I hope your Tramadol day was restful and helpful for you.
You certainly need all the help you can get, given the awful conditions you are having to live in. How on earth you manage is beyond me.
Regarding Duloxetine, yes i have tried it. I responded quite well to it, but i got terrible migraines. Other than Venlafaxine, it is the only modern antidepressant med that has touched my mood. As you said, it is also used for pain, and i found it useful for that, although not as good as Amitriptyline.
I think my experiences towards medication may be different to most, because I am autistic.
Apparently it is normal for autistic brains to not respond, or respond differently to medication. Our brains are wired differently, so i suppose it is not surprising.
I definitely can not take SSRIs, and only need small doses of my medication as i am so sensitive to them.
Thank goodness the venlafaxine is working for you.
Good news xx