Hello,
Tramadol and Lyrica helped my PN pain a great deal for 2 years until the increased dosages created some breathing problems (gasping for breath). I now take 5mg methadone and 50mg Lyrica twice a day and get the same amout of pain relief also I haven't fallen like I use too. MrsD you might try cutting the pill in half, I think in your case less is best since you are new to this drug. The patient information leaflet the VA sends me states the side effects you have described. Wishing everyone the very best.
Lanny