Ask your docotr if you can try Neurontin. Lyrica made me nuts, but I tolerate Neurontin very well and am only really drowsy in the morning until about 8 am. I take 300mg in the morning, 300 in the afternoon, and 400 at bedtime. I also take Cymbalta and have Ultram, Darvocet, and Hydrocodone 10/325 for breakthrough pain. Lyrica and Cymbalta are both Gabapentin, but Lyrica is absorbed by the body differently. My doctor told me to expect the same side effects with Neurontin as with Lyrica, but I did NOT have them. Good luck. I really hope you find something you can tolerate so you don't have to choose between pain or a coma.