"one doc put me on 1 1/2 every day at first and about a year later reduced it to 1/ 1/2 every other night. then she quit and a nurse practitioner put me on 3mg every night in may which increased my motivation but by now july my concentration is worse. and my anxiety is back. but i attribute that to her increasing my cymbalta from 30 to 60 mg which was tried before and didn&#039;t work. so 4 days ago i went back on 30 and my anxiety has settled down."