Cymbalta vs. Effexor

• Are Cymbalta and Effexor the Same Thing?
• What Are Possible Side Effects of Cymbalta?
• What Are Possible Side Effects of Effexor?
• What is Cymbalta?
• What is Effexor?
• What Drugs Interact with Cymbalta?
• What Drugs Interact with Effexor?
• How Should Cymbalta Be Taken?
• How Should Effexor Be Taken?

Cymbalta (duloxetine) and Effexor (venlafaxine) are antidepressants in the selective serotonin and norepinephrine reuptake inhibitor (SSNRI) class used for treatment of major depression.

Common side effects of Cymbalta include:

• nausea,
• dry mouth,
• constipation,
• diarrhea,
• fatigue,
• tired feeling,
• drowsiness,
• difficulty sleeping,
• loss of appetite, and
• dizziness.

Common side effects of Effexor include:

• dizziness,
• nervousness,
• nausea,
• constipation,
• headaches,
• anxiety,
• insomnia,
• strange dreams,
• drowsiness,
• increased sweating,
• blurred vision,
• dry mouth,
• changes in appetite or weight,
• decreased sex drive,
• impotence,
• difficulty having an orgasm,
• increased blood pressure, and
• seizures.

Cymbalta is a prescription medicine used to treat a certain type of depression called Major Depressive Disorder (MDD). Cymbalta belongs to a class of medicines known as SNRIs (or serotonin-norepinephrine reuptake inhibitors).

Cymbalta is also used to treat or manage:

• Generalized Anxiety Disorder (GAD)
• Diabetic Peripheral Neuropathic Pain (DPNP)
• Fibromyalgia (FM)
• Chronic Musculoskeletal Pain

Effexor is a prescription medicine used to treat depression. It is important to talk with your healthcare provider about the risks of treating depression and also the risks of not treating it. You should discuss all treatment choices with your healthcare provider. Talk to your healthcare provider if you do not think that your condition is getting better with Effexor.

Do Not take Cymbalta if you:

• take a Monoamine Oxidase Inhibitor (MAOI). Ask your healthcare provider or pharmacist if you are not sure if you take an MAOI, including the antibiotic linezolid or intravenous methylene blue.
• Do not take an MAOI within 5 days of stopping Cymbalta unless directed to do so by your healthcare provider.
• Do not start Cymbalta if you stopped taking an MAOI in the last 14 days unless directed to do so by your healthcare provider.

Tell your healthcare provider about all the medicines that you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements. Cymbalta and some medicines may interact with each other, may not work as well, or may cause serious side effects.

Especially tell your healthcare provider if you take:

• triptans used to treat migraine headache
• medicines used to treat mood, anxiety, psychotic or thought disorders, including tricyclics, lithium, buspirone, SSRIs, SNRIs or MAOIs
• tramadol and fentanyl
• amphetamines
• cimetidine
• the antibiotics ciprofloxacin, enoxacin
• medicine to treat irregular heart rate (like propafenone, flecainide, quinidine)
• theophylline
• the blood thinner warfarin (Coumadin, Jantoven)
• non-steroidal anti-inflammatory drug (NSAID) (like ibuprofen, naproxen or aspirin).
• over-the-counter supplements such as tryptophan or St. John's Wort
• thioridazine (Mellaril). Mellaril together with Cymbalta can cause serious heart rhythm problems or sudden death.

Ask your healthcare provider for a list of these medicines if you are not sure.

Before starting Effexor, USP, tell your healthcare provider if you:

• Are taking certain drugs such as:
• Medicines used to treat migraine headaches such as:
• triptans
• Medicines used to treat mood, anxiety, psychotic or thought disorders, such as:
• tricyclic antidepressants
• lithium
• SSRIs
• SNRIs
• antipsychotic drugs
• Medicines used to treat pain such as:
• tramadol
• Medicines used to thin your blood such as:
• warfarin
• Medicines used to treat heartburn such as:
  • Cimetidine
• Over-the-counter medicines or supplements such as:
• Aspirin or other NSAIDs
• Tryptophan
• St. John's Wort
• have heart problems
• have diabetes
• have liver problems
• have kidney problems
• have thyroid problems
• have glaucoma
• have or had seizures or convulsions
• have bipolar disorder or mania
• have low sodium levels in your blood
• have high blood pressure
• have high cholesterol
• have or had bleeding problems
• are pregnant or plan to become pregnant. It is not known if Effexor, USP will harm your unborn baby. Talk to your healthcare provider about the benefits and risks of treating depression during pregnancy
• are breast-feeding or plan to breast-feed. Some Effexor, USP may pass into your breast milk. Talk to your healthcare provider about the best way to feed your baby while taking Effexor, USP.

Tell your healthcare provider about all the medicines that you take, including prescription and non-prescription medicines, vitamins, and herbal supplements. Venlafaxine tablets, USP and some medicines may interact with each other, may not work as well, or may cause serious side effects.

Your healthcare provider or pharmacist can tell you if it is safe to take Effexor, USP with your other medicines. Do not start or stop any medicine while taking Effexor, USP without talking to your healthcare provider first.

Take Cymbalta exactly as your healthcare provider tells you to take it. Your healthcare provider may need to change the dose of Cymbalta until it is the right dose for you.

Swallow Cymbalta whole. Do not chew or crush Cymbalta.

Do not open the capsule and sprinkle on food or mix with liquids. Opening the capsule may affect how well Cymbalta works.

Cymbalta may be taken with or without food.

If you miss a dose of Cymbalta, take the missed dose as soon as you remember. If it is almost time for the next dose, skip the missed dose and take your next dose at the regular time. Do not take two doses of Cymbalta at the same time.

If you take too much Cymbalta, call your healthcare provider or poison control center at 1-800-222-1222 right away, or get emergency treatment.

Take venlafaxine tablets, USP exactly as prescribed. Your healthcare provider may need to change the dose of venlafaxine tablets, USP until it is the right dose for you.

Venlafaxine tablets, USP is to be taken with food.

If you miss a dose of venlafaxine tablets, USP, take the missed dose as s oon as you remember. If it is almost time for the next dose, skip the missed dose and take your next dose at the regular time. Do not take two doses of venlafaxine tablets, USP at the same time.

If you take too much venlafaxine tablets, USP, call your healthcare provider or poison control center right away, or get emergency treatment.

When switching from another antidepressant to venlafaxine tablets, USP your doctor may want to lower the dose of the initial antidepressant first to avoid side effects.