** FILE ** In this Jan. 25, 2006 file photo from Indianapolis, a production technician at Eli Lilly and Company examines Cymbalta 60mg pills. Eli Lilly and Co. on Monday, April 21, 2008 said strong sales for Cymbalta and Cialis helped double its first-quarter profit, but results missed Wall Street expectations. (AP Photo/Darron Cummings, file)