I have been taking Neudexta for about a year now. I started with the prescribed dosage on once in the morning, and once in the evening. The med was making a noticeable difference in my daily life, but after a few months my neuropathy was beginning to creep back into my life. I met with my very accredited neurologist, and we have increased my dosage to two pills twice a day. To an extent my symptoms are restrained, however I still have a problem with , not so much pain but, discomfort that never subsides.
I have been through nearly every test and exam and remain undiagnosed. I have seen the warning against taking Nuedexta with Elavil, however I have been a long time user of Elavil and have not noticed any adverse side effect. In fact, most of the side effects of the combination are the symptoms that the Nuedexta is suppressing; go figure.

so currently, I am taking

Neudexta 2capsuls PO 2x daily
Elavil 100mg 1x nightly


I guess im just open to anyone's thoughts or ideas on where I could possibly go from here. By "here" i mean being undiagnosed and exhausted.