@heisenberg34 OK. I was wondering if the gabapentin WAS effective and then the efficacy began to decrease.. but you may not be able to determine if you were taking all of the meds concurrently.. my gabapentin IS effective; it gives me a 1-2 normally.. but I am experiencing an increase in pain the past week and wondering if it's a flare up or the gabapentin is beginning to lose it's effect on pain control?