I feel your pain…no pun intended…I have your pain. I ended up seeing a rheumatologist at Mayo Scottsdale for my issues. As many find it is a trial and error process for pain management. I’ve tried so many I don’t believe there are any left. As it stands, I take 9 gabapentin and one cymbalta capsule a day. I seem to do fine with cymbalta. I take it in the morning to get the full effect. However, my neuropathy pain is so severe I also apply a fentanyl patch of 50mcg/hr every 2-3 days. I cannot function without the patch. Towards the end of the life of a patch, my pain is almost unbearable. Depending on the level of my activity, the pain can return just after 2 days. But my prescription only allows me one every 3 days. So, I have to either go without or stretch some out to 4 days when I’m not so active. I can’t get anymore than 30 patches in a 90 day prescription because of insurance. If I do it’s $1100 more!! I believe it will only get tougher for doctors to prescribe any kind of opioid pain meds. I pray my patches aren’t going to be effected by the new regulations by the Feds. I hope this will lead you on to some answers to your questions and eventually to some relief.