Does anybody know if I can take co-codamol with 25mg pregabalin if so how much? I have been advised to reduce the neupro patch. I am now on 1mg from 3mg but suffering badly with rls especially at night. The pregabalin doesnt seem to make any difference.
Thank you
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antelope99
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Hi I can't say yes you can because I don't know your medical history but I can say that I have taken both together and I know many other people who have 😉x
That will be over the counter strength which to be honest is very low and is unlikely to be of much help especially whilst weaning down from a dopamine agonists. Couldyou get your GP to prescribe you prescription strength ? Your Pregablin dose is very low too (to give you a comparison I take 225 mg daily ) so maybe your GP could increase that a little too.
Can I ask why you are reducing your Neupro? Do you intend coming off it altogether or sticking at 1mg?
I have been asked to come off it slowly altogether by Prof C at Kings College as you know it is a dopamine agonist and I have been on it for seven years. I am hoping when I am off the patch I might be better, I have only been on pregabalin for a few days
Yes I have a GP apt in a few weeks but in the meantime I think I will up my pregabalin dose, I knew it was a very small dose. Does it work for you?
No unfortunately Pregablin ( or Gabapentin ) don't help with my RLS at all not one little bit! I take Pregablin for pain (recovering from spinal surgery ).
I have the Neupro patch for my RLS 1mg. Been on 1mg for about 4 years now. It works 95 % of the time. I am also on a very tiny dose of Zomorph for my back. X
Yesterday I took one pregabalin in the morning and one in the evening with two co-codamol (16mg) and had EIGHT hours sleep (never been heard of) I hope I have found the answer or was it just complete exhaustion!
I am going to remain positive and look forward to another nights sleep.
According to the addiction experts, the 8mg of Codeine in the OTC Co-Codamol is not strong enough to kill pain but it is strong enough to leave people addicted. I've met people who were taking 30/50 effervescent co-codamol meaning they were taking 6 times the max dose of Paracetamol! How they didn't poison themselves is beyond me especially when others have died taking 8 of them in a relatively short space.
Mind you I used to find 2 co-codamols and a 400mg Ibuprofen were a great painkilling team!
You can take up to the max dose as prescribed or on the label.
HOWEVER:
That is only if the Pregablin isn't leaving you sedated because a lot of codeine might do this too. The two drugs will not interact so as said the top amount is fine that way but not if you are experiencing side-effects.
You have the 8/500 strength so imho unless you are particularly sensitive to codeine you SHOULD be able to take the full 8 tabs, (you could take more to get more codeine as you can take a much higher dose but the paracetamol could harm you pretty bad if not kill you!).
I add the same caveat as Pippins2:
"Hi I can't say yes you can because I don't know your medical history but I can say that I have taken both together and I know many other people who have"
I had gone to the top dose of Pregablin while taking the 30/500 Co-Codamol with no ill effects but we are all different
The way I reduced from 3mg was to each day cut a very small amount off of the patch. I was then prescribed the 2mg which I then did the same. I have now been prescribed the 1mg and I am plucking up the courage to do the same again.
I should mention that Kings College do not recommend this as they say the medication may not be spread evenly across the patch.
I feel the medication IS evenly spread as when I was extremely fidgety I would check the patch and find a corner had come unstuck.
I should say I am not recommending this way of doing things its just what I did.
I am of course suffering withdrawel symptoms but I am going to battle through.
Thanks for the advice and support antelope99. I think you are approaching it in a very methodical and sensible manner and think I'll follow your example. If the drop from 2 to 1mg is too much I'll go 3/4 of the patch.
I'd imagine it is well enough spread over the patch and the Dr is hedging his bets.
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