Dear Mrs. D:

I am a patient who suffers with Small Fiber Neuropathy which is at its worst in my hands. I also notice that quite often my hands get fairly cold (almost like Reynards but without the associated color changes in the hands).

That said, I also notice that when I am on Cymbalta 60mg daily that the temperature of my hands seems to normalize.

Would you have any idea why Cymbalta (in addition to relieving the burning sensation in my hands) also seems to literally warm them at the same time?

Thank you!

David