I was diagnosed with a coughing tic about ten years ago. Doctor put me on orap 1mg 2x a day. About 3-4 weeks later tic got significantly better. Since I am a diabetic I have developed neuropathy in my legs and feet. So I quit orap and starting taking cymbalta for it. It has helped with the pain, but my coughing tic got worse. Couldn't take both medications together bad side effects. Restarted taking orap without cymbalta for over 6 months and tics got worse. Got off of it, and taking cymbalta again. What can I do, please help me!!!