I had a diagnosis of idiopathic small fiber neuropathy in 2014, was offered gabapentin but I chose not to take it because my symptoms were infrequent and only in a couple of toes so I didn't feel the need to take any medication. In recent years I have had increasing symptoms in my hands and feet but I am close to 85 years old, have stage three congestive heart failure, had two surgeries in a 14 month period of time, and chose not to seek a neurologist's evaluation. I have obstructive and central sleep apnea and my restless leg syndrome (RLS) had quit responding to ropinerol. I was losing a lot of sleep; my sleep doctor prescried gabapentin for the RLS, starting at 100 mg before bedtime, increasing to 300 mg before bedtime and it has been wonderful. I have had none of the side affects and all of the benefits; my shooting pains are gone, and perhaps it is a coincidence, but what I had thought was osteoarthritis in my wrists and ankles have not occurred since I reached the 300 mg dosage. The relief has been significant.