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Trazodone vs Celecoxib: side-by-side comparison

Trazodone (Atypical antidepressant / serotonin modulator) and Celecoxib (COX-2 selective NSAID) belong to different therapeutic classes and are rarely substitutes for each other. The comparison is useful when a single patient is weighing both options for adjacent or overlapping needs.

Property Trazodone Celecoxib
Therapeutic class Atypical antidepressant / serotonin modulator COX-2 selective NSAID
CAS 19794-93-5 169590-42-5
ATC N06AX05 M01AH01
Molecular weight 371.86 g/mol 381.37 g/mol
Brands with this active ingredient 1 1

What they share

Trazodone and Celecoxib share the common regulatory framework for prescription active ingredients, bioequivalence standards for generics, and pharmacist oversight. Beyond that, points in common are limited.

Key differences

Trazodone acts by a different mechanism than Celecoxib, with indications that barely overlap. Comparing the two is useful when a clinician has mentioned both in the same context or the patient wants to understand why one was prescribed instead of the other.

Mechanisms compared

Trazodone: Trazodon wird als Serotonin-Antagonist und Wiederaufnahmehemmer (SARI) klassifiziert. Celecoxib: Celecoxib hemmt selektiv die Cyclooxygenase-2 (COX-2), die an Entzündungsorten induzierte Enzymisoform, die für Schmerz, Fieber und Entzündung verantwortliche Prostaglandine produziert.

Indications compared

Trazodone: Trazodon ist zur Behandlung der Major Depression zugelassen. Celecoxib: Celecoxib ist bei Erwachsenen zur Behandlung von Arthrose, rheumatoider Arthritis, Spondylitis ankylosans, akuten Schmerzen sowie primärer Dysmenorrhoe zugelassen.

Safety profile

Trazodone: Häufige Nebenwirkungen sind Sedierung (gewünschter Effekt bei niedrigen Dosen), Mundtrockenheit, Schwindel, orthostatische Hypotonie und Kopfschmerzen. Celecoxib: Häufige Nebenwirkungen sind gastrointestinale Beschwerden (seltener als bei klassischen NSAR), periphere Ödeme, Hypertonie und Kopfschmerzen.

Häufig gestellte Fragen

Is Trazodone better than Celecoxib?

Trazodone and Celecoxib are not "better or worse" — they treat different things. The sensible question is which fits your specific need.

Can Trazodone and Celecoxib be combined?

Whether they can be combined depends on the indications and the interaction profile of each. If both are in a single prescription, the prescriber has weighed it; in self-medication they should never be combined.

Do they have the same side-effect profile?

No — they belong to different classes and have distinct side-effect profiles. Each has its own prescribing information.

Products with Trazodone

Products with Celecoxib

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