Debi, are they just giving you the Gabapentin, with no other meds? With your pain levels it is customary to give an anti-depressant like Cymbalta along with a pain med. I did not tolerate Effexor and was not comfortable with anti-depressants, so am on 1800mg Gabapentin with MS Contin 30mg 3x day. Like you I have severe SFN along with advanced LFN. Yours was the only other skin biopsy I read about that used the word "devoid" of nerve fibers. Not to say that others aren't as badly off, just that the reports tend to use different terms.

Did the doctor indicate that they would add other pain meds if the increase is ineffective?