Cymbalta is a strong AD..very much so but also used
for pain..as is
lyrica and neurontin being the top 3 drugs for fibro..trams nor narcotics are among the drugs of choice...stretching, ice, heat, massage, anti-inflammatories, muscle relaxers when needed all help as well as exercise.
Seratonin release is a big part of tram addiction and u r getting pleny from the AD's...it may be best to talk to ur dr about it as 2 days off and going back and tapering now???? dunno....200 mgs..