I take both

Cymbalta or Duloxetine is a great medication for pain! It is a serotonin norepinephrine Reuptake inhibitor. It acts as an analgesic non opioid I take it myself and have for over 10 years. I believe your rheumatologist is making a wise decision and maybe more rheumatologists will. No one that I know unless absolute has no other choice at the University of Texas Southwestern Medical uses steroids.

I started talking cymbalta by suggestion of rheumatologist. Good thing too, the RA was really causing some depression too. Only 2 weeks on, and no major side effects. More energy so far.

I take for fibromyalgia and it helps me.

I would check with your primary doc but Cymbalta is given with Celexa it can be, without problems.