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Cymbalta vs Symbicort: side-by-side comparison

Cymbalta (Duloxetine) 20mg capsule
Cymbalta
vs
Symbicort (Budesonide / Formoterol) 80/4.5 mcg dry powder inhaler
Symbicort

Cymbalta (Anti-Depressants) and Symbicort (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 Symbicort
Active ingredient Duloxetine Budesonide, Formoterol
Manufacturer Eli Lilly AstraZeneca
Class Anti-Depressants Respiratory Medications
Strengths 20mg, 30mg, 60mg 80/4.5 mcg, 160/4.5 mcg, 200/6 mcg, 400/12 mcg
Forms capsule dry powder inhaler, metered-dose inhaler

What's the same

Cymbalta and Symbicort 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 Symbicort 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. Symbicort: Budesonide reduces chronic airway inflammation through glucocorticoid receptor activation, decreasing inflammatory cell recruitment and cytokine release.

When Cymbalta is preferred

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

When Symbicort is preferred

Symbicort is approved in adults and adolescents from age 12 (younger in some markets) for the regular treatment of asthma when combination therapy of a long-acting beta-2 agonist and an inhaled corticosteroid is appropriate, and in some markets for symptom relief in COPD.

Frequently asked questions

Is Cymbalta or Symbicort better?

Cymbalta and Symbicort 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 Symbicort?

Switching between Cymbalta and Symbicort 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 Symbicort 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.