Thanks for the info!
My Rheumy never returned my call about increasing Cymbalta, I think she is trying to train as a Naturapath, probably tired of giving out meds that don't help. I would rather she just told me, then I would seek out a new Rheumy. Doesn't seem like my doctors care much about helping with the pain. I think they are hoping that getting the SLE under control might help with pain management.
My old Rheumy was talking about a combination of meds, like you wrote about, but then she retired... With all the flack they are getting about prescribing analgesics, it is no wonder they want to run the other way!
I have had this PN pain for several years, but it is getting harder to cope.