I don't know if there's an "alternative" to Cymbalta, as it's the only drug like it, but there are plenty of meds that docs use to try to control fibro pain. I was on Cymbalta but it didn't work. My doc is a huge fan of older, cheaper drugs, so he switched me to imipramine. I had some good relief on it. Not so much today, but I'm reserving judgment on the med overall until I'm done with this 30 days on 150 mg.
Fibro, chronic fasciitis/metatarsalgia, SVT, mild structural heart issues, total hysterectomy 6/2011. Meds: multivitamin, loratadine, 50mg tramadol + 1000mg acetaminophen, 100mg metoprolol, 600 mg gabapentin 3x/day, 4 mg tizanidine at bedtime for muscle pain/sleep issues as needed, starting trial of imipramine 5/17.