Cymbalta vs Tramadol Comparison - Drugs.com (2024)

Prescription only

Cymbalta has antidepressant, anti-anxiety, and pain-relieving properties; however, it has been associated with a discontinuation syndrome on withdrawal even when tapered. Prescribed for Back Pain...View more

Prescription only

Tramadol is a strong pain relief medicine effective for both general and nerve-related pain. Tramadol can cause dependence and use may be limited by side effects such as nausea and...View more

Related suggestions

Depression

  • Bupropion
  • Sertraline
  • Zoloft
  • Lexapro
  • Citalopram
  • Wellbutrin XL

Anxiety

  • Xanax
  • Clonazepam
  • Alprazolam
  • Buspirone
  • Lorazepam
  • Hydroxyzine

Chronic Pain

  • Oxycodone
  • Dilaudid
  • OxyContin
  • Acetaminophen / oxycodone
  • Fentanyl Transdermal System
  • Roxicodone

Popular comparisons

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More aboutCymbalta(duloxetine)More aboutTramadolGeneric Status

Lower-cost generic is available

Lower-cost generic is available

Ratings & Reviews

Cymbalta has an average rating of6.3 out of 10 from a total of1879 ratings on Drugs.com.53% of reviewers reported a positive effect, while 30% reported a negative effect.

Tramadol has an average rating of6.9 out of 10 from a total of1860 ratings on Drugs.com.62% of reviewers reported a positive effect, while 24% reported a negative effect.

View all 1879 reviews

View all 1860 reviews

Drug Class
  • Serotonin-norepinephrine reuptake inhibitors
  • Opioids (narcotic analgesics)
Side Effects

See also: Cymbalta side effects in more detail.

See also: tramadol side effects in more detail.

Pricing and Coupons* Prices are without insurance
Quantity30 delayed release capsule
Dosage60 mg
Per Unit*$10.16
Cost*$304.87

View all Cymbalta prices and generic prices

Quantity9 tablet
Dosage50 mg
Per Unit*$1.29
Cost*$11.59

View all tramadol prices

Get free Discount Card

Get free Discount Card

Dosage Form(s) Available
  • Oral delayed release capsule
  • Oral capsule, extended release
  • Oral liquid
  • Oral tablet
  • Oral tablet, extended release
Brand NamesOther duloxetine brands include: Drizalma Sprinkle, IrenkaConZip, Qdolo, Tramadol Hydrochloride ERHalf LifeThe half-life of a drug is the time taken for the plasma concentration of a drug to reduce to half its original value.

17 hours

5.2 hours

CSA Schedule **View glossary of terms

N

Not a controlled drug

Is not subject to the Controlled Substances Act.

4

Some potential for abuse

Has a low potential for abuse relative to those in schedule 3. It has a currently accepted medical use in treatment in the United States. Abuse may lead to limited physical dependence or psychological dependence relative to those in schedule 3.

Pregnancy Category

C

Category CRisk cannot be ruled out

See the full pregnancy warnings document.

C

Category CRisk cannot be ruled out

See the full pregnancy warnings document.

Drug Interactions

A total of 591 drugs are known to interact with Cymbalta:

  • 106 major drug interactions (465 brand and generic names)
  • 462 moderate drug interactions (2023 brand and generic names)
  • 23 minor drug interactions (184 brand and generic names)

A total of 662 drugs are known to interact with tramadol:

  • 311 major drug interactions (1163 brand and generic names)
  • 349 moderate drug interactions (1448 brand and generic names)
  • 2 minor drug interactions (5 brand and generic names)
Alcohol/Food/Lifestyle Interactions
  • DULoxetine may cause liver damage, and taking it with alcohol may increase that risk. You should...View more

  • Alcohol can increase the nervous system side effects of traMADol such as dizziness, drowsiness, and...View more

Disease Interactions
  • Liver disease
  • Renal disease
  • Depression
  • Diabetes
  • Glaucoma
  • Hypertension
  • Hyponatremia
  • Mania
  • Seizures
  • Urinary tract obstruction
  • Gastrointestinal obstruction
  • Acute alcohol intoxication
  • Drug dependence
  • Respiratory depression
  • Gastrointestinal conditions
  • Hypoglycemia
  • Hypotension
  • Intracranial pressure
  • Liver disease
  • Renal dysfunction
  • Seizure disorders
  • Suicidal
First Approval Date

N/A

March 03, 1995

WADA ClassView World Anti-Doping Agency classifications.

N/A

  • S7 - Narcotics
More Information
  • Side effects
  • Pregnancy warnings
  • Breastfeeding warnings
  • Dosage information
  • Drug images
  • Drug interactions
  • Support group
  • Pricing and coupons
  • En Español
  • Side effects
  • Pregnancy warnings
  • Breastfeeding warnings
  • Dosage information
  • Drug images
  • Drug interactions
  • Support group
  • Pricing and coupons
Patient resources
  • Cymbalta uses
  • Tramadol uses
Professional Resources
  • Prescribing information
  • Monograph (AHFS)
  • Prescribing information
Related Treatment Guide
  • Back Pain
  • Chronic Pain
  • Anxiety
  • Depression
  • Fibromyalgia
  • Diabetic Peripheral Neuropathy
  • Generalized Anxiety Disorder
  • Major Depressive Disorder
  • Osteoarthritis
  • show all
  • Back Pain
  • Anxiety
  • Chronic Pain
  • Depression
  • Pain
  • Fibromyalgia
  • Obsessive Compulsive Disorder
  • Restless Legs Syndrome
  • Syringomyelia
  • Vulvodynia
  • show all
Cymbalta vs Tramadol Comparison - Drugs.com (2024)

FAQs

Cymbalta vs Tramadol Comparison - Drugs.com? ›

Cymbalta has an average rating of 6.3 out of 10 from a total of 1873 ratings on Drugs.com. 53% of reviewers reported a positive effect, while 30% reported a negative effect. Tramadol has an average rating of 7.0 out of 10 from a total of 1839 ratings on Drugs.com.

What is the closest medication to tramadol? ›

Taking tramadol with other painkillers

Some everyday painkillers that you can buy from pharmacies contain codeine, which is a similar medicine to tramadol. Codeine-containing painkillers that you can buy from pharmacies These include co-codamol, Nurofen Plus and Solpadeine.

What is the closest drug to Cymbalta? ›

Lexapro. Lexapro (escitalopram) is an alternative to Cymbalta that might be good for people who are concerned about Cymbalta's effects when used long-term. Lexapro is in the class of drugs called selective serotonin reuptake inhibitors (SSRIs), which work by increasing serotonin levels in the brain to enhance mood.

Is Cymbalta like an opioid? ›

For a medication to be classed as an opioid, it must bind to the opioid receptors somewhere in the body. Duloxetine does not; thus, the Cymbalta drug class is not opioid. However, the lower rate of addiction and price can make it an excellent alternative to opioid medications for those dealing with nerve pain.

What is the interaction between Cymbalta and tramadol? ›

Combining these medications can increase the risk of a rare but serious condition called the serotonin syndrome, which may include symptoms such as confusion, hallucination, seizure, extreme changes in blood pressure, increased heart rate, fever, excessive sweating, blurred vision, muscle spasm or stiffness, tremor, ...

Is duloxetine similar to tramadol? ›

Duloxetine affects the voltage dependence of sodium channels in the central nervous system and peripheral nervous system (PNS) [7]. Tramadol is a mu opioid receptor analgesic with weak central effects [8]. It has a unique mechanism of action and pharmacological effects that are different from those of other opioids.

What antidepressant is closest to tramadol? ›

Dual action antidepressants mirtazapine (Remeron), duloxetine (Cymbalta), and most notably venlafaxine (Effexor), which tramadol is closely related to in structure, also inhibit NE and 5HT reuptake.

What is better than Cymbalta? ›

When comparing Cymbalta vs Lexapro for depression or anxiety, both are highly effective medication options for some people. Research suggests that Lexapro might be better tolerated and more effective when treating depression on a short-term plan.

Is Cymbalta activating or sedating? ›

Based on how the drug works, some people find Cymbalta to be “activating” and makes them feel energized. If this is how Cymbalta works for you, taking your dose in the morning may help ease insomnia. On the other hand, if you find that taking Cymbalta makes you sleepy, you can try taking your dose at night.

What is the strongest drug for nerve pain? ›

Anticonvulsants are one of the most effective medications for treating nerve pain. Examples include pregabalin (Lyrica) and gabapentin (Neurontin). These medications are typically very effective in treating nerve pain, but they may also cause undesired side effects, such as: lethargy.

What is the downside of Cymbalta? ›

Downsides

Drowsiness, insomnia, nausea, headache, dry mouth, constipation, and dizziness. Most people experience side effects with Cymbalta and one in six people stop taking the drug because of them. Severe skin reactions and urinary retention have also been reported with Cymbalta.

Is Cymbalta a well tolerated drug? ›

Duloxetine is safe, effective, and well-tolerated at doses comprised between 60 and 120 mg/day, even in elderly patients or in those with concomitant illnesses.

Is Cymbalta similar to Xanax? ›

Both Cymbalta and Xanax can be used to treat generalized anxiety disorder (GAD). In certain situations, your doctor may prescribe Cymbalta in combination with Xanax. This is because it can take several weeks for Cymbalta to ease the symptoms of anxiety.

What drugs interact badly with Cymbalta? ›

Examples of affected drugs include antiarrhythmic drugs (such as propafenone, flecainide, quinidine), antipsychotics (such as thioridazine), tricyclic antidepressants (such as desipramine, imipramine), among others. Taking MAO inhibitors with this medication may cause a serious (possibly fatal) drug interaction.

What does it feel like to be on Cymbalta? ›

Common side effects include nausea, dry mouth, and drowsiness. Some people who take it describe feeling “more grounded” and in control of their emotions. Others say the medication numbed their feelings more than they expected.

What not to mix with tramadol? ›

Some recreational drugs, such as cannabis, will also increase tramadol side effects such as feeling sleepy and dizzy. If you take MDMA (ecstasy), cocaine, amphetamines or LSD while taking tramadol, you may develop a condition called serotonin syndrome.

What opioid is most similar to tramadol? ›

Because tramadol and hydrocodone are both opioid drugs, they share similar side effects.

What pill is the same as tramadol? ›

You may have heard the names Ultram and tramadol within the context of opioid-like prescription painkillers and wondered is Ultram the same as tramadol? Yes, Ultram is the same as tramadol. Ultram is the brand name of the generic drug tramadol.

What drug is structurally similar to tramadol? ›

Tramadol is a centrally acting μ-opioid receptor agonist and SNRI (serotonin/norepinephrine reuptake-inhibitor) that is structurally related to codeine and morphine.

What other opioids are like tramadol? ›

Tramadol (Ultram) and codeine are both opiates and narcotics prescribed for moderate pain. Codeine is also a cough suppressant. Codeine is derived from the poppy plant like other narcotics, including morphine, heroin, and opium. Tramadol, on the other hand, is synthetic, though it is similar to codeine.

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