Thanks Mrs D, I will see my doctor about having another blood test and talk to him about maybe going off cymbalta, I have been taking panadine (tylenol) and panadine forte for a while now and was also taking tramdol but I am not any more as I can not take it with cymbalta. I have been trying to manage just by taking cymbalta but sometimes the pain gets to much so I need something else as well. The valium seems to help me get to sleep but I find I am waking up later in a lot of pain.

Thanks for listening and for your advice,

Lesley