Hi we have't met but just read your post about wanting to get off your medication symbalta, I have a pinched nerve in neck and 4 herniated dic's. I went to new pain mangament this morning and he put me on Symbalta 30 mg 1 pill a day for 1 week and 2 wk bump up to 2 pills,also a muscle relaxer one that I haven't heard of or took before, and wants to try a nerve block and a head block, my anxiety level is out of control my heart rate at this visit was 178, but it has gone as high as 192, he said it was because of the pain, my ? is the side effects, and if you were taking 30mg and he is having me go to 60mg after the 2rd week will I be able to funchion,Well guess I have asked my question I wish you well, I am so new on here I post and can never find if any one has replied back. You have a wonderfull day and a better tomorrow. Thanks for listening, I am so depressed I cannot even think.