Neurotin made me crazy, I mean literally nuts. The Lyrica or Topomax helped along with Tramadol. I have a auto immune disease with lupus which has affected every tissue and organ in my body. I use Lidoderm patches for the pain of shingles when I have the neuralgia. Another good companion, is my trust industrial strength TENS/EMS unit. You can wear it continously or for set periods of time and the best thing about it is you can hook it to your belt or shirt and go along and do things. I stay in pain and don't want to get hooked on narcotics. I want to have the series of four surgeries where they go into the brain and kill the nerve endings but my family is totally against this as there is a chance of paralysis, there is a chance in any type of surgery and they don't deal with the pain like I do. I get so depressed at times I feel death would be a better option. But Poeple who have not ever walked in your shoes cannot understand this. I look healthy from all the plaquenil and predisone which I will be on for the rest of my life, 33 meds a day is a lot and everytime they send me to a new doctor, they add another diagnosis and 2-3 more pills and my meds and insurance run me 1000-1100 per month that doesnot incluede all the doc and hospital bills that I will be paying on for the rest of my life. I don't have money left over to pay the groceries and utilities and it is a matter of time before we loose our home. I worked for 26 yrs in the medical field before this disease took over my life. I pray a lot and do some yoga stretches and I reach out to others who are suffering and that helps to connect with others who know what you are going through.