Kitt To the Rescue, hi, I am the queen of Cymbalta. I having been taking it for over one year and I take 60 mg in the A.M. and 60 mg in the P.M.
For sleep I take Trazadone............... I know others that use Trazadone. Tramadol is a pain med and I did use that for awhile but I had nasty effects from it, dizzy, nervous, jittery. It was prior to the Cymbalta.
I know my dose of Cymbalta is high but my Pdoc tells me that evidence is now indicating that the original max dose of Cymbalta may have been set to low at 60 mg/day so that is how I got 120 mg/day.
I really fought her on the meds and nearly got fired last week but I guess it is time I give her prescribing a chance. I wanted to be off meds and she promised I would not do well without them.
To answer your question, I would give the Cymbalta a chance and perhaps do as Darren suggested as many of the pain meds can interfere with the ADs. Perhaps something else for rest would be better for you. Just my 2 cents worth. Please consult your physician.
Gentle Hugs to You