MicroMan,

I'm confused. AD meds need weeks of use to see a benefit. Are you going on and off the AD meds ? By Tylenol 3's, do you mean narcotics (Tylenol with codeine)? Have you ever tried Tylenol and aspirin combined ? You can safely take both at maximum doses. My doc told me to take both. For me, they work better than Tylenol with codeine and do not have addiction risks. Just take breaks from Tylenol once a week.

Cymbalta is known to cause some messed up feelings, especially at high doses. 120 mgs is the maximum dose and more than the 60 mg dose that shows maximum benefit. You may be struggling with serotonin syndrome.