It does seem to be quite a jump for all at once. Does you mother also suffer from any kind of chronic pain problems? That is usually why Cymbalta is prescribed as both for depression and the pain problems that can be associated with it.

Cymbalta is newer and there are a lot of physicians that are prescribing it and to me I am against it. They are prescribing for pain patients without knowing or acknowledging the psych affects it has. Most would titrate up to that kind of dosage. She may also be taking something else. You say Dr. are you talking primary or psychiatrist?