I was wondering what types of treatment you all use for breakthrough pain. I am currently taking 300mg of Tegretol three times a day in addition to 300mg of Gabapentin three times a day. It keeps it under control for the most part. My normal pain level was anywhere from 8-10 on a daily basis. This keeps it at a five or under. My biggest issue is with the breakthrough pain. I don't have medical insurance so I can't afford most drugs. I end up going to the ER and getting a shot of Dilaudid because I can't take Nubain because it interacts with my anti-depressant Celexa. They were giving me Tramadol...but I also have non-epileptic seizures so my GP won't let me take those. I can't take a lot of NSAID's because I also have Crohn's disease. I would love to find something for the breakthrough pain. I've had it since I was 15 but didn't get a diagnosis until I was 30. I am now 32. I have so much medical debt and I don't know what to do but I have to have something to control the pain. It's at it's absolute worse in the fall/winter. I cannot stand the cold it makes it hurt so much worse and mine is bilateral. Sometimes is the right side, sometimes it's the left and other times it's both at the same time. So any suggestions would be great. Thank you!