I started off using nortryptoline and T3's. Then tried Cymbalta did nothing and then lyrica and hydromorphone which helped emensly until just recently my doctor found out she oversubscribed lyrica by double the amount. Here in Canada it is 600mg per day and I was on 1200mg per day. So she is taking me off lyrica (which worked especially at the high dosage) and putting me on gabapentin along with my hydromorphone.