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Symbicort vs Cymbalta: side-by-side comparison

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

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

What's the same

Symbicort 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

Symbicort 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

Symbicort: Budesonide reduces chronic airway inflammation through glucocorticoid receptor activation, decreasing inflammatory cell recruitment and cytokine release. Cymbalta: Cymbalta inhibits the reuptake of both serotonin and norepinephrine at the synapse.

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.

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 Symbicort or Cymbalta better?

Symbicort 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 Symbicort to Cymbalta?

Switching between Symbicort 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 Symbicort 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 Symbicort comparisons

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