The only meds I take for pain are Elavil (at bedtime only) and Zanaflex. I was on Neurontin but took myself off of it (weight gain ). Zanaflex is the only muscle relaxer that does me any good. I also have Ultracet in case I need that but don't take it regularly. I use ice or a heating pad, depending on the situation. If it's muscular pain, the heating pad works best. If it's that "icepick in my spine" BAD pain, I use ice. I also use Biofreeze or Myoflex cream as needed.