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Dr. Kaushik
Dr. Kaushik, Doctor
Category: Neurology
Satisfied Customers: 4506
Experience:  Doctor ( General Medicine)
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, I've been on pregabalin x1 75mg months. Im now

Customer Question

Hi, I've been on pregabalin x1 75mg for three months. Im now looking to taper off them. What's the best way to do this so I don't experience any withdrawal symptoms such as depression etc. I am getting scared about this.
Submitted: 1 year ago.
Category: Neurology
Expert:  Shantal-Mod replied 1 year ago.
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Expert:  Dr. Kaushik replied 1 year ago.
Greetings.
Welcome to the site.
You shall discuss the below mentioned strategy of withdrawal with your primary doctor and get started on the withdrawal of pregabalin ( lyrica )which shall be gradual and safe.
-- Start taking 50 mg once day dose for 10 days.
-- Then 25 mg once a day dose for 10 days.
-- Then 25 mg every alternate day for 14 days.
-- Then 25 mg once in every 3 days for 15 days.
-- Then stop the drug completely.
So in approximately 49 days / 7 weeks you shall be able to wean off this drug slowly yet safely.
I hope this helps.
Wish you all the best.
Please kindly leave a Positive rating if you are satisfied with the answer.
Regards
Customer: replied 1 year ago.
25 mg every alternate day for 14 days - can u give me an example how would do this ?
25 mg once in every 3 days for 15 days - can u give me an example how would do this ?
Many thanks
Expert:  Dr. Kaushik replied 1 year ago.
25 mg capsule on day 1, then no dose / capsule on 2nd day, then 25 mg dose on 3rd day, then no dose on 4th day and so on, this to be continued for 14 days. So in the end you will have taken 7 doses of 25 mg each in 14 days span.
As far as 25 mg dose once in every 3 days is concerned, it means that 25 mg dose 1st day, no dose on 2nd and 3rd day, then 25 mg dose on 4th day and no dose on 5th and 6th day and so on to be continued for 15 days in total. So in the end you will have taken 5 doses of 25 mg each in total 15 days before you eventually stop taking the dose completely.
I hope this sums it up for you.
Wish you all the best.
Please kindly leave a Positive rating if you are satisfied with the answer.
Regards
Customer: replied 1 year ago.
Yes makes sense now thank you. I been taking pregabalin for three months now, my symptoms havent improved whilst taking them. I get a lot of soreness at the back of my eyes, I also get a lot of tension in my neck, neck hurts in places to touch. Are the neck muscles attached to my eyes ? can the tension I'm getting in neck cause my eyes to get sore ? When I squeeze my neck in parts I find it relieves the soreness.
Expert:  Dr. Kaushik replied 1 year ago.
Do you have headache or heaviness of head as well ?
Regards
Customer: replied 1 year ago.
No headache but heaviness in the head.
Customer: replied 1 year ago.
Tightness in the forehead more than heaviness
Expert:  Dr. Kaushik replied 1 year ago.
Well, then these symptoms could be related and possibly caused from cervical spondylosis or cervical spine straining. You shall get an X ray cervical spine or CT scan cervical spine done to see if there is any spondylosis of the cervical spine or any related pathology. This may be leading to your cluster of symptoms including heaviness in head, tension in neck, soreness of back of eye ( referred pain).
I hope this helps.
Wish you all the best.
Please kindly leave a Positive rating if you are satisfied with the answer.
Regards
Customer: replied 1 year ago.
I'm booked I to see a chiropractor, will they be able to help ? Can a build of tension in neck cause back of eyes to get sore ? When it all started a year ago I had tingling under eyes & in head then, all I had now is soreness back of eyes, tightness in forehead, stiff neck which hurts to touch.
Expert:  Dr. Kaushik replied 1 year ago.
Well, a chiropractor may actually be helpful since he/ she deals with diagnosis and management of neuromusculoskeletal system and your stiff neck and heaviness of head could possibly be related to straining of neck muscles, however, soreness of eyes need to be evaluated separately from an eye specialist since this symptom does not go well with the other symptoms, so it may be a separate entity which needs to be evaluated separately.
I hope this helps.
Regards

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