i was initially given the pregabs as a regular dosage alongside Venlafaxine then i phased it out a bit and only took as needed, I'm back pretty much taking it all the time now, I've moved between the two fairly easily over the past 5 years. i found it a bit difficult when working to concentrate and be "with it" after taking a regular dose of pregabs, but then i got into a stressed/anxiety state and needed it more.
I find in dependency terms I can take it or leave it without suffering any withdrawals or whatever you want to call it (unlike the Venlafaxine which I don't know about you but I basically set an alarm to take it one time otherwise i get the head shocks)
Its interesting that both you and acorn (I'm assuming you're having a predictive text moment!!!) have said that the specialist favoured pregabalin with the GPs pushing (of course we could all have seen the same guy!) but for me I've always been very reluctant to go down the Valium road and ive only had it for a very short time, without much affect.
I had to go my own way to see a psychiatrist and there seemed to be a big difference in the way he wanted to handle the whole thing vs the GP.
The GP gave a small dosage of ven without adding anything for anxiety. The psych trebled the dosage of Ven and added basically as much pregab as i could swallow without passing out. it seems to me that the GPs are very cautious and prescribe the minimum, whereas the psych was looking to hit it with as much as possible.
If I was given the choice I wouldn't take both Valium and Pregablin, one or the other, and i would favour the pregablin as for me i've had no problems with it at all. i think as i said before, its a bit tricky to find the right level, where you are calm but able to focus ok, but once you find the sweet spot i've found it effective and haven't found i developed tolerance and needed to increase the dosage for the same effect.
Are you finding that you are getting more anxious, or is it because you're developing tolerance for the valium?