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Singulair vs Cymbalta: side-by-side comparison

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

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

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

What's the same

Singulair 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

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

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. Cymbalta: Cymbalta inhibits the reuptake of both serotonin and norepinephrine at the synapse.

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.

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 Singulair or Cymbalta better?

Singulair 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 Singulair to Cymbalta?

Switching between Singulair 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 Singulair 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 Singulair comparisons

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