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Trulicity vs Cymbalta: side-by-side comparison

Trulicity (Dulaglutide) 0.75mg pre-filled pen
Trulicity
vs
Cymbalta (Duloxetine) 20mg capsule
Cymbalta

Trulicity (Diabetes Treatment) 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 Trulicity Cymbalta
Active ingredient Dulaglutide Duloxetine
Manufacturer Eli Lilly Eli Lilly
Class Diabetes Treatment Anti-Depressants
Strengths 0.75mg, 1.5mg, 3mg, 4.5mg 20mg, 30mg, 60mg
Forms pre-filled pen capsule

What's the same

Trulicity 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

Trulicity belongs to Diabetes Treatment 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

Trulicity: After subcutaneous injection, dulaglutide is gradually absorbed and circulates with greater than 99% albumin binding. Cymbalta: Cymbalta inhibits the reuptake of both serotonin and norepinephrine at the synapse.

When Trulicity is preferred

The medication is indicated in adults with type 2 diabetes mellitus, alone or in combination with other antidiabetic agents, to improve glycaemic control.

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 Trulicity or Cymbalta better?

Trulicity 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 Trulicity to Cymbalta?

Switching between Trulicity 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 Trulicity 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 Trulicity comparisons

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