{"id":631294,"date":"2025-02-06T19:29:08","date_gmt":"2025-02-07T00:29:08","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=631294"},"modified":"2025-10-17T17:08:25","modified_gmt":"2025-10-17T21:08:25","slug":"duloxetine-alternatives","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/duloxetine-alternatives\/","title":{"rendered":"Duloxetine alternatives: What can I take instead of duloxetine?"},"content":{"rendered":"<p><a href=\"https:\/\/www.singlecare.com\/prescription\/duloxetine-hcl\"><span style=\"font-weight: 400;\">Duloxetine<\/span><\/a><span style=\"font-weight: 400;\"> is a generic prescription medication used to treat depression, anxiety disorders, chronic musculoskeletal pain, fibromyalgia, and nerve pain associated with diabetes mellitus. This medicine is also available as a brand-name medicine called <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/duloxetine-hcl?q=Duloxetine\"><span style=\"font-weight: 400;\">Cymbalta<\/span><\/a><span style=\"font-weight: 400;\">. Duloxetine is available as oral capsules and sprinkle capsules (<\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/drizalma-sprinkle\"><span style=\"font-weight: 400;\">Drizalma Sprinkle<\/span><\/a><span style=\"font-weight: 400;\">). This medication belongs to a drug class called serotonin-norepinephrine reuptake inhibitors (<\/span><a href=\"https:\/\/www.singlecare.com\/drug-classes\/snris\"><span style=\"font-weight: 400;\">SNRIs)<\/span><\/a><span style=\"font-weight: 400;\">. SNRIs increase the neurotransmitters in the brain, serotonin and norepinephrine, and help regulate mood, pain, and attention. Some SNRIs, like duloxetine, can also increase the neurotransmitter dopamine, which helps with motivation and energy.<\/span><\/p>\n<p><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/blog\/duloxetine-without-insurance\/\"><b>How much is duloxetine without insurance?<\/b><\/a><\/p>\n<h2 id=\"what-can-i-take-in-place-of-duloxetine\"><span style=\"font-weight: 400;\">What can I take in place of duloxetine?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">While an effective treatment for some people, duloxetine may not be the best and safest pharmacological treatment for everyone treating mental health conditions (such as <\/span><a href=\"https:\/\/www.singlecare.com\/conditions\/anxiety-treatment-and-medications\"><span style=\"font-weight: 400;\">anxiety<\/span><\/a><span style=\"font-weight: 400;\"> or depression) or a pain condition (such as nerve pain or <\/span><a href=\"https:\/\/www.singlecare.com\/conditions\/fibromyalgia-treatment-and-medications\"><span style=\"font-weight: 400;\">fibromyalgia<\/span><\/a><span style=\"font-weight: 400;\">). Common <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/cymbalta-side-effects\/\"><span style=\"font-weight: 400;\">side effects of duloxetine<\/span><\/a><span style=\"font-weight: 400;\"> include drowsiness, headache, fatigue, dry mouth, nausea, decreased appetite, and weight loss. This medication may worsen hypertension (high blood pressure) and cause changes in heart rate, so it should be used with caution in people with other cardiovascular conditions. Like many other antidepressants, duloxetine may cause <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/serotonin-syndrome-symptoms\/\"><span style=\"font-weight: 400;\">serotonin syndrome<\/span><\/a><span style=\"font-weight: 400;\">, a potentially life-threatening syndrome that occurs when there&#8217;s too much serotonin in the body.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">There are other options available to treat depression and other pain conditions that do not improve with duloxetine. Depending on the condition, these alternative medications can include other SNRIs, selective serotonin reuptake inhibitors (SSRIs), atypical antidepressants, tricyclic antidepressants (TCAs), and monoamine oxidase inhibitors (MAOIs). Some pain condition treatment options include Lyrica (pregabalin), Neurontin (gabapentin), or cyclobenzaprine. These options may be more suitable for certain individuals due to their different uses, side effect profiles, and dosages.<\/span><\/p>\n<table class=\" singlecare-table\">\n<thead>\n<tr>\n<th><span class=\"title\">Compare duloxetine alternatives<\/span><\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr class=\"header-row\">\n<td><b>Drug name<\/b><\/td>\n<td><b>Uses<\/b><\/td>\n<td><b>Dosage<\/b><\/td>\n<td><b>Savings options<\/b><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Cymbalta (duloxetine)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">-Generalized anxiety disorder<\/span><\/p>\n<p><span style=\"font-weight: 400;\">-Major depressive disorder (unipolar)<\/span><\/p>\n<p><span style=\"font-weight: 400;\">-Chronic musculoskeletal pain<\/span><\/p>\n<p><span style=\"font-weight: 400;\">-Fibromyalgia<\/span><\/p>\n<p><span style=\"font-weight: 400;\">-Neuropathic pain associated with diabetes mellitus<\/span><\/p>\n<p><span style=\"font-weight: 400;\">-Migraine prevention<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Take 60 to 120 mg by mouth once daily<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/cymbalta\"><span style=\"font-weight: 400;\">Cymbalta coupons<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Celexa<\/span><\/p>\n<p><span style=\"font-weight: 400;\">(citalopram)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">-Major depressive disorder (unipolar)<\/span><\/p>\n<p><span style=\"font-weight: 400;\">-Generalized anxiety disorder<\/span><\/p>\n<p><span style=\"font-weight: 400;\">-Panic disorder<\/span><\/p>\n<p><span style=\"font-weight: 400;\">-Post-traumatic stress disorder (PTSD)<\/span><\/p>\n<p><span style=\"font-weight: 400;\">-Binge eating disorder<\/span><\/p>\n<p><span style=\"font-weight: 400;\">-Obsessive-compulsive disorder (OCD)<\/span><\/p>\n<p><span style=\"font-weight: 400;\">-Vasomotor symptoms associated with menopause<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Take 10 to 40 mg by mouth once daily<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/celexa\"><span style=\"font-weight: 400;\">Celexa <\/span><span style=\"font-weight: 400;\">coupons<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Cyclobenzaprine<\/span><\/td>\n<td><span style=\"font-weight: 400;\">-Muscle spasm<\/span><\/p>\n<p><span style=\"font-weight: 400;\">-Fibromyalgia<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Take 5 to 30 mg by mouth per day<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/cyclobenzaprine-hcl\"><span style=\"font-weight: 400;\">Cyclobenzaprine coupons<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Effexor\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">(venlafaxine)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">-Generalized anxiety disorder\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">-Major depressive disorder (unipolar)<\/span><\/p>\n<p><span style=\"font-weight: 400;\">-Panic disorder<\/span><\/p>\n<p><span style=\"font-weight: 400;\">-Social anxiety disorder<\/span><\/p>\n<p><span style=\"font-weight: 400;\">-Migraine prevention<\/span><\/p>\n<p><span style=\"font-weight: 400;\">-Neuropathic pain associated with diabetes mellitus<\/span><\/p>\n<p><span style=\"font-weight: 400;\">-Obsessive-compulsive disorder (OCD)<\/span><\/p>\n<p><span style=\"font-weight: 400;\">-Post-traumatic stress disorder<\/span><\/p>\n<p><span style=\"font-weight: 400;\">-Premenstrual dysphoric disorder<\/span><\/p>\n<p><span style=\"font-weight: 400;\">-Vasomotor symptoms associated with menopause<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Take 37.5 mg to 225 mg by mouth once daily<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/effexor-xr\"><span style=\"font-weight: 400;\">Effexor <\/span><span style=\"font-weight: 400;\">coupons<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Fetzima (levomilnacipran)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">-Major depressive disorder\u00a0<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Take 40 to 120 mg by mouth once daily<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/fetzima\"><span style=\"font-weight: 400;\">Fetzima <\/span><span style=\"font-weight: 400;\">coupons<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Lyrica<\/span><\/p>\n<p><span style=\"font-weight: 400;\">(pregabalin)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">-Fibromyalgia<\/span><\/p>\n<p><span style=\"font-weight: 400;\">-Neuropathic pain associated with diabetic peripheral neuropathy and spinal cord injury<\/span><\/p>\n<p><span style=\"font-weight: 400;\">-Postherpetic neuralgia<\/span><\/p>\n<p><span style=\"font-weight: 400;\">-Focal onset seizures<\/span><\/p>\n<p><span style=\"font-weight: 400;\">-Generalized anxiety disorders<\/span><\/p>\n<p><span style=\"font-weight: 400;\">-Restless leg syndrome<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Take 75 to 600 mg by mouth in divided doses per day<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/lyrica\"><span style=\"font-weight: 400;\">Lyrica <\/span><span style=\"font-weight: 400;\">coupons<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Neurontin (gabapentin)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">-Postherpetic neuralgia<\/span><\/p>\n<p><span style=\"font-weight: 400;\">-Partial onset seizures<\/span><\/p>\n<p><span style=\"font-weight: 400;\">-Fibromyalgia<\/span><\/p>\n<p><span style=\"font-weight: 400;\">-Generalized anxiety disorder<\/span><\/p>\n<p><span style=\"font-weight: 400;\">-Neuropathic pain<\/span><\/p>\n<p><span style=\"font-weight: 400;\">-Panic disorder<\/span><\/p>\n<p><span style=\"font-weight: 400;\">-Depression<\/span><\/p>\n<p><span style=\"font-weight: 400;\">-Vasomotor symptoms associated with menopause<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Take 300 mg to 1,800 mg by mouth daily in divided doses<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/neurontin\"><span style=\"font-weight: 400;\">Neurontin coupons<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Pristiq (<a href=\"https:\/\/www.singlecare.com\/prescription\/desvenlafaxine-er\/what-is\">desvenlafaxine<\/a>)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">-Major depressive disorder\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">-Vasomotor symptoms associated with menopause<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Take 50 to 100 mg by mouth once daily<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/pristiq\"><span style=\"font-weight: 400;\">Pristiq <\/span><span style=\"font-weight: 400;\">coupons<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Prozac\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">(fluoxetine)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">-Major depressive disorder (unipolar)<\/span><\/p>\n<p><span style=\"font-weight: 400;\">-Panic disorder<\/span><\/p>\n<p><span style=\"font-weight: 400;\">-Bipolar disorder<\/span><\/p>\n<p><span style=\"font-weight: 400;\">-Obsessive-compulsive disorder (OCD)<\/span><\/p>\n<p><span style=\"font-weight: 400;\">-Bulimia nervosa<\/span><\/p>\n<p><span style=\"font-weight: 400;\">-Premenstrual dysphoric disorder<\/span><\/p>\n<p><span style=\"font-weight: 400;\">-Generalized anxiety disorder<\/span><\/p>\n<p><span style=\"font-weight: 400;\">-Post-traumatic stress disorder (PTSD)<\/span><\/p>\n<p><span style=\"font-weight: 400;\">-Social anxiety disorder<\/span><\/p>\n<p><span style=\"font-weight: 400;\">-Fibromyalgia<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Take 10 to 60 mg by mouth once daily<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/prozac\"><span style=\"font-weight: 400;\">Prozac <\/span><span style=\"font-weight: 400;\">coupons<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Savella\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">(milnacipran)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">-Fibromyalgia<\/span><\/p>\n<p><span style=\"font-weight: 400;\">-Major depressive disorder\u00a0<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Take 50 to 100 mg by mouth twice daily<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/savella\"><span style=\"font-weight: 400;\">Savella <\/span><span style=\"font-weight: 400;\">coupons<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Wellbutrin (bupropion)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">-Major depressive disorder (unipolar)<\/span><\/p>\n<p><span style=\"font-weight: 400;\">-Seasonal affective disorder<\/span><\/p>\n<p><span style=\"font-weight: 400;\">-Smoking cessation<\/span><\/p>\n<p><span style=\"font-weight: 400;\">-Bipolar disorder<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Take 100 to 450 mg by mouth per day in divided doses for 12-hour formulations and once daily for 24-hour formulations<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/wellbutrin-xl\"><span style=\"font-weight: 400;\">Wellbutrin coupons<\/span><\/a><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Zoloft<\/span><\/p>\n<p><span style=\"font-weight: 400;\">(sertraline)<\/span><\/td>\n<td><span style=\"font-weight: 400;\">-Major depressive disorder (unipolar)<\/span><\/p>\n<p><span style=\"font-weight: 400;\">-Panic disorder<\/span><\/p>\n<p><span style=\"font-weight: 400;\">-Obsessive-compulsive disorder (OCD)<\/span><\/p>\n<p><span style=\"font-weight: 400;\">-Post-traumatic stress disorder (PTSD)<\/span><\/p>\n<p><span style=\"font-weight: 400;\">-Social anxiety disorder<\/span><\/p>\n<p><span style=\"font-weight: 400;\">-Premenstrual dysphoric disorder<\/span><\/p>\n<p><span style=\"font-weight: 400;\">-Generalized anxiety disorder<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Take 25 to 200 mg by mouth once daily<\/span><\/td>\n<td><a class=\"cta-button\" href=\"https:\/\/www.singlecare.com\/prescription\/zoloft\"><span style=\"font-weight: 400;\">Zoloft <\/span><span style=\"font-weight: 400;\">coupons<\/span><\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3 id=\"other-alternatives-to-duloxetine\"><span style=\"font-weight: 400;\">Other alternatives to duloxetine<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Other alternatives for treating depression include SSRIs, atypical antidepressants, TCAs, and MAOIs.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Selective Serotonin Reuptake Inhibitors (SSRIs):<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Lexapro (escitalopram)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Luvox (fluvoxamine)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Paxil (paroxetine)<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Atypical Antidepressants:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Remeron (mirtazapine)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Trazodone<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Trintellix (vortioxetine)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Viibryd (vilazodone)<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Tricyclic Antidepressants (TCAs):<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Amitriptyline<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Doxepin<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Imipramine<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Norpramin (desipramine)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Pamelor (nortriptyline)<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Monoamine Oxidase Inhibitors (MAOIs):<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Emsam (selegiline)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Marplan (isocarboxazid)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Nardil (phenelzine)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Parnate (tranylcypromine)<\/span><\/li>\n<\/ul>\n<h2 id=\"top-5-duloxetine-alternatives\"><span style=\"font-weight: 400;\">Top 5 duloxetine alternatives<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">The following are some of the most common alternatives to duloxetine.<\/span><\/p>\n<h3 id=\"1-effexor-venlafaxine\"><span style=\"font-weight: 400;\">1. Effexor (venlafaxine)<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Effexor is a brand-name antidepressant that is also available as a generic called venlafaxine. <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/effexor-xr\/what-is\"><span style=\"font-weight: 400;\">Effexor<\/span><\/a><span style=\"font-weight: 400;\"> is similar to duloxetine as they are both SNRI antidepressants. Venlafaxine can treat depression and anxiety disorders. It can also be used <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/off-label-prescription-drugs\/\"><span style=\"font-weight: 400;\">off-label<\/span><\/a><span style=\"font-weight: 400;\"> for several conditions, including nerve pain associated with diabetes mellitus, migraine prevention, and symptoms of menopause. The drug therapy <\/span><a href=\"https:\/\/www.healthquality.va.gov\/guidelines\/MH\/mdd\/VADoDMDDCPGFinal508.pdf\"><span style=\"font-weight: 400;\">recommendations<\/span><\/a><span style=\"font-weight: 400;\"> to treat depression usually prefer treatment with an SNRI or an SSRI as they are generally well tolerated and have good safety profiles. Even though venlafaxine is used off-label for diabetic neuropathy (nerve pain), the <\/span><a href=\"https:\/\/diabetesjournals.org\/care\/article\/40\/1\/136\/37160\/Diabetic-Neuropathy-A-Position-Statement-by-the\"><span style=\"font-weight: 400;\">American Diabetes Association<\/span><\/a><span style=\"font-weight: 400;\"> recommends venlafaxine as a suitable treatment option for pain associated with distal symmetric polyneuropathy, the most common subtype of peripheral neuropathy (damaged nerves in hands, feet or arms). Venlafaxine can be taken once a day or two to three times a day, depending on the formulation. Some common side effects include nausea, decreased appetite, dry mouth, increased sweating, dizziness, drowsiness, and trouble sleeping. Venlafaxine may be a suitable alternative for those who have not had improvement with duloxetine.<\/span><\/p>\n<p><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/blog\/cymbalta-vs-effexor\/\"><b>Cymbalta vs. Effexor: Differences, similarities, and which is better for you<\/b><\/a><\/p>\n<h3 id=\"2-savella-milnacipran\"><span style=\"font-weight: 400;\">2. Savella (milnacipran)<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Savella is currently only available as a brand-name medication that is also an SNRI. <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/savella\/what-is\"><span style=\"font-weight: 400;\">Savella<\/span><\/a><span style=\"font-weight: 400;\"> is FDA-approved to treat <\/span><a href=\"https:\/\/www.singlecare.com\/conditions\/fibromyalgia-symptoms\"><span style=\"font-weight: 400;\">fibromyalgia<\/span><\/a><span style=\"font-weight: 400;\"> (a chronic pain condition) and can be used off-label for depression. However, Savella is unique because it is more selective for norepinephrine than serotonin. While both of these chemicals affect pain signals, the overall clinical advantage of Savella over medications like duloxetine and venlafaxine is not yet known. The <\/span><a href=\"https:\/\/rheumatology.org\/patients\/fibromyalgia\"><span style=\"font-weight: 400;\">American College of Rheumatology<\/span><\/a><span style=\"font-weight: 400;\"> states Savella is a commonly used treatment for fibromyalgia as it can ease widespread pain. Savella is typically taken twice a day and may cause nausea, headache, constipation, and insomnia. This may be a well-suited alternative for those treating fibromyalgia and depression.<\/span><\/p>\n<h3 id=\"3-prozac-fluoxetine\"><span style=\"font-weight: 400;\">3. Prozac (fluoxetine)<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Prozac is a brand-name antidepressant that is conveniently available as a generic drug called fluoxetine. <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/prozac\/what-is\"><span style=\"font-weight: 400;\">Prozac<\/span><\/a><span style=\"font-weight: 400;\"> belongs to the other commonly used class of antidepressants called SSRIs. Like duloxetine, Prozac can be used for depression and fibromyalgia. In addition, Prozac is used for several other conditions, including bipolar disorder, bulimia nervosa, panic disorder, and <\/span><a href=\"https:\/\/www.singlecare.com\/conditions\/ocd-symptoms\"><span style=\"font-weight: 400;\">obsessive-compulsive disorder (OCD)<\/span><\/a><span style=\"font-weight: 400;\">. SSRIs are one of the preferred groups of medications for treating depression. While SSRIs like Prozac are not typically used first for treating fibromyalgia, Prozac has been shown to reduce pain, depression, fatigue, and overall symptoms in people with fibromyalgia. Like duloxetine, fluoxetine is conveniently taken once a day. Possible adverse effects include diarrhea, nausea, dry mouth, drowsiness, headache, insomnia, and sexual dysfunction. Prozac may be a useful alternative for those who haven\u2019t had success with duloxetine.<\/span><\/p>\n<p><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/blog\/fluoxetine-without-insurance\/%E2%80%A8\"><b>How much is fluoxetine without insurance?<\/b><\/a><\/p>\n<h3 id=\"4-celexa-citalopram\"><span style=\"font-weight: 400;\">4. Celexa (citalopram)<\/span><\/h3>\n<p><a href=\"https:\/\/www.singlecare.com\/prescription\/celexa\/what-is\"><span style=\"font-weight: 400;\">Celexa<\/span><\/a><span style=\"font-weight: 400;\"> is a brand-name antidepressant that is also available as a generic medication called citalopram. This antidepressant is similar to Prozac as they are both SSRIs. Citalopram is commonly used for not only depression but a variety of other off-label conditions, including anxiety disorders, binge eating disorder, OCD, and <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/what-is-ptsd\/\"><span style=\"font-weight: 400;\">post-traumatic stress disorder (PTSD)<\/span><\/a><span style=\"font-weight: 400;\">. Healthcare providers widely prescribe citalopram, and is generally well-tolerated. Like other antidepressants, citalopram takes a few weeks to start noticing improvement (typically about 4 to 6 weeks). Citalopram is conveniently taken just once per day, and common side effects include nausea, dry mouth, drowsiness, and increased sweating. Citalopram may be a well-suited alternative for those who have tried an SNRI like duloxetine and had no improvement.<\/span><\/p>\n<p><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/blog\/celexa-side-effects\/\"><b>Celexa side effects and how to avoid them<\/b><\/a><\/p>\n<h3 id=\"5-lyrica-pregabalin\"><span style=\"font-weight: 400;\">5. Lyrica (pregabalin)<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Lyrica is an anti-seizure medication also available as a generic medicine called pregabalin. While <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/lyrica\/what-is\"><span style=\"font-weight: 400;\">Lyrica<\/span><\/a><span style=\"font-weight: 400;\"> is used to treat certain types of seizures, it is also commonly used for certain pain conditions. Lyrica can help manage fibromyalgia and nerve pain associated with diabetes, shingles, and spinal cord injury. The use of Lyrica in these pain conditions is well supported in clinical guidelines. The <\/span><a href=\"https:\/\/diabetesjournals.org\/care\/article\/40\/1\/136\/37160\/Diabetic-Neuropathy-A-Position-Statement-by-the\"><span style=\"font-weight: 400;\">American Diabetes Association<\/span><\/a><span style=\"font-weight: 400;\"> recommends Lyrica for diabetic nerve pain as it can improve pain symptoms. While the <\/span><a href=\"https:\/\/rheumatology.org\/patients\/fibromyalgia\"><span style=\"font-weight: 400;\">American College of Rheumatology<\/span><\/a><span style=\"font-weight: 400;\"> includes Lyrica as a helpful fibromyalgia medication for pain relief. Depending on the dose formulation, Lyrica is typically taken once to three times per day. Common Lyrica side effects include dizziness, drowsiness, fatigue, headache, weight gain, dry mouth, and swelling in arms and legs (peripheral edema). Lyrica may be a suitable alternative for those with fibromyalgia or a nerve pain condition.<\/span><\/p>\n<p><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/blog\/news\/fda-approves-generic-lyrica\/\"><b>9 generic versions of Lyrica now available at lower costs for patients<\/b><\/a><\/p>\n<h2 id=\"natural-alternatives-to-duloxetine\"><span style=\"font-weight: 400;\">Natural alternatives to duloxetine<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Alternative remedies for duloxetine depend on the condition being treated. For depression, natural alternatives include therapy and lifestyle changes. Other remedies for fibromyalgia include exercise and changes in habits.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">When managing depression, it\u2019s important to regularly participate in activities that help overall well-being. These activities can include walking, swimming, dancing, and exercising outdoors. It\u2019s also important to maintain a healthy lifestyle by eating a healthy diet, limiting alcohol intake, and getting regular sleep. Individual and group mindfulness-based cognitive therapy can help people increase their awareness and recognition of thoughts and feelings rather than changing them.<\/span><\/p>\n<p><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/blog\/exercise-and-chronic-disease\/\"><b>6 health conditions that exercise prevents<\/b><\/a><\/p>\n<p><span style=\"font-weight: 400;\">The American College of Rheumatology stresses the importance of <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/self-care-checklist\/\"><span style=\"font-weight: 400;\">self-care<\/span><\/a><span style=\"font-weight: 400;\"> when managing fibromyalgia. Regular exercise is important, but start off slow and easy. Recommended activities include walking, stretching, yoga, and swimming. Rest and relaxation, which can include deep breathing or meditation techniques, are additional parts of self-care.<\/span><\/p>\n<h2 id=\"how-to-switch-to-a-duloxetine-alternative\"><span style=\"font-weight: 400;\">How to switch to a duloxetine alternative<\/span><\/h2>\n<h3 id=\"1-discuss-all-health-conditions-with-a-healthcare-provider\"><span style=\"font-weight: 400;\">1. Discuss all health conditions with a healthcare provider<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">A healthcare provider must be aware of all medical history and conditions before switching from duloxetine to an alternative medication. Certain alternatives should be used with caution or avoided with some medical conditions.<\/span><\/p>\n<h3 id=\"2-do-not-suddenly-stop-taking-duloxetine-without-medical-advice\"><span style=\"font-weight: 400;\">2. Do not suddenly stop taking duloxetine without medical advice<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Duloxetine may cause withdrawal symptoms if suddenly discontinued. It\u2019s important only to stop taking duloxetine if the prescribing healthcare provider has given instructions to stop the medication. As a medication that affects the central nervous system (CNS), many withdrawal symptoms impact this area of the body. Withdrawal symptoms may include dizziness, nausea, headache, vomiting, and irritability. It\u2019s recommended to gradually reduce the duloxetine dose to no less than two weeks before discontinuing the medicine.<\/span><\/p>\n<h3 id=\"3-discuss-all-prescription-and-over-the-counter-medications-with-a-healthcare-provider\"><span style=\"font-weight: 400;\">3. Discuss all prescription and over-the-counter medications with a healthcare provider<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">A healthcare provider must review a complete medication list, including prescription drugs, OTC (over-the-counter) medications, and supplements. This should be done before switching from duloxetine to an alternative medication and with any other medication changes, as certain alternatives have dangerous drug interactions that must be avoided.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Duloxetine is a generic prescription medication used to treat depression, anxiety disorders, chronic musculoskeletal pain, fibromyalgia, and nerve pain associated with diabetes mellitus. This medicine is also available as a brand-name medicine called Cymbalta. Duloxetine is available as oral capsules and sprinkle capsules (Drizalma Sprinkle). This medication belongs to a drug class called serotonin-norepinephrine reuptake [&hellip;]<\/p>\n","protected":false},"author":137,"featured_media":631295,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[4589],"tags":[451],"coauthors":[20740],"class_list":["post-631294","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-drug-info","tag-depression","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Duloxetine alternatives and how to switch your Rx<\/title>\n<meta name=\"description\" content=\"Effexor, Savella, Prozac, Celexa, and Lyrica are some duloxetine alternatives. 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