Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
Cymbalta (duloxetine) and Pristiq (desvenlafaxine) are both SNRIs (serotonin and norepinephrine reuptake inhibitors) used to treat depression. However, Cymbalta is also approved for treating anxiety, diabetic neuropathy, fibromyalgia, and long-term pain. Both medications are typically taken once daily, but Cymbalta can be taken twice daily, depending on the condition. Both medications can cause side effects like nausea, dizziness, and dry mouth, but Cymbalta has a higher risk of liver damage and is not recommended for people who drink heavily. Pristiq, on the other hand, can raise blood pressure and is not suitable for those with uncontrolled high blood pressure or heart problems. Both medications require a gradual dose reduction to avoid withdrawal symptoms if you need to stop taking them. Additionally, lower-cost generics are available for both medications.
Duloxetine (Cymbalta)
Desvenlafaxine (Pristiq)
Duloxetine (Cymbalta)
Desvenlafaxine (Pristiq)
Summary of Cymbalta vs. Pristiq
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 SNRI
Prescription only
Desvenlafaxine (Pristiq) is a medication used to treat depression in adults. It's only available as a tablet that's typically taken once a day. This medication can raise your blood pressure, so it might not be the best choice if you have uncontrolled high blood pressure or heart problems.