I have been on Lyrica (200 mg x 3) and Tramadol (50 mg x 3) for two years and need something more. My Neuro is having me add Cymbalta 60 mg once a day. Been three days now and while it seems to help the PN the nausea and drowsiness are hard to take. I'm encouraged by the comments here (thanks BigPoPPa21!) so will give it a few weeks.