I have been told by many Medical people that the pain is almost always worst when the sun goes down and late at night. Not sure why, same reason reseach shows that people diem have more pain and more babies are born in the late hours of the day. I am currently on 88mg gabapenten with 50 mg of tramadol every 6 hrs and to stay out of extreme pain in my feet calves and hands I have to keep this schedule. I have tried to make it longer in between but pay for later. I try to go longer because the gabapenten keeps geeting more expensive and now tramadol is considered an antioid...I wonder if any of these people have to deal with pain? I thnk no...it is all about politics...I started out with 200mg of gaba +tram and have advanced to this larger dosage. I pray every day and research all I can for an answer...if you find one PLEASE tell me?
Peace & Hope always...JJ