People taking pregabalin for nerve pain usually start the medicine at a low dose of 25 to 75 mg taken once daily at bedtime. Low doses are less likely to cause side effects such as daytime sleepiness.
Your GP might increase your initial single daily dose of pregabalin to twice daily after 3–7 days, and doses may be increased every 3–7 days if necessary. Your GP will decide about increasing the dose after observing how you have already responded to the medicine and considering how well you tolerate pregabalin.
Increasing the dose of pregabalin slowly helps prevent unwanted side effects and assists in finding the right dose for you.
The right dose is different for everyone and your GP will work with you to find the dose that works best for you.
Give it a fair go
Don’t expect pregabalin to work straight away. Although you may experience some pain relief within the first few weeks of treatment the full benefit takes longer as the dose is increased to effective levels and may take up to 1 month. Not all medicines work for everyone and you may experience little or no benefit from taking this medicine. Do not stop taking pregabalin suddenly unless your GP has told you to, as stopping this medicine suddenly may cause unwanted side effects (called withdrawal side effects).
Monitoring how your body responds to pregabalin is important, not just when you start but also as you continue to take the medicine. Talk to your GP if you have questions or concerns about your nerve pain and pregabalin.
You may need to see your GP regularly when you start taking pregabalin for nerve pain. If you’ve given pregabalin a fair go and your symptoms are not improving, go back to your GP. Don’t stop your medicines without speaking with your doctor first. You may need to try a different medicine for nerve pain before you find the one that works for you.