Cymbalta vs Celexa: side-by-side comparison
Cymbalta (Duloxetine) and Celexa (Citalopram) both belong to the Antidepressiva class. They share clinical context but use different active ingredients. The choice between them depends on mechanism nuances, side-effect profile and individual response.
| Property | Cymbalta | Celexa |
|---|---|---|
| Active ingredient | Duloxetine | Citalopram |
| Manufacturer | Eli Lilly | Forest Laboratories / AbbVie |
| Class | Antidepressiva | Antidepressiva |
| Strengths | 20mg, 30mg, 60mg | 10mg, 20mg, 40mg |
| Forms | capsule | tablet |
What's the same
Cymbalta and Celexa both belong to the Antidepressiva class and are used for partially overlapping indications. The active ingredients — Duloxetine vs Citalopram — share the same therapeutic approach, so many safety and management points carry across both.
Key differences
Meaningful differences are in active ingredient (Duloxetine vs Citalopram), strengths (20mg, 30mg, 60mg vs 10mg, 20mg, 40mg), forms (capsule vs tablet), and the mechanism, half-life and side-effect nuances that distinguish members of the class.
Mechanism and action
Cymbalta: Cymbalta hemmt die Wiederaufnahme von Serotonin und Noradrenalin an der Synapse. Celexa: Citalopram hemmt selektiv den Serotonin-Reuptake-Transporter und erhöht damit die synaptische Serotoninverfügbarkeit, mit nur begrenzter Affinität zu Noradrenalin-Transportern oder anderen Rezeptoren.
When Cymbalta is preferred
Cymbalta ist zur Behandlung der Major Depression, der generalisierten Angststörung, diabetischer peripherer neuropathischer Schmerzen, Fibromyalgie und chronischer muskuloskelettaler Schmerzen zugelassen.
When Celexa is preferred
Celexa ist zugelassen zur Behandlung der Major Depression.
Häufig gestellte Fragen
Is Cymbalta or Celexa better? ▾
There is no single answer. Cymbalta and Celexa both belong to the Antidepressiva class but differ in mechanism nuances, half-life and side-effect profile. Preference depends on the patient, the prescriber and prior response to other therapies.
Can I switch from Cymbalta to Celexa? ▾
Switching within the Antidepressiva class is done under supervision, typically using equivalent doses and a follow-up period to confirm response and tolerance. It is not a self-directed decision.
Do Cymbalta and Celexa have the same side effects? ▾
They share many of the Antidepressiva class side effects, with differences from mechanism and dose. Each medication's prescribing information lists specifics.
More Cymbalta comparisons
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