"i&#039;ve been taking this medicine for over three years. started off at 30mg three times a day and initially it worked great.  now, a few years later i&#039;m taking 60mg three times a day and it is only about 50% as effective.  i recently added 30mg of cymbalta and within three days, i was feeling great!  better than i had felt in years!  i even cleaned the grout in my bathroom!  unfortunately, my insurance company won&#039;t pay for cymbalta.  so now i&#039;m trying everything else. unfortunately, nothing has even come close to working.  now i can&#039;t even kneel down to even look at the grout i vigorously scrubbed three weeks ago.  it was like having my life back and then having it yanked away from me again!"