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Bupropion vs Levonorgestrel: side-by-side comparison

Bupropion (Norepinephrine-dopamine reuptake inhibitor (NDRI) antidepressant) and Levonorgestrel (Synthetic progestin (emergency contraception)) belong to different therapeutic classes and are rarely substitutes for each other. The comparison is useful when a single patient is weighing both options for adjacent or overlapping needs.

Property Bupropion Levonorgestrel
Therapeutic class Norepinephrine-dopamine reuptake inhibitor (NDRI) antidepressant Synthetic progestin (emergency contraception)
CAS 34911-55-2 797-63-7
ATC N06AX12 G03AC03
Molecular weight 239.74 g/mol 312.5 g/mol
Brands with this active ingredient 1 1

What they share

Bupropion and Levonorgestrel share the common regulatory framework for prescription active ingredients, bioequivalence standards for generics, and pharmacist oversight. Beyond that, points in common are limited.

Key differences

Bupropion acts by a different mechanism than Levonorgestrel, with indications that barely overlap. Comparing the two is useful when a clinician has mentioned both in the same context or the patient wants to understand why one was prescribed instead of the other.

Mechanisms compared

Bupropion: Bupropion inhibits the reuptake of norepinephrine and dopamine, with much weaker effect on serotonin reuptake. Levonorgestrel: In emergency contraception, levonorgestrel works primarily by delaying or inhibiting ovulation when taken before the LH surge.

Indications compared

Bupropion: Bupropion is approved for major depressive disorder, prevention of seasonal affective disorder recurrence, and smoking cessation. Levonorgestrel: Levonorgestrel is approved for emergency contraception (single 1.5mg dose), regular oral contraception (combined with ethinylestradiol or as progestin-only), and as the active component of hormonal intrauterine devices f…

Safety profile

Bupropion: Common adverse effects include dry mouth, insomnia, headache, agitation, nausea and weight loss. Levonorgestrel: Common adverse effects of emergency contraceptive use include nausea, headache, fatigue, dizziness, breast tenderness and menstrual cycle changes.

Frequently asked questions

Is Bupropion better than Levonorgestrel?

Bupropion and Levonorgestrel are not "better or worse" — they treat different things. The sensible question is which fits your specific need.

Can Bupropion and Levonorgestrel be combined?

Whether they can be combined depends on the indications and the interaction profile of each. If both are in a single prescription, the prescriber has weighed it; in self-medication they should never be combined.

Do they have the same side-effect profile?

No — they belong to different classes and have distinct side-effect profiles. Each has its own prescribing information.

Products with Bupropion

Products with Levonorgestrel

The information on this website is provided for reference and educational purposes only. It does not replace consultation with a qualified healthcare professional.