I tried both which did nothing for my pain and I had a hard time tolerating. I pay out of pocket for meds and it is true Lyrica is much more. I have heard too many gain more weight on Lyrica. I am not sure though. If I were you and you find your current regimen working and your docs feel safe with it I would not change things up too much. I would think that tramadol long term would be more of a concern but I may be wrong. I also don't like when docs push the meds they are given lots of. Not right at all. Hang in there