Cymbalta is an SNRI meaning that it hits serotonin and norephinephrine. That's is why it can make you feel spacy and speedy. Effexor is the same thing.
I second the recommendation to see a psychiatrist. They usually know what's new, what can be successfully combined, etc.




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I kept it on for a while trying different anti-depressants and other psychotropic meds. Now I am taking a med for ADHD Strattera which helps my depression and my attention. I lost the weight on that med and with the biking. I too think that therapy has helped in addition to the meds and more exercise. I would definitely see a psychiatrist, although find one with whom you are comfortable. My experience has been mixed with some of them being as warm as an arctic freeze. Good luck with all of this. Depression is the pits, but there is help out there. 
It was supposed to help with hot flashes - it hasn't. Hormones are out because of my lupus. It helps with anxiety, but then I feel that I'm not learning how to cope with real or imaginary circumstances. Just take a pill and - whew! - it all goes away! I don't think so...
