Craig:

May I suggest that you talk with your physician about trying "Cymbalta" for your neuropathic pain. I have had great success over the years with it for both small-fiber "burning" and other neuropathic-type pain.

One typically tapers-up with 30-mg once daily for the first week, and then goes to 60 mg once daily. However, you should wait three-full weeks after arriving at 60mg/day before judging success or failure.

If Cymbalta does not help (which it may well), then you could consider trying "Lyrica", which operates by a different mode of action.

However, whether you are on Cymbalta full strength for three weeks or a year, you must remember that when you finally decide to discontinue it you must taper off very slowly.

Best of luck ... you will get through this!

David