as hallucinations, agitation, seizures, mood changes, dizziness, headache, irritability and in severe cases even coma (4).

What does research suggest?

One study indicated that using Citalopram and Bupropion together appears to be more effective than switching to just one of them as a treatment. Combining these two drugs did not lead to more side effects compared to using only one (5).

This study has some limitations as it wasn’t randomized and treatment wasn’t double-blinded (treatment was not kept secret from the participants and researchers) (5).

Both drugs have comparable effects in reducing symptoms of anxiety disorders. Furthermore, they have a similar onset of therapeutic benefits with improvement of symptoms often seen as early as two weeks after starting treatment.

Can you take Citalopram and Bupropion together?

You can take Bupropion and Citalopram together as they can offer added benefits due to their different brain neurotransmitter influences. However, it may raise the risk of side effects.

It is advisable to use Bupropion and Citalopram together under the guidance of a healthcare provider to avoid potential risks and ensure well-being.

Conclusion

In conclusion, Citalopram and Bupropion are different medications with different active ingredients and mechanisms of action. Citalopram does not contain Bupropion. While they can be prescribed together in specific cases, they are not combined within a single medication. It is essential to consult with a healthcare provider to understand the specifics of your treatment and medications.

 

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