I completed the final study of Milnacipran two weeks ago and since the FDA has not yet approved it; I have been getting the medication from overseas. Milnacipran worked for me and there is noway I am going back to the pain I was in prior. My question is, I need to know if there is anyone out there who has been on both of the above mentioned medications (milnacipran/cymbalta). I have been dealing with increased depression, and this psychiatrist my doctor recommended wants me to try either Effexor or cymbalta for my pain instead of the Milnacipran. (mainly because she doesn't know very much about milnacipran and she doesn't feel comfortable giving me anything else on top of it) Reluctantly; since I told her I would not stop the Milnacipran, she prescribed me Wellbutrin SR. I need to know more about Cymbalta and show it compares to Milnacipran. Would really appreciate your imput!