Trulicity vs Lexapro: side-by-side comparison
Trulicity (Diabetes Treatment) and Lexapro (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 | Lexapro |
|---|---|---|
| Active ingredient | Dulaglutide | Escitalopram |
| Manufacturer | Eli Lilly | Forest/Allergan |
| Class | Diabetes Treatment | Anti-Depressants |
| Strengths | 0.75mg, 1.5mg, 3mg, 4.5mg | 5mg, 10mg, 20mg |
| Forms | pre-filled pen | tablet |
What's the same
Trulicity and Lexapro 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 Lexapro 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. Lexapro: Lexapro acts by selectively inhibiting the serotonin reuptake transporter (SERT) at the synapse, increasing serotonin availability for postsynaptic receptors.
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 Lexapro is preferred
Lexapro is approved for major depressive disorder and generalised anxiety disorder in adults and adolescents 12 years and older (depression) and adults (generalised anxiety).
Frequently asked questions
Is Trulicity or Lexapro better? ▾
Trulicity and Lexapro 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 Lexapro? ▾
Switching between Trulicity and Lexapro 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 Lexapro 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.