Mala for about 2 weeks when I started Cymbalta I lived in the bathroom I thought I would throw up I was so nauseous. I started on 30 then increased. Anyhow my pain doctor was like you may even throw up but try to stick with it and it should pass. It did for me but did I feel bad at the start. Some side effects are too bad to stick with and everyone is different but just thought I would share. I would call your doctor to get his thoughts.