I saw my dr ,pm he recommended me to take and extra tramadol am and pm dosage for body aching,use more lidoderm patches,also flector patch,take and extra meloxicam ,use cooling pads for the hot flushes,continue with gabapentin,than gabapentin is the worst for me,make a zombie ,but need to follow my routine meds,with gabapentin I was on different dosage daily,sometimes four caps ,sometimes five,other three or sometimes the whole six,it was as tolerated,now I have take the whole 1800 mg daily until my flare ups reduce its severity,hope all your dr appointment went well,blessings and hugs from Jesika .