For me most of pain control is getting a good night's sleep and avoiding the triggers. The biggest trigger is overdoing things especially with the affected hand.

I take depakote that is supposed to suppress the emotional ups and downs but it really helps with pain.

Gabapentin is the same as neurontin I believe and this was like a miracle drug when I first took it but I was able to ween myself off for a few years and when I tried it again there was almost no help at first but the longer I stay on it the more effective it seems to be.

If you aren't sleeping well then get something for it; probably something like tizanidine.

Ultram helps a little with pain and I take one or another forms of it as needed. Tylenol 3 is great for all pain except the RSD and will often help with sleep. Try not to let yourself get into a panic. Tranquilizers or something like valium can stop panics.

You might consider getting a second opinion. It took years to find the right combination for me. The doctor who diagnosed me told me to be very leery of taking things that didn't help or that caused problems. He said RSD patients can end up on too many meds and that their interactions could complicate everything.

Try to keep an even keel.

Good luck.