About 2 weeks ago the neuro gave me Lyrica to try. He gave me a bunch of samples and suggested starting at 50mg nightly for a few days and then moving to 100mg. Eventually he suggested 125mg in the morning and the same at night. I am at 125mg 2x daily now and I don't seem to be resting any better than before. I'm not having the side effects that are common other than feeling a little dizzy sometimes.
Should I ramp up to 200mg or more? What are others out there having success with?
I augmented with Requip and Mirapex so there is no going back that direction.
Lyrica dosage
Z, Just from what reading I have done, sounds like 125 mg 2x per day is close to the upper limits. 200 mg 2x per day would seem high. Certainly wouldn't do it without consulting with the doc.
I'm much like you. I currently am on 600 mg or neurontin 3x daily and it has been pretty effective for me for about a year now. I also have a script for Vicodin. Most recently, I have been able to get by on 1/2 of a 500 mg tab and many evenings I am able to forgo it.
I know we have had several threads about lyrica. Have you done a search for it? Not sure how long it takes for lyrica to begin settling in. How long have you been on it? Seems to me that if you have not experienced some success with it at your current dose that it may not be the right med for you.
In the scheme of the algorithm, it may be that the opioids may be in the offing. Have you ever be prescribed Ultram? Hopefully, others currently taking lyrica will respond to your post.
Best wishes, Z,
M.
I'm much like you. I currently am on 600 mg or neurontin 3x daily and it has been pretty effective for me for about a year now. I also have a script for Vicodin. Most recently, I have been able to get by on 1/2 of a 500 mg tab and many evenings I am able to forgo it.
I know we have had several threads about lyrica. Have you done a search for it? Not sure how long it takes for lyrica to begin settling in. How long have you been on it? Seems to me that if you have not experienced some success with it at your current dose that it may not be the right med for you.
In the scheme of the algorithm, it may be that the opioids may be in the offing. Have you ever be prescribed Ultram? Hopefully, others currently taking lyrica will respond to your post.
Best wishes, Z,
M.
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Yeah, I've looked through the posts and haven't read anything definite. One person was taking 300mg 2x daily and said it was working. This is the end of my second week on it but only my 2nd day on the higher dosage.
So far I've tried Mirapex and Requip with bad results. I haven't gotten into the opiods and am hoping not to have to. I can deal with the discomfort but the PLMs are causing the problem so I never get good sleep.
So far I've tried Mirapex and Requip with bad results. I haven't gotten into the opiods and am hoping not to have to. I can deal with the discomfort but the PLMs are causing the problem so I never get good sleep.
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ViewsAskew
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I'm guessing, but I think it's about 30 or so drugs that are used for RLS...only 2 are approved, so the rest are all off label. I highly recommend all of us have either of the Hening and Buchfurer books on RLS because they list the dosages that the RLS specialists have been using successfully. Then, when our docs list something or aren't sure themselves, we have a resource to ensure we're getting the right amount. This is just still too new of territory for doctors to know this stuff all of the time.
Ann - Take what you need, leave the rest
Managing Your RLS
Opinions presented by Discussion Board Moderators are personal in nature and do not, in any way, represent the opinion of the RLS Foundation, and are not medical advice.
Managing Your RLS
Opinions presented by Discussion Board Moderators are personal in nature and do not, in any way, represent the opinion of the RLS Foundation, and are not medical advice.
pat,
the drug companies are notorious for having 2 sets of literature when their reps visit a MD. one set is FDA approved, the other is sometimes called a "war book"... usually is full of studies using the drug off label!! friends i have in the industry will never admit publically to the war book, but brag about it in private. such is the way of the FDA
Ed
the drug companies are notorious for having 2 sets of literature when their reps visit a MD. one set is FDA approved, the other is sometimes called a "war book"... usually is full of studies using the drug off label!! friends i have in the industry will never admit publically to the war book, but brag about it in private. such is the way of the FDA
Ed
e, for what it's worth... a table in Dr. B's book (page 96) lists (as the upper range in the table column "individual dose range") as 75 to 150 mg twice daily for Lyrica. Certainly, every doc would view that differently and use their own judgement.
M.
M.
This post simply reflects opinion. Quantities are limited while supplies last. Some assembly required.
Saw the neuro again today and he set me at 150 MG 2x daily on the Lyrica and Hydro/APAP 7.5-325 at night if needed. I'm a little concerned about the Hydro and being knocked out. Any thoughts? I know the opiates are discussed in the boards. I'm thinking about maybe breaking one in half to see how I tolerate it.
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ViewsAskew
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It's sort of different (weird, but true)...most opioids wake me up, rather than putting me out. Don't know if that's the case with more or less people.
Ann - Take what you need, leave the rest
Managing Your RLS
Opinions presented by Discussion Board Moderators are personal in nature and do not, in any way, represent the opinion of the RLS Foundation, and are not medical advice.
Managing Your RLS
Opinions presented by Discussion Board Moderators are personal in nature and do not, in any way, represent the opinion of the RLS Foundation, and are not medical advice.
Ultram certainly contributed big time to my insomnia even though it is technically not an opioid but acts on some of the same receptors. Vicodin also does not make me drowsy in the least though I don't think it interfers with whatever sleep I can get. I find that with the Vidodin, it definitely takes a good bit of time (90 minutes) to work its way into my system.
z, if your worried, just take 1/2 a tab or so until your body tells you how it's going.
M.
z, if your worried, just take 1/2 a tab or so until your body tells you how it's going.
M.
This post simply reflects opinion. Quantities are limited while supplies last. Some assembly required.
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SquirmingSusan
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One vicodin (5mg hydrocodone) used to knock me flat within 60 minutes. Now I take that that much twice a night and it doesn't really put me out anymore.
I think drowsiness tends to fade away at the same time the "woo!" factor fades away.
I think drowsiness tends to fade away at the same time the "woo!" factor fades away.
Disclaimer: I often talk about what I do and what works for me, but these are specific to me and you should always consult a healthcare professional before trying these things yourself, lest you endanger your health or life.
Re: Lyrica dosage
Oh my goodness, does Lyrica work on RLS? I had no idea.
zombie76 wrote:About 2 weeks ago the neuro gave me Lyrica to try. He gave me a bunch of samples and suggested starting at 50mg nightly for a few days and then moving to 100mg. Eventually he suggested 125mg in the morning and the same at night. I am at 125mg 2x daily now and I don't seem to be resting any better than before. I'm not having the side effects that are common other than feeling a little dizzy sometimes.
Should I ramp up to 200mg or more? What are others out there having success with?
I augmented with Requip and Mirapex so there is no going back that direction.