Different classes. Lovan is a serotonin reuptake inhibitor while Cymbalta (duloxetine) is a norepinephrine and serotonin reuptake inhibitor. Both are used for major depression but Cymbalta (duloxetine) has been used for depression with chronic pain issues. They are chosen depending presenting symptoms.
Anti-depressant meds I have been on anti-depressants previously. In 2006-2008 I was on wellbrutin, then prozac, then cymbalta (duloxetine). I am depressed again - would the last med (cymbalta (duloxetine)) I took be the best choice at this time.
When . When a psychiatrist selects an antidepressant to offer you, they will normally take your previous medication history into account. The doctor will often suggest whichever antidepressant was the most beneficial in the past. However, one episode of depression can be different from a subsequent one. Here in new england, it is not uncommon to get atypical depression with low energy, low sex drive, low motivation, big appetite and carbohydrate craving. Those types of depressive symptoms might respond well to wellbutrin which you previously took. Lets say you have depression with lots of anxiety, and it is hard for you to eat or to sleep, those type of symptoms might respond well to Prozac which you were also previously prescribed. Cymbalta (duloxetine) is a great medication and if you have particular types of chronic pain, it might hit two birds with one stone. The doctor also might take expense into account. An antidepressant that comes in a generic form like Prozac is likely to be less expensive. So bottom line - it depends. Read more...