Imo a visit do your doc with pain scale in hand and point to the number should help. I would have thought that 600mg Lyrica, 400mg tramadol and 30mg Nortriptyline would be an effective daily dose, thats where I was for years and years

Sorry about last post, didn't notice this piece. U said this medication combo is where you were at for years and years. Are you off meds now? Decrease dosage? dropped one or two? Or did these stop working and you had to switch?

THANKS!