I started off slow with Gabapentin about 18 months ago and now take 1800mg, 300mg in am, 600 in pm & 900 before bed. At this point, I don't want to stop for fear of the pain getting worse. The max dose for seizures is 3600mg. It is also prescribed for Restless Leg, which I think often accompanies the misery of PN. Does it work? Who knows. I have gained 8 lbs which at 72, will be difficult to shed. Back to strict Keto. People tell you to exercise, but just doing light housework & making myself presentable every day can be excruciating. This disease robs you of even the most simple comfort & pleasure.

Over about 4 months, I started at lower doses of Gabapentin until we seemed to hit a sweet spot at 800mg 3x daily. The benefits I receive from it are reduced intolerance to cold/heat in hands and feet reduction of the deep nerve pain associated with my PN. It might help some with the tingling, but nothing for numbness, but they aren’t painful. I am fortunate I don’t have side effects. My only worry had been when I let a dose go by and pain sets in, it usually takes about 2 hours for the pill to kick in.