I had taken elevil for 6 years and it really controlled the nerve pain, I don't remember the doasge but I do know it was stepped up over a one month period. The only reason I went off of it was because I wanted to try welbutrin to help me quit smoking and the 2 drugs could not be mixed. One thing I noticed was that when I changed to Lyrica and began PT for the first time in 8 years I lost about 80 pounde over a 7 month period. I'm not really sure if it was changing from the elevil or the PT that assisted in the weight loss. Gee that was only 3 months ago, I was feeling pretty good and able to exercise again..now here I am getting ready for another epidural this afternoon hoping that this could be the one that works.