Nerve damage, extensive, due to Muscular Dystrophy, causes extreme pain in lower legs and hands. Gabapenten caused seizures and I now take oxazepam. By itself, not enough, Dr suggested lyrica.
Ask your physician about milnacipran, which is fda approved. I take this med for neuropathic chronic pain ( no diabetes) for the last 3 months. No foggy brain, no drowsiness, more energy, however, takes time to work. This med is in the SNRI class. Previously on cymbalta for 8 yrs before this med. Worked great for depression and about 60 % for pain. I developed a tolerance, although I happy I am off the cymbalta due to more energy. So check your resources and this site. Take care
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