Have replied to your other post re Duloxetine/Cymbalta but thought it would make sense to cut and paste here too. Only thing I would add to what I say below is that the side effect of tiredness was bad for a few weeks, but then faded. When I went from 20mg to 30mg, I noticed no new side effects, perhaps because I took 20/30mg alternatively for the first few weeks. Ditto 30 to 60mg.
I was prescribed Duloxetine for neurological pain, except my GP made a mistake and started me on 90mg. I ended up in casualty!
![Shocked :o](https://www.menopausematters.co.uk/forum/Smileys/extended/shocked.gif)
Once I was put to the right dose (for me it was 30mg, then up to 60mg, I was fine while I took it. I stopped when I realised the cause of the pain was hormonal. What I must add that withdrawing from these is sometimes less easy. Please, please research it before coming off them if/when you do (Google 'Cymbalta withdrawal'). It's notoriously hard to wean off them, especially as 20mg is the lowest dose and you cant split them easily (I ended up counting the beads, as recommended by many others!).
Good luck x