atomoxetine vs desvenlafaxine

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Side-by-side comparison of atomoxetine and desvenlafaxine. Data from FDA drug databases (Orange Book, NDC Directory, recalls, shortages) covering 20,000+ approved drugs, plus CMS pricing; see our methodology.

minor Known Drug Interaction

Examples desipramine, atomoxetine, dextromethorphan, metoprolol, nebivolol, perphenazine, tolterodine 7.2 Drugs Having No Clinically Important Interactions with PRISTIQ Based on pharmacokinetic studies, no dosage adjustment is required for drugs that are mainly metabolized by CYP3A4 (e.g., midazolam), or for drugs that are metabolized by both CYP2D6 and CYP3A4 (e.g., tamoxifen, aripiprazole), when administered concomitantly with PRISTIQ [see Clinical Pharmacology (12.3) ].

Drug Class
atomoxetine Selective Norepinephrine Reuptake Inhibitor
desvenlafaxine Serotonin-Norepinephrine Reuptake Inhibitor (SNRI)
Type
atomoxetine Prescription
desvenlafaxine Prescription
Summary
atomoxetine

Atomoxetine (Strattera) is a medicine that can help people with Attention-Deficit/Hyperactivity Disorder (ADHD). It works by affecting a chemical in the brain called norepinephrine.

desvenlafaxine

Pristiq is a medicine used to treat depression in adults. It belongs to a class of drugs called serotonin-norepinephrine reuptake inhibitors (SNRIs).

What It Treats
atomoxetine

Atomoxetine is used to treat Attention-Deficit/Hyperactivity Disorder (ADHD). ADHD can cause you to be hyperactive, impulsive, and have trouble paying attention. This medicine can help you focus, be less impulsive, and feel calmer. It is for both kids and adults.

desvenlafaxine

Pristiq is used to treat major depressive disorder (MDD) in adults. MDD can cause you to feel sad, lose interest in activities, and have trouble with daily life. This medicine can help improve your mood and energy levels.

How It Works
atomoxetine

Atomoxetine works by increasing the amount of norepinephrine in your brain. Norepinephrine is a chemical that helps you pay attention and control your impulses. By increasing norepinephrine, atomoxetine can improve ADHD symptoms.

desvenlafaxine

Pristiq works by affecting certain chemicals in the brain. It increases the levels of serotonin and norepinephrine. These chemicals help regulate mood and can improve symptoms of depression.

Common Side Effects
atomoxetine
  • Feeling sick to your stomach
  • Throwing up
  • Feeling tired
  • Not feeling hungry
  • Belly pain
desvenlafaxine
  • Feeling sick to your stomach
  • Feeling dizzy
  • Trouble sleeping
  • Increased sweating
  • Constipation
FAERS Reports
atomoxetine
  • Nausea 431
  • Headache 407
  • Fatigue 401
  • Condition Aggravated 395
  • Hypertension 388
desvenlafaxine
  • Toxicity To Various Agents 233
  • Nausea 206
  • Completed Suicide 186
  • Anxiety 180
  • Overdose 174
Serious Warnings
atomoxetine

Atomoxetine can increase the risk of suicidal thoughts in children and teenagers. Watch carefully for worsening mood or any unusual changes in behavior. Tell your doctor right away if you have any suicidal thoughts or feelings.

desvenlafaxine

Antidepressants may increase the risk of suicidal thoughts and behaviors in children, adolescents, and young adults. If you are started on Pristiq, your doctor will monitor you closely for worsening depression or suicidal thoughts. Families and caregivers should also watch for these changes.

Pregnancy
atomoxetine

Tell your doctor if you are pregnant or plan to become pregnant. It is not known if atomoxetine will harm your unborn baby. There is a pregnancy registry for women who take ADHD medicines during pregnancy. Talk to your doctor about how to register.

desvenlafaxine

Tell your doctor if you are pregnant or plan to become pregnant. Taking Pristiq late in pregnancy may cause problems in the newborn. There is a pregnancy registry to monitor outcomes in women exposed to antidepressants during pregnancy. You can register by calling 1-844-405-6185.

Also Compare, Nearby Drugs

How to Read This atomoxetine vs desvenlafaxine Comparison

atomoxetine is classified in the Selective Norepinephrine Reuptake Inhibitor drug class, while desvenlafaxine sits within the Serotonin-Norepinephrine Reuptake Inhibitor (SNRI) class. Drugs from different classes work through distinct mechanisms, so a head-to-head comparison illustrates trade-offs rather than equivalence. Both drugs are prescription-only, so a licensed provider must authorize use.

Adverse event totals above are pulled from the FDA's Adverse Event Reporting System (FAERS). For these top-ranked reactions alone, atomoxetine has 2,022 submissions while desvenlafaxine has 979. Those figures reflect cumulative reporting volume, not per-patient risk, so older, widely dispensed drugs typically look worse on count alone. These two drugs have a known minor interaction flagged in FDA labeling, attributed to desvenlafaxine does not have a significant impact on the levels of atomoxetine in your body.. Serious warnings, pregnancy guidance, and contraindications can differ even when indications overlap.

A table cannot represent individual circumstances. Data here is sourced from FDA Structured Product Labels (SPL) and FAERS, both of which update as manufacturers and clinicians submit new information. This registry does not provide medical, treatment, substitution, or medication-change directions for atomoxetine or desvenlafaxine.

Registry boundary: This comparison displays source-record fields and does not provide individualized medical direction.