Hi @suzylulu , I have had really good results with gabapentin. I started with it more than two years ago. My neurologist has been helpful by adjusting dosages and medication times as the disease progressed. I now take 900 mg 1 hour before bedtime. For me, that means the needles of neuropathic pain and SFN in my hands, wrists, and arms are considerably reduced by bedtime and it is easier to not only fall asleep but stay asleep. Lyrica has recently been suggested as a replacement by my Rheumatologist because it breaks down more completely than gabapentin and is a newer medication. It is 10 times the cost of gabapentin on my RX plan and has side effects that I would not like to experience right now. I do think it matters to have health care providers who work with you as a member of the team, ask the right questions, truly listen to your answers and assist you in understanding your symptoms and options. Take very good care.