I had taken Gabapentin at one time, with severe vertigo attacks, so I stopped it. After that, I have taken nothing for three years, with moderate but very annoying hand and foot pain from diabetic neuropathy. Now I have a new doctor who put me on duloxetine (cymbalta). I have been on 20 mg for a month with dramatic reduction in pain. The idea was to increase the dosage monthly (if needed and tolerated) up to 60mg (30mg twice a day). I think for the time being, I'll recommend to my doctor that I just stay on 20mg indefinitely, not increasing it unless the pain returns.