My Neurologist gave me the impression that he didn't usually have to give out the 600mg Gabapentin, as his first mention of them, he said 600mg capsules. And from researching the meds, I already knew they were a scored pill. I've cut them in half, dropped down my dosage to 300mg 3x daily, & worked my way back up. When I space the 3 pills out for the day, the pain returns for maybe 3 hours in the middle, while one pill is wearing off & the other is taking over. I've got some "extra" pills & may try making a half pill 4th dose, at bedtime, spacing them about 5 hours apart. The pain doesn't bother me at night much, so guess I'm lucky, but yes. It does some times feel like a big rock in my shoe when I walk too much.

I'm 12 years older than you & also get a bit blurry eyed at time from the Gabapentin, but it's not constant. My Navy buddy that I'm in contact with, couldn't tolerate the Gabapentin. Laid him out on the floor. When I first started taking it, and working my dosage up, I got a couple of rather unpleasant "highs" out of it, but they started to fade after about an hour. Anyway, he got put on the Nortryptyline, starting with 10mg at bedtime & is now at 20mg at bedtime. My Nero said he would give me either drug (whichever I was happy with) or a combination of both, if I felt I needed it.

I don't feel a personal need for anything beyond one drug, for the time being. I don't need to be on my feet a lot. Although I'd prefer to take something once daily, I already know the side effects I'm dealing with, so will probably experiment with the 4th dose for the next month & give my Neuro a call for that extra daily pill. Once I get enough in me, it seems to numb the "folded sock" so that it's somewhat comfortable walking. It does kind of feel like a long rock settled right in behind my toes and ahead of the ball of my foot, when it gets painful.

My Neuro doesn't care to see me often (guess he's not greedy), so I may make an appointment in the spring and ask more about the Nortriptyline, if it continues to work well for my buddy. He's not complaining about side effects.