Hi everybody,

I have not been on here in quite a while but would like to tell you of a sort of miricle.
I have suffered chronic back pain since 2008 and my lower lumbar gave in back in Nov 2011 and I ended up in a wheel chair for 3 months.
I also have 2 rather large Talov Cysts in my sacral area which are pinching on nerves and was in awful pain and on lots of meds like

Paxexa, Oxynorm, Arcoxia, Cymbalta, Baclofen and 2 Paracetamol three to 4 times times a day as they are supposed to give a kick to the Palexia.

My pain got terrible bad last week and I was to the DR's for a good few days for injections and then he gave me another prescription of Neurostil (Gabapentin) 1 tab 3 times a day done nothing and now suddenly after increasing the dosage to 2 three times a day
I am totally free of pain.
I have no problem being free of pain but can somebody put light on this, maybe an idea for you pain suffers???

Along with being pain free, I am very sluggish, like somebody being on drugs or drunk so cannot drive my van like this and find myself cutting back on animal rescue.

I believe it's just a matter of titrating up to find the correct therapeutic dose—S.O.P. for pain medications (or medications prescribed for pain off-label). Many members here have posted (complained?) that (when) gabapentin does not work for them...
...their doctors routinely tell them to increase the dose. This does work for some (like yourself) but not for others (like myself ), though it also increases adverse/side effects.

Some also find that they develop a tolerance in time, and their dosage must be increased further to acheive the same analgesic effect. However, unlike opioids, gabapentin has a dosage ceiling, above which there is no further therapeutic effect. This necessitates discontinuing gabapentin, rotating to a different medication in the same class (e.g. pregabalin, topiramate) or changing to a different class of medications.

Gabapentin (Neurontin) is probably one of the most prescribed and discussed meds on Neurotalk, so there's a lot of discussion/information in the archives.

Doc