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Cymbalta

Duloxetine

An oral daily medication used to treat depression, anxiety, neuropathic pain, and fibromyalgia.

Generic name
Duloxetine
Brand name
Cymbalta
Marketed by
Eli Lilly
First FDA approval
3 Aug 2004

Where Duloxetine is approved

All regulators →

Of the three regulators tracked here, the first to approve Duloxetine was the US, on 3 Aug 2004. It is approved in 3 of the 3 regulators tracked here.

USUnited States (FDA)
3 Aug 2004
Cymbalta
NDA021427 on Drugs@FDA
First original NDA/BLA approval
EUEuropean Union (EMA)
11 Aug 2004
Yentreve
EMA product page
First centralised authorisation
CACanada (Health Canada)
1 Nov 2007
Cymbalta
Notice of Compliance 9163
First new-drug NOC

From the regulators' own registers: FDA Drugs@FDA, the EMA medicines list and Health Canada's Notice of Compliance database. Dates are the first listed approval of a product containing only this substance; combination products and nationally authorised EU medicines are not counted.

Duloxetine patents and exclusivity

Expiry tracker →

Protections still running for marketed products containing Duloxetine, as listed by the regulators. Expired patents and exclusivities, and discontinued products, are not shown.

US FDA Orange Book Drizalma Sprinkle, Duloxetine Hydrochloride
  • 6 listed patents; the last listed expires 13 Jan 2046 (US 12721817).
See the Orange Book listing for NDA 212516
Patents and exclusivities above are pooled across 2 applications for this substance.

Reproduced from the FDA Orange Book and Purple Book (checked 5 Oct 2026) and the European Commission's Union Register of medicinal products (CC BY 4.0; the EU expiry date is calculated exactly as the Commission's register displays it). Listed patents and dates are as submitted to or published by the regulator and may not reflect litigation, invalidation, settlements, lapsed fees or later extensions. This is not legal advice or a freedom-to-operate opinion, and it does not say when a generic or biosimilar will launch.

What health systems spend on Duloxetine

All medicines →
ENNHS England
£19.2m
5,740,860 items dispensed, Aug 2025 to Jul 2026
+3% on the previous 12 months
Net ingredient cost, community prescriptions
USUS Medicaid
$63.4m
4,180,801 prescriptions in 2025 · Duloxetine, Drizalma Sprinkle, Duloxetine
+18% on 2024
Amount Medicaid reimbursed, before rebates

From NHSBSA Prescription Cost Analysis (Open Government Licence v3.0) and CMS State Drug Utilization Data. Both are gross amounts: neither system publishes its discounts or rebates per drug. Products combining several substances are not counted here.

How Duloxetine works

All drug targets →
  • Serotonin transporter inhibitor Inhibitor
    Target: SLC6A4 solute carrier family 6 member 4
    ✓ In ChEMBL and the Guide to Pharmacology
  • Norepinephrine transporter inhibitor Inhibitor
    Target: SLC6A2 solute carrier family 6 member 2
    ✓ In ChEMBL and the Guide to Pharmacology
Diseases it has been tested for in clinical trials, by furthest phase
  • Cognitive impairmentPhase 3
  • Knee painPhase 3
  • Low back painPhase 3
  • PainPhase 3
  • Parkinson diseasePhase 3
  • Urinary incontinencePhase 3
  • Biliary dyskinesiaPhase 3
  • Burning mouth syndromePhase 3
  • FibromyalgiaPhase 3
  • Generalized anxiety disorderPhase 3
29 diseases in all

Mechanisms and diseases from ChEMBL via the Open Targets Platform (release 26.09), ChEMBL record CHEMBL1175, CC BY-SA 3.0. Targets checked against the IUPHAR/BPS Guide to PHARMACOLOGY (2026.3), ligand 202, CC BY-SA 4.0. Trial phases are not approvals: approved uses are shown from the regulators' own records where we hold them.

Patient leaflets for Duloxetine

The package leaflet is the official guide for patients that comes with every medicine. These links go to the regulators that publish it.

Leaflets differ between brands and countries; always read the one that comes with your own medicine. This is regulatory information, not medical advice.

Reference identifiers for Duloxetine

ATC code
N06AX21
ChEMBL
CHEMBL1175
DrugBank
DB00476
PubChem CID
60835
CAS number
116539-59-4
FDA UNII
O5TNM5N07U
Wikidata
Q411932
Wikipedia
Duloxetine

Codes that identify this medicine in other databases, from Wikidata (CC0), matched by its ChEMBL ID. The ATC code is the WHO classification of what the medicine is used for.

What Cymbalta is used for

Duloxetine (Cymbalta) is an oral daily medication used to treat depression, anxiety, neuropathic pain, and fibromyalgia. It belongs to the SNRI class.

Compare Cymbalta with

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How this page is built

The facts on this page are pulled directly from official U.S. FDA datasets — they are not written from memory. Each field below names the dataset it came from, so you can check it yourself.

Plain-English summaries and drug-class explainers are written and reviewed by Sreepriya Prasannan (MSc Digital Transformation of Life Sciences (Innopharma Education / Griffith College); MSc & BSc Botany). Data is retrieved automatically from the sources above and cross-checked with AI-assisted verification (Anthropic's Claude) — brand and generic names are matched against the exact FDA product record so that a combination product or a different formulation cannot be mistaken for the drug on this page. An editor reviews the result before publication. We describe this in full in our editorial standards and corrections policy. The FDA data on this page was last retrieved on 6 Oct 2026. How every register is built: methodology · fixes we have made: corrections log.

Please verify before you rely on this. This page is general information for life-science and pharmaceutical professionals. It is not medical advice, and it has not been reviewed by a clinician — our editorial team holds life-science qualifications, not clinical ones. It is not exhaustive and may not reflect the most recent label change. Always check the official prescribing information (US Prescribing Information or EU SmPC) and speak to your doctor or pharmacist before acting on anything here. Drugs in the same class are not automatically interchangeable, and approvals, brand names and indications differ between the US, the EU/Ireland (EMA/HPRA) and other regions. Spotted an error? Tell us — we correct promptly and log it.