What causes numbness and dizziness while on Lyrica?
Increase the dose gradually again.
Hi, thanks for asking from HCM for your health related queries
I can understand your concern. Lyrica or Pregabalin is known to cause numbness and dizziness in individuals taking it. Though you made only small change in dose but even that change can cause increased numbness, dizziness like state. In my opinion this is the reason you developed zombie like state. But in most cases tolerance to increased doses develop in a week or two. So if the drug is causing symptom control effectively and is resulting in sleep then no need to worry. You will develop tolerance to its side effects in some days. You have reduced the dose to 275 mg and in my opinion increase the dose to 300 mg and then 325 mg in a couple of weeks again.
No need to worry for that. Panic like state could occurred due to anxiety and it further aggravated the side effects of Pregabalin. You have mentioned that you don't want to take sleeping pills so in such situation either antihistaminics or some anti anxiety drug like Mirtazapine, Paroxetine etc can help. Both these drugs even in low doses help in sleep and thus may ameliorate the need to increase the dose of Lyrica again. Talk to your doctor for details prescription.
Thanks, I hope this helps you. Please don't hesitate to ask again for more doubts.
Gradual tapering would not cause withdrawal symptoms.
Hello again and thanks for asking a follow up
Lyrica or Pregabalin cause sedation by GABA actions. This is the reason abrupt stoppage of the drug after regular intake results in withdrawal symptoms. Best way to stop using the drug is to wean off very gradually. I usually advise my patients to reduce the doses of drug by about 20% every second week and then stopping completely at about 8-12 weeks. The dose reduction in such manner will not cause withdrawal symptoms and will result in smooth tapering. Once you are off medicines you can think of starting a family. For intermittent exacerbations of anxiety medicines like low dose Clonazepam can help. The drug can be used on SOS basis.
Thanks, Hope this helps. Still have doubts please ask again. Take care
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