Rob, I am taking 300mg of Neurontin four times a day. I am allright more or less in the mornings but exhausted by about 4 PM. I have a full time job but work from home. It never takes the pain away completely but when I tried to lower the dose to 200 mg 4 times a day, I couldn't bear the pain and resorted to hydrocodeine to get me through the evenings more or less. I added amitriptilene (just 5 mg at night) for neck pain but the combination left me irritable and on edge in general, in the AM which is when I was functioning better so I stopped it. Now have a newly prescribed (today) lidocaine patch for the back pain....not expecting too much.
I would love to know what works for people but in the descriptions today and before I have come to understand that every person's tolerance for drugs and symptoms based on where the lesion is and how extensive it is and whether it is active or not...are what produce effects or not. It is complex and one must navigate the meds trying things one by one and evaluating the results. Good luck. Jill