I was started on
methylphenidate time release(don't remember brand) then d-methylphenidate time release (Focalin XR), now im on d-amphetamine time release (dexedrine spansules generic). Hated the first one, was alright until a load of side effects kicked in for the
Focalin but d-amphetamine seems to be working like a charm. Never been on or tried
Cymbalta, srry. For consideration, if the ADD/ADHD is pretty bad and neither the methylphenidate or
amphetamine based treatments are working well enough, you can always try for Desoxyn (d-methamphetamine). Generally speaking, its more effective than any of the other stimulant ADD medications and has a lower side effect profile than the rest at working doses for severe ADD. However, the social stigma may prove to be a hindrance and also, it will probably be a bigger target sign for theft.