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Cymbalta vs Singulair: side-by-side comparison

Cymbalta (Duloxetine) 20mg capsule
Cymbalta
vs
Singulair (Montelukast) 4mg tablet
Singulair

Cymbalta (Anti-Depressants) and Singulair (Respiratory Medications) belong to different therapeutic classes and are rarely interchangeable. This page compares the medications' purposes, mechanisms and the situations where each is used.

Property Cymbalta Singulair
Active ingredient Duloxetine Montelukast
Manufacturer Eli Lilly Organon
Class Anti-Depressants Respiratory Medications
Strengths 20mg, 30mg, 60mg 4mg, 5mg, 10mg
Forms capsule tablet, chewable tablet, oral granules

What's the same

Cymbalta and Singulair 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

Cymbalta belongs to Anti-Depressants while Singulair belongs to Respiratory Medications. 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

Cymbalta: Cymbalta inhibits the reuptake of both serotonin and norepinephrine at the synapse. Singulair: Montelukast selectively blocks the CysLT1 receptor, which mediates the action of leukotrienes C4, D4 and E4 — proinflammatory mediators released by mast cells and eosinophils.

When Cymbalta is preferred

Cymbalta is approved for major depressive disorder, generalised anxiety disorder, diabetic peripheral neuropathic pain, fibromyalgia and chronic musculoskeletal pain.

When Singulair is preferred

Singulair is approved in adults and children for the maintenance treatment of asthma, including exercise-induced bronchospasm, and for the treatment of seasonal and perennial allergic rhinitis when conventional therapy is insufficient or not tolerated.

Frequently asked questions

Is Cymbalta or Singulair better?

Cymbalta and Singulair 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 Cymbalta to Singulair?

Switching between Cymbalta and Singulair 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 Cymbalta and Singulair 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 Cymbalta comparisons

The information on this website is provided for reference and educational purposes only. It does not replace consultation with a qualified healthcare professional.