After ct scan result clear gp diagnosed pleurisy in 76 yr old female from crackle heard from stethoscope on amoxicillin.pain from front of lower ribs below breast and at the back gapapentin and tramadol not helping much any ideas on other treatments?

Huh?: Pleurisy is a clinical diagnosis -- it isn't diagnosed by stethoscope, crackles or none. If the examiner hears a friction rub, maybe -- but bacterial pleurisy without some other findings is very uncommon and ampicillin is inappropriate for any other suspected etiology. If this is pleurodynia or post-zoster neuralgia, it's pain management until it resolves in its own. Best wishes.