Paxil vs Cymbalta: side-by-side comparison
Paxil (Paroxetine) and Cymbalta (Duloxetine) both belong to the Anti-Depressants 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 | Paxil | Cymbalta |
|---|---|---|
| Active ingredient | Paroxetine | Duloxetine |
| Manufacturer | GlaxoSmithKline | Eli Lilly |
| Class | Anti-Depressants | Anti-Depressants |
| Strengths | 10mg, 20mg, 30mg, 40mg | 20mg, 30mg, 60mg |
| Forms | tablet | capsule |
What's the same
Paxil and Cymbalta both belong to the Anti-Depressants class and are used for partially overlapping indications. The active ingredients — Paroxetine vs Duloxetine — share the same therapeutic approach, so many safety and management points carry across both.
Key differences
Meaningful differences are in active ingredient (Paroxetine vs Duloxetine), strengths (10mg, 20mg, 30mg, 40mg vs 20mg, 30mg, 60mg), forms (tablet vs capsule), and the mechanism, half-life and side-effect nuances that distinguish members of the class.
Mechanism and action
Paxil: Paroxetine selectively inhibits the serotonin reuptake transporter (SERT), increasing synaptic serotonin availability. Cymbalta: Cymbalta inhibits the reuptake of both serotonin and norepinephrine at the synapse.
When Paxil is preferred
Paxil is approved for major depressive disorder, generalised anxiety disorder, social anxiety disorder, panic disorder, obsessive-compulsive disorder and post-traumatic stress disorder, with regional variation.
When Cymbalta is preferred
Cymbalta is approved for major depressive disorder, generalised anxiety disorder, diabetic peripheral neuropathic pain, fibromyalgia and chronic musculoskeletal pain.
Frequently asked questions
Is Paxil or Cymbalta better? ▾
There is no single answer. Paxil and Cymbalta both belong to the Anti-Depressants 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 Paxil to Cymbalta? ▾
Switching within the Anti-Depressants 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 Paxil and Cymbalta have the same side effects? ▾
They share many of the Anti-Depressants class side effects, with differences from mechanism and dose. Each medication's prescribing information lists specifics.
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The information on this website is provided for reference and educational purposes only. It does not replace consultation with a qualified healthcare professional.