I have a bilateral lumbar disc re-herniation (currently on a waiting list for a revision discectomy) which is causing significant nerve pain and paresthesia. I'm well established on a combination of Tramadol and Naproxen but have also started taking Pregabalin alongside them with the hope that it will help with the neuropathic pain.
I started on 50mg and have worked up to 300mg by now. My GP has given me a free rein to an extent (although has obviously discussed and advised me on this, and is only a phone call away if needed) and allowed me to sensibly work myself up to a therapeutic dose. Unfortunately I have yet to derive any relief at all, in fact it just seems to be getting worse.
I know everyone is different, but has, or does anyone here take Pregabalin for neuropathic pain, and if so, what did you find to be the optimum dosage? I'm aware that I can go up to 600mg, but am already feeling a tiny bit spaced out on 300mg so am worried about becoming a zombie, especially as I'm still working and need to be able to concentrate. Weight gain is also a concern of mine and I have already put some on quite rapidly. The potential risk of physical dependency and subsequent discontinuation symptoms is also bothering me, but the need for pain relief currently outweighs these concerns.
Any comments or advice gratefully received. Thanks in anticipation.