Duloxetine
"After 5 years on Cymbalta, I cannot say enough about its effectiveness. I really can't speak to the claims of pain relief, but as far as depression and anxiety, it's the best I can recommend. The insurance has tried several times to get my Dr to prescribe Celexa, or Effexor, but neither work like Cymbalta. Initially, I was a little spacy, and jittery, but those went away with time. I'd hate to have to pay for it as is. But, overall, I'd rather not take anything than to have to switch."