@eagan1 As a medical practitioner, I can tell you a few things regarding the successful use of anticonvulsants in Pain Managment (Topamax, Neurontin and Lyrica). If you looking for more detailed consult please contact me via email, other than that if you suffer from musculoskeletal (and sound like you are) Chronic Somatic Pain GABAPENTINE WILL ONLY (possibly) make you a bit drowsy, and sadly it is more and more Rxed without regard to the type of pain where physicians keep ignoring key factors such as: duration of pain, prior successful/failed non pharmacological treatments, patient’s age, and history of failed treatments with similar medications such as Topamax (Topiramate) or Lyrica (Pregabalin.)
Gabapentine itself is and old medication has a well established medicinal use in moderate cases of fibromyalgia, positive side effects profile for successful use on neuroinflamatory conditions where linings of the nerves are already damaged and/or inflamed (H.Zoster Virus/Shingles, or severe one sided or dual sided Piriformis Syndrome, and most common one - Diabetic Neuropathy). Ehatbshiukd hebhoted, to achieve adequate pain control patient often requires to take doses well beyond maximum FDA Recommended (over 3600MG) and therefore such treatments are poorly tolerated.
When we are talking about acute/chronic musculoskeletal, somatic, visceral and acute intractable cancer pain cases these medications are nothing, but useless and sometimes dangerous. These medications could also raise cardio toxicity threshold and continued use WILL impair your renal function.
You all heard about 2016 CDC New OPG (Opioid Prescription Guidelines) where dosing thresholds of 90 MME/day OR LESS IS SUPPOSED TO BE
VOLUNTARY RECOMMENDATION, yet it became a barbaric “STATUE” WITH
DEA/CDC/FDA TRIUMVIRATE trying to audit/fine/close and/or put in check every practitioner that continues to prescribe more adequate dose of opiATES/OIDS or opiATES/OIDS in conjunction with benzodiazepines, muscle relaxants, and sleep hypnotic drugs even where such polipharmacological approach is medically appropriate (places such as hospices, and for patients of palliative care cancer centers, and other similar establishments.) This is main reason why we as medical professionals taking a second look on such medications as second generations anticonvulsants (and also antidepressants and antipsychotics despite the whole sadness of the situation.)
In conclusion, if you have no signs of depression, yet you do have moderate to severe anxiety - DON’T SETTLE FOR SSRIs & SNRIs “experiments” on YOU as a first line for GAD or MADD Treatments, rather seeks second opinion or email me, and (while I can’t promise anything) I can try to give you advice. And I will give you advice only if I would give the very same advice to myself.
God Bless you and be well.