Im still new here talked to my doc and he said (Im on 10mg elavil ) to go from elavil to cymbalta 20mg, ( Im super chemical sensitive hence the low dosages)................ I can take 1/2 of the 10mg of elavil for a few weeks to try to get onto the cymbalta I know none of you are docs but find all of you seem pretty knowledgeable on these meds, how did you guys do it? Like you just take 1 med then start slowly dropping the old one? Iv just heard so many bad things about cymbalta ( I know everyone reacts different) but the elavil yes its GREAT for sleep but got that "hangover" in the morning and I dont smoke or drink at all only drugs I take are the presc. that docs give me, sorry to ramble on here but just sorta scary to change but Ill bite the bullet as they say and give it a try. We were going to up the elavil but it may make way too drowsy he said.