<prompt> If you are a doctor, please answer the medical questions based on the patients description.Hi, I have been on Cymbalta for four years and have been stable but since the Obama care and getting put on Medicaid, I can no longer take Cymbalta because they are denying it and Lilly Cares will not help. I have since been put on generic Effexor which is terrible. I am in a lot of pain and going down hill fast. How can I obtain my Cymbalta again and get help. My Dr. has tried everything and yet she has failed. I need help!  <response>: Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. I am sure your doctor might have tried his best in getting you on cymbal ta. However now that the medication is not available, the other best option would be Amitriptyline. I have many of my patients of somatoform disorder on this Chat Doctor. You may also take a combination of amitriptyline and chlordiazepoxide. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link:bit.ly 