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I have had severe neck and upper back pain for several years.

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We must devise a strategy for pain control.

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The neuropathy you read of is likely refering to the possibility of seizure activity the manufacturer (Ortho-McNeil) mentions when taken at high doses or with anti-depressants.

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It was brought to my attention and I made the decision whether to take it or not and/or discussed it with my doctor.

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Any ways I did this through out the day every 4-5 hours I rotated what I took.