Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
Cymbalta (duloxetine) and Lyrica (pregabalin) are both prescription medications, but they treat different conditions and belong to different drug classes. Cymbalta is an SNRI (serotonin and norepinephrine reuptake inhibitor) used to treat depression, anxiety, and various types of long-term pain, including diabetic neuropathy and fibromyalgia. It works by increasing serotonin and norepinephrine levels in the brain. Lyrica, on the other hand, is an antiepileptic medication used to treat nerve pain from diabetes, shingles, spinal cord injury, and fibromyalgia. If used with other anti-seizure medications, it can also treat partial-onset seizures. It is thought to work by lowering certain chemicals in the brain to relieve pain and prevent seizures. Cymbalta is typically taken once daily, while Lyrica is taken two or three times a day. Cymbalta is not a controlled substance, whereas Lyrica is a Schedule V controlled substance due to its potential for addiction and dependence. Both medications can cause dizziness and drowsiness, but Lyrica is more likely to cause weight gain and swelling of the limbs.
Duloxetine (Cymbalta)
Pregabalin (Lyrica)
Duloxetine (Cymbalta)
Pregabalin (Lyrica)
Summary of Cymbalta vs. Lyrica
Summary for SNRI
Prescription only
Duloxetine (Cymbalta) helps treat depression and anxiety. It can also help with some types of chronic pain, such as nerve pain from diabetes. Duloxetine (Cymbalta) is a type of antidepressant called an SNRI, or serotonin and norepinephrine reuptake inhibitor. Most people take it by mouth once a day, but some with depression might take it twice a day. Side effects include nausea, headache, and dry mouth. When it's time to stop taking the medication, the prescriber will slowly lower your dose to help prevent withdrawal symptoms.
Summary for Antiepileptic
Prescription only
Pregabalin (Lyrica) helps treat nerve pain and fibromyalgia in adults. It can also be taken with other medications to help treat certain seizures in people 1 month and older. Pregabalin (Lyrica) comes as a capsule and oral solution in both brand-name and generic versions. The dosage depends on what condition you're treating, but it's usually taken by mouth 2 or 3 times a day. Common side effects include feeling dizzy and drowsy. This medication is a controlled substance and has interactions, like with alcohol and benzodiazepines.