Your right not just on meds but all different aspects of health care there is very long term follow ups. I think they look for just the basics and the move on to the next to save time but in the long run I think makes things longer. I was wondering if anyone knew the optimal dose for cymbalta for pain relief and is it always given all at once during the day. Like right now I'm up to 60 but at dinner and was wondering if it could be split up and then increased like neurontin?