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Drug side effects

duloxetine Side Effects

The reactions most often reported to the FDA for duloxetine (also sold as Cymbalta), with demographics, serious outcomes, and reporting trends.

Data updated 2026-05-15

65,067
FAERS reports

Data from the FDA Adverse Event Reporting System (FAERS), 2004 to 2025. A FAERS report records a temporal association, not proof of cause. See our methodology for how figures are compiled and de-duplicated.

The most commonly reported side effects of duloxetine come from 65,067 reports to the FDA, broken down here by frequency, patient demographics, and serious outcomes.

This page analyzes 65,067 reports to the FDA Adverse Event Reporting System (FAERS) for duloxetine (Cymbalta): the reactions reported most often, who reported them, serious outcomes such as hospitalization, and year-over-year trends. A FAERS report does not prove the drug caused the effect, and report volume tracks how widely a drug is used, not how likely an effect is for any one person. Educational information, not medical advice.

Total Reports

65,067

Reports Mentioning Death

6,708

10.3% of reports — not proof the medicine caused the death

Hospitalizations

20,822

32.0% of reports

Top Indication

Product Used For Unknown Indication

Most Reported Adverse Reactions

FATIGUE
4,787
NAUSEA
4,782
PAIN
3,697
HEADACHE
3,654
DIARRHOEA
3,262
DIZZINESS
3,034
FALL
2,784
VOMITING
2,456
ARTHRALGIA
2,387
DYSPNOEA
2,300
TOXICITY TO VARIOUS AGENTS
2,212
DEPRESSION
2,156
COMPLETED SUICIDE
2,079
DRUG INTERACTION
2,063
ANXIETY
1,984
ASTHENIA
1,937
SOMNOLENCE
1,925
MALAISE
1,785

Who Reports Side Effects

Gender Distribution

Female 41,657 (70%)
Male 17,542 (30%)
Unknown 98

Age Distribution

0-17 860 (2%)
18-44 9,060 (20%)
45-64 19,541 (43%)
65-74 9,251 (20%)
75+ 6,702 (15%)

Reporting Trend by Year

2004 2025

Reactions in Death Reports

Top reactions reported in 6,708 reports where death was an outcome. These are voluntarily reported and do not establish causation.

Reaction Reports
COMPLETED SUICIDE 2,077
DEATH 1,663
TOXICITY TO VARIOUS AGENTS 1,449
CARDIO-RESPIRATORY ARREST 338
CARDIAC ARREST 333
OVERDOSE 305
DRUG INTERACTION 296
DRUG ABUSE 240
RESPIRATORY ARREST 230
NAUSEA 200
PNEUMONIA 186
FALL 160
ACUTE KIDNEY INJURY 158
FATIGUE 156
DIARRHOEA 155
SUSPECTED SUICIDE 141
VOMITING 140
COVID-19 124
POISONING 122

Reactions in Hospitalization Reports

Top reactions in 20,822 reports where hospitalization was an outcome.

Reaction Reports
FALL 1,482
NAUSEA 1,416
FATIGUE 1,226
PAIN 1,148
DIARRHOEA 1,098
PNEUMONIA 1,085
DYSPNOEA 1,063
VOMITING 1,059
DRUG INTERACTION 1,004
ASTHENIA 926
HEADACHE 904
DIZZINESS 900
TOXICITY TO VARIOUS AGENTS 869
ACUTE KIDNEY INJURY 820
SOMNOLENCE 818
URINARY TRACT INFECTION 735
CONFUSIONAL STATE 715
HYPOTENSION 697

Compare duloxetine vs acamprosate →

What the FAERS Data Reveals About duloxetine Side Effects

The FDA Adverse Event Reporting System (FAERS) contains 65,067 voluntary reports linked to duloxetine and its brand equivalents (Cymbalta), spanning 2004 through 2025. Of those, 6,708 (10.3%) listed death as an outcome and 20,822 (32.0%) involved hospitalization. The most common indication reported alongside adverse events was Product Used For Unknown Indication.

Demographic breakdowns help contextualize who is being exposed to the drug. Of reports with known sex, 70% were female and 30% male; age distribution skews toward 45-64, with 19,541 reports in that bracket. The single most reported reaction is fatigue with 4,787 submissions, followed by nausea and pain.

How to read these numbers

FAERS is a signal-detection tool, not a scorecard. Reports are voluntary, and a single case may list multiple suspect drugs, so numbers above should not be read as incidence rates or per-patient risk. Widely prescribed drugs naturally accumulate more reports than niche therapies even when individual risk is low. These aggregates are useful for spotting patterns that merit further pharmacovigilance, not for choosing between medications. This page is for educational reference only and is not medical advice, speak with a licensed clinician about any side-effect concerns.