Hi Judy! Thanks so much for reaching out and sharing. I'm so sorry for what your daughter is enduring. I hope she is able to find relief and care from her doctor(s). I saw my Rheumatologist today, and am 9 days in to my Plaquenil prescription, while still on 20mg daily Prednisone. We will be giving Plaquenil one month to resolve my joint and myofascial pain; if it does not, we will resubmit the request for Benlysta preauthorization to my insurance. (My doctor did appeal/argue my first denial, and provided details for why Plaquenil is not considered the appropriate medicine based on my numbers, but to no avail. Seems to be a trend at the moment). I haven't yet tried my Cymbalta or Gaba prescriptions from my GP, but feel..safer having them available if days get worse while we test Plaquenil. I do understand from my GP that Cymbalta is an SNRI at first, which can also offer musculoskeletal pain relief; my GP has had success with several patients. But will definitely stay on the lookout for worsening mental health if I try Cymbalta - thank you for the warning. Best of luck to your daughter, and you as caregiver!