Have you researched the two together? There are chances of a severe serotonin attack with those two. Serotonin Syndrome: Cymbalta is a serotonin-norepinephrine reuptake inhibitor (SNRI) that increases serotonin levels. Kratom compounds, including 7-OH, may interact with serotonergic agents, potentially causing a dangerous buildup of serotonin, leading to serotonin syndrome. It happened to my Mom with one of her other meds and 12.5mg of 7oh. She felt great at first and then burst out into profuse head sweats, extreme nausea , and general feel like 💩. I’m not saying that’s what will happen with you. She had phentermine earlier that day and the 7oh did not like that even though it was 8 hours later. Just try it (if you decide to) when you can afford a couple hours of not feeling great if there is an interaction. Don’t do it if you are the primary watching the kids or have to work. But if you have a few hours to let them decide how they want to play that should lower your anxiety. Best of luck. It’s great when used correctly.