I have had RSD and fibramyalgia for 16 yrs. I was taking 1100mg of Gabapentin tid, I was also taking Clonazepam one mg tid, Effexor 225 mg OD and Bupropion 150 mg bid. I have been weaned off all except the Clonazepam I am down to 0.25 mg bid, tomorrow this will be 0.25 mg OD. I was started on Cymbalta 2 months ago, I was on 30 mg for one month and am currently on 60 mg OD. My Question is Since all these changes the Pain, pins and needles, feeling of coldness etc... in my feet has increased ++++ and this pain is now travelling from my knees to my toes. It was only in my toes prior to the med. changes. Help?