Thank you for the worry about me taking Duloxetine, my Duloextine is not making me depressed and its the only med that has even slightly helped before I started Spravato. Its the combination of being taken off of Spravato by dumb insurance company, and having seasonal depression kick in and chronic fatigue. And no, I can't pay for it out of pocket, they just straight up will not let me get it anymore, which feels fucking illegal.