I've been checking in to see what's going on too!
I had my annual neuro appt last week and have to say he sure is interested in 
the amount of pain I deal with.  Last year my Neuro gave me samples of Lyrica 
that I never took due to various posts from others and the cost that I will 
incur if I can't get samples.  So this is the route he would like me to take:
   1. replace my 2400mg of daily gabapenton with 75mg twice daily
   2. increase 60mg Cymbalta to 90mg for 2 weeks, then to 120mg daily
   3. increase Baclofen from 10mg every 6 hours to to every 4 to 5 hrs
   4. Take 5mg Valium if needed on a rare basis
I know this is a lot of changes, however, I'm going to do them one step at a 
time.

I decided to take the plunge and try the Lyrica immediately.  Literally! My 
Neuro assured me again that I could switch from the gabapentin to the Lyrica 
without any effects so I did it that evening and the change went fine.  I had a 
slight headache for about 1/2 hour for the first 3 doses and that was the only 
side effect.  I just went thru the big weather change from 90 degrees to a 50 
degree with rain and tolerated it better than I could have imagined. I'm not 
out of pain, but I'm not ready to cut my leg off either.  

I have taken the Baclofen often than at 6 hours twice and it helps to know that 
I can take them as soon as my back muscles start to spasm.  That is a big 
relief.

Now, specifically for those of you who take Cymbalta....Is ther a time of day 
to take it that works better for you?  I asked my Neuro if it mattered and his 
answer was not unless it keeps you awake.  I  don't have trouble falling 
asleep, just staying asleep.  I wonder if the Cymbalta is the culprit.

My Neuro also wrote me an RX for a walker so I can walk distances without the 
muscle spasms.  I paid attention to the questions and answers recently so I 
think I have that covered.

Does anyone have any suggestions or comments on my news?

Patti - Michigan  

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