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Cymbalta vs. Lyrica

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)

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Pregabalin

(Lyrica)

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Summary for Cymbalta

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.

Indications for Cymbalta

Pros and Cons for Cymbalta

Pros

  • Taken once a day for most people
  • Can take at any time of day
  • A first-choice option for depression
  • An option for some types of chronic pain, like nerve pain from diabetes

Cons

  • Can take several weeks before you feel its full effects
  • Might not be a good option for people who drink heavily or have liver or kidney problems
  • Can cause nausea or dry mouth
  • Can interact with many medications, including other antidepressants and certain pain relievers

Common Side Effects for Cymbalta

  • Nausea (23%)
  • Headache (14%)
  • Dry mouth (13%)
  • Drowsiness (10%)
  • Feeling tired (9%)
  • Trouble sleeping (9%)
  • Dizziness (9%)
  • Constipation (9%)
  • Diarrhea (9%)
  • Low appetite (7%)
  • A lot of sweating (6%)
  • Stomach pain (5%)

Warnings for Cymbalta

  • Suicidal thoughts or behavior
  • Liver damage
  • Changes in blood pressure and risk of falls
  • Serotonin syndrome
  • Higher risk of bleeding
  • Severe skin reaction
  • Withdrawal symptoms
  • Low sodium levels
  • Sexual problems
  • Not for use alone for bipolar disorder because of the risk of mania
  • Angle-closure glaucoma in certain people

Summary for Lyrica

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.

Indications for Lyrica

Pros and Cons for Lyrica

Pros

  • An option for relieving nerve pain caused by diabetes, shingles, and spinal cord injuries
  • Can take with other anti-seizure medications for partial-onset seizures in people as young as 1 month of age
  • Available in a capsule and liquid

Cons

  • Can cause dizziness and drowsiness
  • Can cause weight gain
  • Is a controlled substance, so there are some rules to follow to get it filled

Common Side Effects for Lyrica

  • Dizziness
  • Drowsiness
  • Headache
  • Weight gain

Warnings for Lyrica

  • Allergic reactions and severe swelling
  • Risk of suicidal thoughts and behavior
  • Higher risk of side effects if you stop taking the medication too suddenly or too fast
  • Slowed breathing
  • Dizziness, sleepiness, and trouble concentrating
  • Swelling of the arms or legs
  • Weight gain
  • Lower platelet levels
  • Possible risk of muscle breakdown

Prices with our coupons for Cymbalta vs. Lyrica

Price Card Drug Icon
Duloxetine30 capsules / 60mg
$11.45$32.37
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Pregabalin60 capsules / 75mg
$13.43$40.85
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