Yes, I'm taking 60 mg Cymbalta with 7.5 mg Remeron for sleep. I don't know if it's considered as "augmentation" since the Remeron was prescribed primarily to help my sleep. My depression has gotten much better since my sleep has improved, though.

If I were in your shoes and wanted to stay on an SNRI antidepressant, I might look into taking Pristiq. Those Cymbalta side effects you're describing sound very unpleasant. Did you have them the first time you started taking Cymbalta?

I went straight from Effexor ER to 60 mg Cymbalta, so I never went through any side effects when I started Cymbalta.