Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
Duloxetine (Cymbalta) and alprazolam (Xanax) are both medications used to treat generalized anxiety disorder (GAD), but they belong to different medication classes. Duloxetine is a serotonin and norepinephrine reuptake inhibitor (SNRI) that is also approved for treating major depressive disorder, diabetic neuropathy, fibromyalgia, and long-term pain in adults. Alprazolam, on the other hand, is a benzodiazepine that is also approved for treating panic disorder. Duloxetine is typically taken once daily, while alprazolam is usually taken three times a day. Alprazolam also comes in an extended-release form (Xanax XR) that's typically taken once a day. Both medications are available as lower-cost generics. Alprazolam is a controlled substance due to its potential for dependence and misuse, but duloxetine is not. Common side effects of duloxetine include nausea and headache, whereas alprazolam often causes drowsiness and memory problems. You should avoid alcohol with both medications, but the risk of serious interactions is higher with alprazolam. Additionally, duloxetine can cause withdrawal symptoms if stopped abruptly, similar to alprazolam, but alprazolam tends to have a higher risk of serious side effects and withdrawal symptoms.
Duloxetine (Cymbalta)
Alprazolam (Xanax)
Duloxetine (Cymbalta)
Alprazolam (Xanax)
Summary of Cymbalta vs. Xanax
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.