What are the differences between Cipramil and Cymbalta for treating depression/bipolar/anxiety, etc.? Can either one be equally effective? I tried AVANZA (prescribed by a doctor-GP), but it drastically increased my back, neck, joint and lower back/heap pain/pains in the muscles of my lower part of legs, etc. - I felt like an 80 years old instead of 60. I reduced daily taking AVANZA-30 tablet to1/2 then 1/4 and then stopped completely for last few days. Surprisingly my pains are minimal and I feel much better without taking AVANZA now.However, as I used cipramil few years ago, my doctor prescribed me the same again. I haven t started the cipramil yet. But one of my friend with similar complains, using Cymbalta (with Doctor s prescription) and informed me that he is feeling better without any side effect.I am now wondering, should I try Cymbalta instead of Cipramil (assuming it will have fewer side effects)? Or, avoid using any drug to treat my depression/bipolar disorder and all sorts of pains (physio-psychological- neurological)? Also, if there any other is alternative medicines like, herbal or naturopathy, etc. that I should try instead of using prescription drugs!Should I choose to continue treating traditional way, do I need to see my GP for prescribing me Cymbalta instead of Cipramil? Alternatively, can I just take the prescription for Cipramil to a Chemist outlet and their Pharmacist on-duty can swap the medicine for me?