"been on 30mg cymbalta for 2 weeks. started getting relief by the 2nd day. am 58 year old male with spinal stenosis, degenerative disc disease, and spondy. plan was to go to 60mg but i am getting enough relief at 30mg. i believe i will try to stay on that dose to minimize side effects. some constipation, difficult reaching orgasm, some night sweats and minor headaches. oh, insomnia if i took it at night.  i had samples of this medicine for 6 months but delayed starting it because of horror stories on the internet. pain was ruining my life so this medicine seems to be the best option."