Debi,

I'm sorry you're going through a rough time with your meds. Tramadol also makes me dizzy, groggy and nauseated. Bleh! No one wants to feel like that. I pretty much don't take it unless I really, really have to.

I'm wondering about a different approach entirely and this may be unrealistic but I thought I'd mention it. I got quite a bit of relief of stinging/burning nerve pain from a low dose of nortriptyline. It also boosted my mood and helped me sleep. We had to adjust my dose down because it too made me dizzy but once we found the sweet spot my pain overall was better managed and I had less breakthrough.

Just a thought if you haven't tried it already. With your paxil it would require kind of a whole regime change and may not be something you want to mess with but you never know.

I hope you get better relief soon,