Good evening @cwallen, I hope you get settled with Cymbalta. Yep....the tinnitus.....it's always there isn't it? Sometimes even seeing the word on my screen gets it ramped up.

Is 60 mg your max dose set by your clinician? I now take 90 mg and notice the improvement in my
relaxed mornings. I also used to take Ambien before my shoulder surgery. That was before I knew about tapering off the medication. I just stopped taking it and paid the price.

And finally, I don't know if Cymbalta would affect my sleep. For me, it needs to take care of my morning anxiety.

Before bed, I have 2 Gabapentin (300 mg) to keep my arms and hands from tingling all night long. For sleep, I use a 2:1 CBD/THC tincture......works beautifully.

Have you tried medical cannabis for sleep?

May you be content and healthy.
Chris