PlainPill

Bupropion vs SAM-E for mood

Short answer: For mood, more users report improvement with SAM-E — 92% of 114 reports, versus 70% of 172 for Bupropion.

Bupropion has 411 meta-analyses and 617 randomized trials on PubMed; SAM-E has 3 and 1.

Based on 444 reports about Bupropion and 284 about SAM-E. Not medical advice.

Bupropion
Medication
SAM-E
Supplement
Users say it helped41%helped271 reports · high confidence63%helped131 reports · high confidence
Verdict
Mixed
Mostly positive
ResearchAResearch: StrongBResearch: Moderate
Meta-analyses / RCTs411 / 6173 / 1
Mainly used for
Mood
% reporting improvement
70% (172)92% (114)
Energy
% reporting improvement
81% (57)87% (23)
Focus
% reporting improvement
71% (62)100% (13)
Anxiety
% reporting improvement
15% (34)67% (21)
Libido
% reporting improvement
76% (34)—
Common side effectsanxiety, insomnia, irritability, tinnitusinsomnia, jitteriness, stomach issues, anxiety
Typical dose reportedNot listed200-400 mg / daily
Bupropion
Latest review conclusion

Our findings represent the most comprehensive available evidence base to inform patients, families, clinicians, guideline developers, and policymakers on the choice of ADHD medications across age groups. Taking into account both efficacy and safety, evidence from this meta-analysis supports methylphenidate in children and adolescents, and amphetamines in adults, as preferred first-choice medications for the short-term treatment of ADHD. New research should be funded urgently to assess long-term effects of these drugs.

Lancet Psychiatry, 2018 ↗
What a user said
“It really helped. I went from being suicidal to having hope and motivation within 3 days of starting the medication.”
Full Bupropion profile →
SAM-E
Latest review conclusion

Our results showed that robotic surgery contributed positively to some perioperative outcomes but longer operative times remained a shortcoming. Better quality evidence is needed to guide surgical decision making regarding the precise clinical targets of this innovation in the next generation of its use.

Surg Endosc, 2016 ↗
What a user said
“I also take SAM-e in the morning (200mg or 400mg per day depending on how I'm feeling) for my general depression/anxiety.”
Full SAM-E profile →

Related comparisons

Percentages come from first-hand user reports and are not clinical outcomes. Talk to a doctor before starting, stopping or combining anything. How we rate