I was prescribed Lyrica by my rheumatologist- an anti epilepsy which is also used to control fibromyalgia pain and as a mood stabiliser for bipolar.

But as I am already on Lamictal for bipolar, my psychiatrist was unhappy with the idea of adding yet another mood stabiliser.

But I read around a bit and felt Tramadol might work for me.
The rheumy OK-ed it and ever since then I have been mostly comfortable.
It does work better with an analgesic to kick-start it. I find Diclogesic (diclofenec+Paracetomol) work much better than plain Paracetomol.

I am of course very careful about taking a proton-pump-inhibitor twice a day with it.
Doctors anyway prescribe that as a routine with NSAIDS.

Take care