Medicines labeled for the same conditions
Alternatives to milnacipran
4 other medicines are given the same way (oral) and in the same FDA class as milnacipran or labeled mainly for the same use (nerve pain and fibromyalgia); 1 is in its class, serotonin and norepinephrine reuptake inhibitors: duloxetine; the others include 1 anti-epileptic agent (FDA labels read October 8, 2026). In the same class, the lowest pharmacy cost is $0.102 per duloxetine HCl DR 30 mg capsule (what pharmacies paid in the NADAC survey; strengths differ).
Which medicines are labeled for the same conditions as milnacipran?
Nerve pain and fibromyalgia lists all 6 medicines labeled for it, by any route. Each row shows the conditions both labels name. They are listed as public records, not as substitutes: whether one can replace another depends on the person and is a prescriber's decision.
| Medicine and FDA class | Shared indication | Generic labelers (oral) | Pharmacy cost | Boxed warning | Shortage |
|---|---|---|---|---|---|
| Milnacipranserotonin and norepinephrine reuptake inhibitor | this medicine | 4 labelers | $2.82 per tablet 100 mg tablet | Yes | No current entry |
| Duloxetineserotonin and norepinephrine reuptake inhibitor · same class | Nerve pain and fibromyalgia | 45 labelers | $0.102 per capsule 30 mg capsule | Yes | No current entry |
| Gabapentinanti-epileptic agent | Nerve pain and fibromyalgia | 87 labelers | $0.0218 per capsule 100 mg capsule | No | No current entry |
| Pregabalin | Nerve pain and fibromyalgia | 53 labelers | $0.0571 per capsule 100 mg capsule | No | No current entry |
| Gabapentin enacarbil | Nerve pain and fibromyalgia | none listed | $17.93 per tablet 300 mg tablet | No | No current entry |
Source: FDA drug labels (indications) via openFDA; FDA NDC Directory; CMS NADAC of October 7, 2026; FDA Drug Shortage Database (FDA files October 8, 2026)
What do pharmacies pay for each?
The headline NADAC price per unit of each medicine's most widely listed form; strengths differ, so compare like with like on each record.
Source: CMS National Average Drug Acquisition Cost (NADAC) survey, October 7, 2026: what retail pharmacies paid per unit; not a counter price
What next?
- Milnacipran: the full record
- label, generics, price, shortages, recalls
- Duloxetine vs milnacipran
- two records side by side