Earlier quoted context omitted.
Apologies, I meant "treatment" to mean "treat the condition", as in "make it better". Gabapentin, Pregabalin etc can help with the pain, but not the underlying cause. I haven't come across mexiletine before, but after a quick glance if looks like it's unlikely to be prescribed in the UK (I'm in the UK :). I must have tried dozens of medications over the past 4 years or so, but it seems I have some dodgy genetics, as…
I'm not sure if it will help, but I also felt rather poorly on Gabapentin (and Pregabalin). I did two rounds of it and decided it was a terrible medication. I could barely even walk (I distinctly remember my poor father helping me down some stairs at ikea the first day I took it, unknowing what was to come). Eventually I found a rheumatologist that understood. She started me on 100mg Gabapentin in the evenings. I did…
I actually do take magnesium citrate daily anyway (200mg twice a day), but it didn't seem to help me here.
I even tried taking 2 weeks off work and took the minimum dose for the entire period - it was a horrible couple of weeks, where I felt drunk, dizzy, disoriented and anxious for the whole time. I just really can't tolerate them :( I had a similar experience with SNRIs, and also experienced horrendous withdrawals with them - I've tried about half a dozen of them, but after my last experience I accept they are not for me, and will never try another! I guess it all comes down to genetics.
Anyway, all that said, your advice seems good, and I'd encourage others to try to persist and slowly titrate up.