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) 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.