I am currently in pain due to the need for a right shoulder surgery. I also have a pancreatic cyst being watched by my gastroenterologist. He wants me on a minimum of pain meds, specifically Tylenol and just one or two at bedtime. I am afraid to take anything so I am in pain most of the time, especially at night and it wakes me up, getting around four hours sleep each night. For a long time I have taken Gabapentin, up to four a day if that, it is my go to med at bedtime. I don't know if Gabapentin is bad for me, primary care doc says ok. Opiates make me itch so I avoid them. What else is there for pain control? NSAIDS are out because of pancreas cyst concerns.