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Prozac vs. Pristiq

Head-to-head comparisons of medication uses, side effects, warnings, and more.

Key takeaways

Prozac (fluoxetine) and Pristiq (desvenlafaxine) are both medications used to treat depression, but they belong to different classes. Prozac is a selective serotonin reuptake inhibitor (SSRI), while Pristiq is a serotonin and norepinephrine reuptake inhibitor (SNRI). Prozac is also used to treat other conditions like obsessive-compulsive disorder (OCD), bulimia, and panic disorder, whereas Pristiq is only approved for depression. Prozac can be taken in various forms, including immediate-release and delayed-release capsules, and it can be taken once daily or weekly, depending on the form. Pristiq is only available as a once-daily tablet. Prozac is less likely to cause weight gain compared to other SSRIs, while Pristiq generally does not cause significant weight changes. Both medications can cause side effects like nausea and trouble sleeping, but Pristiq is more likely to raise blood pressure. Additionally, both medications carry a risk of serotonin syndrome and should not be stopped abruptly to avoid withdrawal symptoms.

Fluoxetine

(Prozac)

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Desvenlafaxine

(Pristiq)

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Summary for Prozac

Prescription only

Fluoxetine (Prozac) is a selective serotonin reuptake inhibitor (SSRI). It's used to treat several mental health conditions, including depression and panic disorder. The immediate-release pill and liquid are taken by mouth, typically once or twice daily. The delayed-release capsule is taken weekly, but it's approved only for depression. Some common side effects of fluoxetine (Prozac) include headaches, difficulty sleeping, and tiredness. Don't suddenly stop this medication if you've been taking it for a while; doing so can lead to symptoms of withdrawal.

Indications for Prozac

Pros and Cons for Prozac

Pros

  • Good choice for treating depression, OCD, and panic disorder
  • Less likely to make you sleepy compared to some other antidepressants, such as paroxetine (Paxil)
  • Taken by mouth, typically once daily (IR capsules and liquid) or once weekly (DR capsules, for depression only)
  • Can be taken with or without food

Cons

  • Can take up to 2 months for you to feel the full effects of the medication
  • Can raise the risk of suicidal thoughts and/or behavior in those age 24 or younger
  • Can interact with other medications, especially those affecting serotonin levels
  • Can cause withdrawal symptoms if you suddenly stop taking it

Common Side Effects for Prozac

  • Difficulty falling asleep (up to 33%)
  • Nausea (up to 29%)
  • Headache (21%)
  • Weakness (up to 21%)
  • Diarrhea (up to 18%)
  • Low appetite (up to 17%)
  • Drowsiness (up to 17%)
  • Anxiety (up to 15%)
  • Nervousness (up to 14%)
  • Tremor (up to 13%)
  • Dry mouth (up to 12%)
  • Throat pain (up to 11%)
  • Yawning (up to 11%)
  • Low sex drive (up to 11%)

Warnings for Prozac

  • Worsening depression, suicidal thoughts and behavior
  • Anxiety and trouble sleeping
  • Serotonin syndrome
  • Severe allergic reactions
  • Not for use alone in bipolar disorder
  • Risk of bleeding
  • Glaucoma
  • Low blood sodium levels
  • Life-threatening abnormal heart rhythm (QT prolongation)

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 Prozac vs. Pristiq

Price Card Drug Icon
Fluoxetine30 tablets / 20mg
$9.93$78.85
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Price Card Drug Icon
Desvenlafaxine Succinate ER30 tablets / 50mg
$21.77$245.62
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