Stacy, I wonder if she'd be willing to prescribe a starter dose of Nortriptyline. I started on just Nortriptyline but added Gabapentin when the PN pain spread from legs to arms, and the combination is still (eight months later) keeping the PN pain under control. And I guess it helps with EM too. I've read that the combination of Gabapentin and Nortriptyline (or probably Amitryptline) is better than either drug alone.