Hey, I don't know if my two cents will help you or not; but it's worth putting on the shelf, maybe...I have jaw issues and was put on Cymbalta. I had a bad allergic reaction...my throat and tongue swelled. I stopped taking it thus I don't have advice for long term effects or withdrawal effects...I can say that if you feel that you are being pushed into continue usage, continue to stand up for yourself...if many of us here didn't stand up for ourselves, medical field wouldn't keep looking into other areas for help...