@burningfeetinphoenix, @iceblue, And so....here is another person with similar SFN experiences. I started on Cymbalta a year ago...in a graduated dosage of 20 mg, 40 mg, 60 mg, over a three month period. I experienced the benefits of the medication the very first week. I even questioned moving the dosage up the scale. I did get the sense that my body was becoming accommodated to the medication and that more might be needed to stay on top of things.

Initially, this medication was prescribed for pretty severe anxiety about the pain which was creating more pain which then created more anxiety and the cycle just ramped up. Today right before my appointment with my PCP I am trying to see what the status quo is now so that I can give her accurate and authentic feedback.

It is good to read that the Gabapentin is working for you. Do you only take it at night? Do you find that your hands and feet have less tingling and numbness? Does that mean your extremities are pain-free?

May you both be free of suffering....Chris