Hi. I am on Cymbalta as well as other meds similar like Neurontin. I started at 30 and worked my way up to 120. My biggest issue in the start was extreme nausea but my pain doc was like give it 2 weeks and that will pass and it did. I took it at dinner to lessen that issue. Now I take it 2 times daily 60 and 60. I am not sure what is helping and what is not. I think for me when Neurontin was added to Cymbalta it helped. I am sorry for your all your daughter is going through. I know this takes a toll on the whole family. When I developed PN and RSD and I am older but it was at 28 the toll it took on my mom was very terrible. I really encourage you to get your own real time support through family and friends too and also do things to perk your spirits in ways that you can. It makes me so happy even when I am in a bad place pain wise if my mom can do something nice for herself. I'm glad you are reaching out here too.