I have been on cymbalta for close to a year now and would not be able to live without it. I tried a couple of times to start it but the side effects were very strong so I would stop. I finally took a leave of absence from work, and within a week or two (on the lowest dose to start) it started to work, and the side effects went away. I am now up to 60mg a day, and will take it forever. I am a true beliver in cymbalta...