Reported Reactions

Drugs › Serotonin and norepinephrine reuptake inhibitor

Brand name · Duloxetine hydrochloride

Cymbalta: adverse event reports filed with FDA

52,279 reports list it as a suspect or interacting product, 2004–2026. Class: Serotonin and norepinephrine reuptake inhibitor. Also reported as Cymbalta Capsule, Cymbalta 60mg, Cymbalta 30mg.

52,279
reports as suspect product
0.3% of all reports · about 2,395 a year
346
reports, 12 months to June 2026
412 in the 12 months before
52.3%
marked serious by the reporter
66.4% across the class
3%
record death among outcomes, as reported
1,589 reports · not verified by FDA

52,279 adverse event reports received by FDA list the brand name Cymbalta (duloxetine hydrochloride) as a suspect or interacting product, from September 2004 to June 2026. A further 69,250 reports list it only as a concomitant medication, and those are not counted in the figures on this page.

In the 12 months to June 2026, 346 reports listed it, down 16% from 412 in the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Over its reporting history that is about 2,395 reports a year and 0.3% of the 20,646,523 reports in the database, and 30.6% of the reports for the serotonin and norepinephrine reuptake inhibitor class. How many people take it is not in the data, so a count is not a rate of occurrence.

The MedDRA terms listed most often are nausea (14.8%), dizziness (14.3%) and drug withdrawal syndrome (14%). A report can list several reactions, so shares add to more than 100%; 2,717 different terms appear across these reports. Nausea is recorded in 14.8% of these reports, a larger share than in the median serotonin and norepinephrine reuptake inhibitor drug (8.4%).

52.3% of the reports are marked serious by the reporter (66.4% across the class); 3% record death among the outcomes and 18% record hospitalisation, as reported. 57.7% of the reports came from consumers, and the largest patient age group is 45 to 64 (25.4%). FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event."

Reports by month, five years

055109Jul 2021: 55Aug 2021: 78Sep 2021: 59Oct 2021: 61Nov 2021: 61Dec 2021: 902022Jan 2022: 39Feb 2022: 45Mar 2022: 71Apr 2022: 109May 2022: 73Jun 2022: 71Jul 2022: 61Aug 2022: 67Sep 2022: 66Oct 2022: 58Nov 2022: 51Dec 2022: 452023Jan 2023: 57Feb 2023: 54Mar 2023: 38Apr 2023: 58May 2023: 44Jun 2023: 36Jul 2023: 34Aug 2023: 63Sep 2023: 50Oct 2023: 56Nov 2023: 37Dec 2023: 432024Jan 2024: 42Feb 2024: 36Mar 2024: 41Apr 2024: 42May 2024: 28Jun 2024: 20Jul 2024: 52Aug 2024: 23Sep 2024: 26Oct 2024: 33Nov 2024: 39Dec 2024: 402025Jan 2025: 37Feb 2025: 38Mar 2025: 27Apr 2025: 20May 2025: 43Jun 2025: 34Jul 2025: 41Aug 2025: 44Sep 2025: 36Oct 2025: 43Nov 2025: 29Dec 2025: 232026Jan 2026: 26Feb 2026: 24Mar 2026: 20Apr 2026: 28May 2026: 21Jun 2026: 11

Reports by the month FDA received them. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases.

By year received

08,65817,3162004: 86620042005: 2,8912006: 2,8062007: 1,83520072008: 1,5372009: 2,2182010: 1,89020102011: 2,0342012: 2,3522013: 1,76720132014: 1,7142015: 17,3162016: 2,57220162017: 3,2992018: 1,2452019: 1,62820192020: 1,1532021: 8632022: 75620222023: 5702024: 4222025: 41520252026: 130

2026 covers reports received through June 2026 only.

Reactions recorded in the reports

share of Cymbalta reports recording the termmedian drug in serotonin and norepinephrine reuptake inhibitor

  1. Nauseafeeling sick14.8%7,758
  2. Dizzinesslight-headedness or unsteadiness14.3%7,478
  3. Drug withdrawal syndromesymptoms on stopping a medicine14%7,331
  4. Insomniadifficulty sleeping11.1%5,814
  5. Headachehead pain10.8%5,649
  6. Fatiguetiredness10.6%5,523
  7. Paraesthesiatingling or pins and needles10.1%5,304
  8. Anxietyanxiety9.7%5,053
  9. Suicidal ideationthoughts of suicide8%4,174
  10. Hyperhidrosisexcessive sweating7.8%4,084
  11. Agitationrestlessness7.3%3,813
  12. Drug ineffectivethe medicine did not work as expected7.2%3,785
  13. Irritabilityirritability7.2%3,746
  14. Feeling abnormalfeeling odd or not right7%3,668
  15. Diarrhoealoose or frequent stools6.6%3,436
  16. Depressionlow mood6.2%3,226
  17. Vomitingbeing sick6.2%3,218
  18. Painpain, site not specified6.1%3,200
  19. Confusional stateconfusion6.1%3,187
  20. Vertigoa spinning sensation5.8%3,058
  21. Off label useused for a purpose or in a way not on the label5.7%2,996
  22. Tremorshaking5.2%2,733
  23. Dysphoria4.4%2,306
  24. Somnolencedrowsiness4%2,098
  25. Malaisegeneral feeling of being unwell3.8%2,007
  26. Tinnitusringing in the ears3.5%1,804
  27. Nightmarenightmares3.4%1,792
  28. Lethargysluggishness3.3%1,736
  29. Sensory disturbancea change in sensation3.1%1,624

Top 30 of 2,717 MedDRA preferred terms recorded across these reports, with a plain-language gloss where one is available. One report can record several terms. The hollow bar is the median share across the 12 drugs in the serotonin and norepinephrine reuptake inhibitor class; it describes the reports, not the patients. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."

Outcomes recorded

Death3%1,589
Life-threatening2.9%1,535
Hospitalisation (initial or prolonged)18%9,434
Disability2%1,042
Congenital anomaly0.4%184
Other serious37.5%19,626
Not serious47.7%24,960

Outcome flags as the reporter set them; a report can carry several, and "other serious" is FDA's own category for serious reports outside the named outcomes. Grey bar: all 171,115 reports in the class. FDA has not verified any outcome and states that the reports "cannot be used to estimate the incidence of these events."

Patients and reporters

Patient age

Under 20.3%135
2 to 110.1%64
12 to 170.6%310
18 to 4417.4%9,101
45 to 6425.4%13,300
65 to 747.2%3,765
75 and over6%3,123
Age not given43%22,481

Patient sex

Female70.5%36,859
Male24%12,559
Not given5.5%2,861

Who reported

Physician25.1%13,118
Pharmacist2.8%1,447
Other health professional8.2%4,311
Lawyer1.4%755
Consumer or non-health professional57.7%30,141
Not given4.8%2,507

Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 74.3% of reports give the United States as the country of the event or reporter.

Reason for use recorded

Indication as recorded (MedDRA)ReportsShare
Depression13,08625%
Fibromyalgia2,5744.9%
Pain2,2554.3%
Anxiety1,5923%
Major depression1,5853%
Neuralgia9561.8%

The indication field is filled in by the reporter and is often blank; shares are of all 52,279 reports.

Drugs most often listed in the same reports

Drug (any role in the report)ReportsShare of Cymbalta reports
Lyrica2,9805.7%
Gabapentin1,7213.3%
Bupropion hydrochloride1,2882.5%
Prednisone1,2322.4%
Xanax1,2102.3%
Synthroid1,1392.2%
Neurontin1,1002.1%
Aspirin1,0682%
Abilify1,0191.9%
Prozac9681.9%

Other products listed in reports where Cymbalta is a suspect product, whatever their own role. Co-listing means the two were recorded together; it says nothing about either product's part in the event. Only the 2,500 most-reported names are counted here.

In context

MeasureCymbaltaSerotonin and norepinephrine reuptake inhibitorAll reports
Reports as suspect product52,279171,11520,646,523
Share of that pool—30.6%0.3%
Reports, latest 12 months346—1,332,454
Marked serious52.3%66.4%57.4%
Death recorded among outcomes, per 1,000 reports3010291
Hospitalisation recorded, per 1,000 reports180241213
Consumer-filed share57.7%41.4%45.8%
Top term, share of reportsNausea 14.8%median 8.4%3.8%

Shares are of reports, not of patients treated. The number of people taking a product is not in the data, so none of these figures is a rate, and differences between columns reflect who takes a product, who reports and how long it has been sold. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."

Other drugs in the serotonin and norepinephrine reuptake inhibitor class

DrugName typeReportsLatest 12 monthsMarked serious
Venlafaxinegeneric29,7522,34593.8%
Venlafaxine hydrochloridegeneric19,4641,02680%
Duloxetinegeneric16,1031,52985.5%
Effexorbrand13,0793660.1%
Desvenlafaxine succinategeneric12,4145929.6%
Venlafaxine hclgeneric8,4011567.3%
Duloxetine hydrochloridegeneric8,24578782.5%
Pristiqbrand5,9418141.8%
Savellabrand2,9093429.4%
Desvenlafaxinegeneric1,43613578.9%
Fetzimabrand1,0927553.1%

Ordered by report count for navigation only. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic." A brand and its generic are separate rows because reporters name them separately.

Questions about Cymbalta reports

How many adverse event reports has FDA received for Cymbalta?

52,279 reports list Cymbalta as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 346 of them arrived in the latest 12 months. Another 69,250 list it only as a concomitant medication.

What reactions are recorded in Cymbalta reports?

nausea (14.8%), dizziness (14.3%), drug withdrawal syndrome (14%), insomnia (11.1%) and headache (10.8%). These are MedDRA preferred terms coded from what the reporter described; a report can list several, and a term's presence is not a finding that Cymbalta was responsible.

How serious are the reports?

52.3% are marked serious by the reporter. Among the outcomes recorded, 3% of reports include death and 18% include hospitalisation. FDA has not verified these outcomes and states that the reports "cannot be used to estimate the incidence" of the events.

Who files these reports?

consumer or non-health professional (57.7%), physician (25.1%) and other health professional (8.2%). Most reports reach FDA through the manufacturer, which must forward reports it receives.

Are reports for Cymbalta rising?

346 reports in the 12 months to June 2026, down 16% from 412 in the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Counts also move with how many people take a product, its time on the market and publicity.

Do these reports show that Cymbalta was responsible for these reactions?

No. FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event." The reaction may relate to the condition being treated, to other medicines, or to something else.

Is this a list of the side effects of Cymbalta?

No. It is a count of what was reported to FDA. The adverse reactions observed in clinical studies are printed on the FDA-approved label, which a pharmacist or clinician can go through with you.

How do I report an adverse event?

Consumers and health professionals can report to FDA through MedWatch (Form FDA 3500 online, or 1-800-FDA-1088), or to the manufacturer, which must pass reports on. See the guide on how to report.

Where this comes from. Counts are built from the openFDA Drug Adverse Event (FAERS) bulk export released 28 Sep 2026, which holds reports FDA received through 30 Jun 2026. Drug names are as reported, resolved to the brand or generic name on the FDA label where openFDA's harmonisation matched them; classes are the pharmacologic class (EPC) from the label and the National Drug Code Directory of 17 Sep 2026. A report counts here when it lists Cymbalta as a suspect or interacting product; reports listing it only as a concomitant medication (69,250) are excluded. No report narrative, lot number, patient detail or reporter identity is published. See the methodology and sources; FDA's record is authoritative, and corrections are handled within five working days.

Drug data (FAERS) through 30 Jun 2026; device data (MAUDE) through 31 Aug 2026. Not medical advice.