I'm ok today other than being in a bit of pain. I'm pondering asking my neurologist for cymbalta to try to help the pain. I'm pretty sure my pdoc would disapprove, since it's an AD, and I shouldn't take them. Haven't been on one since 2010, because I went totally manic taking large doses of effexor. So idk. I can't take narcotics, b/c i get addicted to them. So I'm running out of ideas. Maybe he can increase the gabapentin and give me an extra tramadol a day. I only take 2 tramadol right now, one in the am and one in the pm. The bottle says to take one every 4 hrs for pain, but he only gives me 60 a month. I'm just so tired all the time from all the meds, even though I'm on provigil, so increasing things might make me a zombie. sucks.