Charliebird, Sorry to have seemed to have hijacked your post. I've really been trying to get more input about cymbalta before I see my neurologist on Mon. The combination of Nortriptyline and Tramadol, seems to be working reasonably well for me, but wanted to give my new PC Dr the benefit of my doubt. I think I'll stick with what seems to be working, at least for awhile. It took me long enough to get here. Hope you may have benefited from my interference.