@heisenberg34 Have you tried other meds or adding other meds to your current Dilaudid? I have Dilaudid, Baclofen and Bupivacaine (similar to Lidocaine). There is also Prialt, which is more of a nerve agent made from a snail poison not an opiate. Check the potential side effects on it. If you have issues with gabapentin, you may not want to try it.