Hi everyone. My small fiber neuropathy pain has gotten worse over the past few months and I've decided to try new painkillers (I have tried neurontin and Cymbalta--neither helped me much.)

My neurologist has prescribed 25mg lamictal XR, to be taken every AM, along with 50mg tramadol, to take as needed.

Anyone have experience with either drug for neuropathy pain?

Doc said I should wait at least a week to see if the lamictal works. So, I'm worried that if I do take both meds, I won't know which one is helping. Should I try the tramadol by itself first?

Also, going from no painkillers to two seems extreme. Am I overthinking it? All I know is the pain has gone from a 3-4 to an 8 over the past month or so and I'm dying for some relief!

Thanks, everyone!
APJH