Gabapentin (so far) is the only thing controlling my neuropathy symptoms. I take 600mg, three times per day. I space them as close to eight hours apart, and I definitely notice if my timing of a dose is off by more than two hours. Missing a dose negates the effect for me, and I find myself struggling with my symptoms until the medication is steadily back in my system. You may want to have the conversation with your doctor about the difficulty in adhering to a three dose per day schedule. It is valid to bring up.

My doctors have always told me that if I wanted to transition off of gabapentin for another drug, I would have to stair-step down from the doses I am taking over several days to a couple of weeks. I was also introduced to my current doses in stages, with pauses to gauge effectiveness.