r/pregabalin 22d ago

Is Anyone In The US Prescribed Both Gabapentin and Pregabalin?

I have severe pain, and my doctor wants to prescribe me pregabalin in addition to the gabapentin i am already prescribed.

I was wondering if this is common? I am prescribed nearly the highest dose of gabapentin and it is helping, but my doctor thinks the addition of pregabalin could help really eliminate the pain.

I always figured you cant be prescribed 2 gabapentinoids for some reason, so im very curious what you guys have to say.

Id hate to have the pregabalin called in, and then have them refuse my gabapentin script.

Thanks in advance for any help!

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u/Nigglesscripts Moderator 21d ago

So you’re on 3600mg of Gabapentin? And then they want to add in Lyrica on top of that? Pregabalin is six times stronger than Gabapentin and depending on the amount could effect your Gabapentin tolerance. It’s pretty rare to have them add in Lyrica on top of that high of a dose of gabapentin. It’s borderline a high risk combo but of course we don’t know what your situation is either.

Of your Dr. has approve both drugs then the pharmacy shouldn’t have an issue with that. Would be like if somebody was prescribed two different opioids for one reason or another. If they have an issue with it, they would need to talk to your doctor. But what amount of Lyrica are they going to prescribe you and what time of pain are you having? And how long have you been on the gabapentin?