PAGAMAX is used in adults 18 and older, its use is not recommended, since under 18 does not have sufficient safety and efficacy information.Neuropathic Pain   PAGAMAX is used in adults for prolonged pain caused by damage to distant (peripheral) nerves. Many diseases such as diabetes and shingles can damage your nerves and cause pain due to nerve damage. This pain sensation can be defined as temperature, burning, stinging, hitting, throbbing, tingling, numbness, tingling or a painful, cramping or cramping pain such as electric shock, needle sting.