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Cymbalta vs. Pristiq

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)

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Desvenlafaxine

(Pristiq)

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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 Pristiq

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.

Indications for Pristiq

  • Depression

Pros and Cons for Pristiq

Pros

Cons

  • Can take up to 8 weeks for effects to fully kick in
  • Can raise your blood pressure
  • Must lower dose slowly to stop the medication to avoid withdrawal symptoms
  • Not approved for use in children

Common Side Effects for Pristiq

  • Nausea (22%)
  • Dizziness (13%)
  • Dry mouth (11%)
  • Excessive sweating (10%)
  • Constipation (9%)
  • Trouble sleeping (9%)
  • Feeling tired (7%)
  • Loss of appetite (5%)
  • Sleepiness (4%)
  • Low sex drive (4%)

Warnings for Pristiq

  • Suicidal thoughts and behaviors
  • Serotonin syndrome
  • High blood pressure
  • Higher bleeding risk
  • Worsening of glaucoma
  • Emergence of mania
  • Withdrawal symptoms
  • Seizures
  • Low sodium levels in the blood
  • Lung problems and pneumonia

Prices with our coupons for Cymbalta vs. Pristiq

Price Card Drug Icon
Duloxetine30 capsules / 60mg
$11.45$32.37
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Price Card Drug Icon
Desvenlafaxine Succinate ER30 tablets / 50mg
$21.77$245.62
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