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Neurontin vs Cymbalta: side-by-side comparison

Neurontin (Gabapentin) 100mg capsule
Neurontin
vs
Cymbalta (Duloxetine) 20mg capsule
Cymbalta

Neurontin (Neurologische Arzneimittel) and Cymbalta (Antidepressiva) belong to different therapeutic classes and are rarely interchangeable. This page compares the medications' purposes, mechanisms and the situations where each is used.

Property Neurontin Cymbalta
Active ingredient Gabapentin Duloxetine
Manufacturer Pfizer Eli Lilly
Class Neurologische Arzneimittel Antidepressiva
Strengths 100mg, 300mg, 400mg, 600mg, 800mg 20mg, 30mg, 60mg
Forms capsule, tablet, oral solution capsule

What's the same

Neurontin and Cymbalta are used in very different patients, and the points in common are limited. The main shared element is that both meet regulatory standards for efficacy and safety and benefit from pharmacist oversight.

Key differences

Neurontin belongs to Neurologische Arzneimittel while Cymbalta belongs to Antidepressiva. Indications, mechanisms and target populations differ. The comparison is most useful when a clinician has mentioned both medications and the patient wants to understand where each fits.

Mechanism and action

Neurontin: Gabapentin bindet an die Alpha-2-Delta-Hilfsuntereinheit spannungsabhängiger Calciumkanäle im zentralen Nervensystem und reduziert dadurch den präsynaptischen Calciumeinstrom sowie die Freisetzung exzitatorischer Neurotr… Cymbalta: Cymbalta hemmt die Wiederaufnahme von Serotonin und Noradrenalin an der Synapse.

When Neurontin is preferred

Neurontin ist bei Erwachsenen und Kindern ab drei Jahren zur Zusatztherapie fokaler Anfälle und bei Erwachsenen zur Behandlung der postherpetischen Neuralgie zugelassen.

When Cymbalta is preferred

Cymbalta ist zur Behandlung der Major Depression, der generalisierten Angststörung, diabetischer peripherer neuropathischer Schmerzen, Fibromyalgie und chronischer muskuloskelettaler Schmerzen zugelassen.

Häufig gestellte Fragen

Is Neurontin or Cymbalta better?

Neurontin and Cymbalta are not interchangeable — they treat different conditions. Asking which is "better" is meaningful only when a clinician has weighed both for the same specific clinical scenario.

Can I switch from Neurontin to Cymbalta?

Switching between Neurontin and Cymbalta is rarely an appropriate decision since they belong to different classes and treat different conditions. The real question is usually whether the diagnosis calls for one medication or the other — which the prescriber resolves.

Do Neurontin and Cymbalta have the same side effects?

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

More Neurontin comparisons

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