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) is used to treat depression, anxiety, and some forms of long-term pain. This medication is an antidepressant that's called an SNRI or serotonin and norepinephrine reuptake inhibitor. The dosage is typically one capsule by mouth once daily (or twice daily for some people with depression). Side effects can include nausea, headache, and dry mouth. If you need to stop the medication for any reason, your prescriber will lower your dose slowly over time to prevent withdrawal symptoms like anxiety and trouble sleeping.
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.