I have sjogrens &small fn. take 3000 mg of gabapentin and cymbalta (duloxetine) & it's not helping. pain meds make my dry mouth way worse. what other options?

Pain: Cymbalta controls pain at a spinal level and Gabapentin at cortical level, both meds can cause dry mouth, replacing Cymbalta with a pure ssri may help without the anticholinergic side effects, or /and replacing Gabapentin with Lyrica (pregabalin) etc. Worse case scenario used of opiods such as Suboxone if you are not addictive type personality, 2 or 3 pain specialist opinion, there is no right answer, dec risk.

Dry mouth: Dry mouth is a problem. Talk to your doctor and see if any of your meds can be changed to cause less dry mouth. Here are some tips to manage your dry mouth: avoid mouthwash with alcohol, avoid sugary and acidic foods and drinks, even diet sodas are harmful, biotene makes dry mouth products, Fluoride or mi paste to prevent decay, humidifier in winter, regular dental care. Hope this helps.