I'm currently taking 3600mg a day of neurotin and 200mg a day of Tramadol. When he added the Tramadol, it didn't seem to make any decernible difference, but I take it anyway. I think I need to see him again as the pain is increasing and the burning is now beginning to move up my arms and calfs. Yesterday was a very painful afternoon and evening. I took a couple Vicadins and layed in bed for the rest of the night. The Vicadin may have helped a bit with the burning, but the soreness in my hands, feet, and butt was still there. My neuro is worried about moving me to heavily on narcotics because I have a very high tolerance to narcotics, and he worrys about addiction. I'm also not sure what to do now. Its seems my SFN is progressing rapidly over the last 6 months.