I have Psoriatic Arthritis. After 3 years at rheumatology I was discharged back to my gp, because I was drug intolerant,that was about two or three years ago. Since then I have only been prescribed ibuprofen. I am still in pain but not much swelling.I happened to see my old rheumatologist last November and after hearing my pain levels he suggested Duloxetine.I duly asked my gp for a prescription which he issued at 30mg.. I was sensitive to this also,I lost a whole weekend with one capsule. I have just returned from my gp,(yes that's how log I had to wait to see him.) All he could offer was a lower dose (20 mg.) of Duloxetine. I know I'm going to have problems with this and although I like my gp I feel I need better treatment. Help please.