Hello Blue_Bird. I don't know the answers to your questions. I think this is something you'll need to talk with your treating physician(s) about. But I just have to say, if I was on this much medication, I would be under the table, as they say. I've only been on Cymbalta for the past couple of years & it alone makes me sleepy... Good luck getting this straightened out. I know how frustrating it can be to feel like all you want to do is sleep all of the time.