Wow! You're on a lot of meds....and most of them are the EXACT same ones I was taking. I, too, had an accident (but in 2008) and fractured my pelvis, tailbone and sacrum.. and then in 2009 I had two discs totally rupture out of their body cavities, no insurance and bedridden until I finally got some insurance; then surgery in June 2011. After surgery I really snowballed with the pain meds until I surrendered in June 2012.
I was on hydrocodone 10 mg like you, Soma, like you, and Neurotin, also like you. I had previously been on Xanex WITH all those, but started showing addictive tendencies (imagine that LOL) and my PA weaned me off of those. I was taking all the same meds you are/were plus an antidepressant.(which also are getting in the Tramadol and also the Prozac if you are taking that now, too). I didn't need anything for sleep at the time.
The neurotin you said makes you sleepy, but taken at bedtime may help with your sleep and lessen some of your opiate w/drawal. (they may also help lessen your nerve pain being off the Norco and they are NOT addictive)
Soma didn't make me sleepy, but it DOES chemically break down the same way as a benzo (like xanex) that's why I liked it. But the Soma also helped me with ham string and low back pain. Soma has been reclassified as of Jan 1, 2012 and is dispensed as an addictive med now. It could also be taken at bed time to lessen your pain and help you sleep.
If you are off the Norco (hydrocodone) but still taking the Tramadol, you are getting a synthetic opiate pain med along with an antidepressant.
Plus you said you take serequel and have a script for Prozac, also an antidepressant. No wonder you feel awful.....your brain is way overloaded.
You need some help in deciding what to take for what. If you are seeing a pain mgt dr. on Monday, I'd write down or take all the scripts you currently ingest.....even if only once in awhile. The prescription cocktail you have going on is complex! A good doctor should be able to advise you what to take.... or taper..... or simply stop taking.
Tramadol is addictive even tho many drs say it isn't. There are alot of Tram Warriors (recovering, struggling Tramadol users) on this medhelp site.. There were so many of them, they started posting back and forth to each other via a journal. I'll try and paste in below here so you can go read their struggles specific to Tramadol. They are already on Part 55 of their journals, so there is LOTS of info there and Tramadol addiction is very real.
I am off every Rx I was ever on at this point in my life. You need to wean off the neurotin and also wean off the tramadol as there is a risk of seizure in both those cases. So please.....with all you have going on, you need to talk to your new pain mgt dr on Monday b4 you alter a whole lot. (BUT STAY OFF THE NORCOS.....YOU'RE DOING GOOD THERE!)
http://www.medhelp.org/user_journals/show/571061/-Tramadol--Ultram-Recovery-Room-Part-55
In addition to the above, you have asked about L-Lysine vs. L-Tyrosine.
No.....they are not the same and if you read about each amino acid, you will see why the L-Tyrosine is recommended for opiate w/drawal. L-Lysine is good for a lot of things, but NEVER heard of it being taken for opiate w/drawal. And......as long as your seratonin levels have so much Rx activity already......I wouldn't add the L-Tyrosine yet. Wait and see about that after you get some professional advise. You've just got so much jacking with your brain right now. It's gotta be confused LOL!
Lots of good articles that will help you in those health pages at the bottom right hand side of this page. You can click on "see all health pages" after the most viewed health pages are listed. I sure wish I had found those and read them when I was ready to begin cleaning up. Read A LOT and you will find a "gold mine" of info on this site.
Lastly, you are like many, many of us here. Lots of us have had health issues that got us started taking pain meds. The pain you feel now WILL change initially......you may have rebound pain as your pain receptors in your brain receive less opiates......but if you are determined, and hang in there......after your body purges itself some and levels out.....the pain truly does become LESS than it is now.
A lot of us on here are learning to live a life of pain......WITHOUT PAIN PILLS. It can be done......but you have to WANT it. All of us that are making it have SURRENDERED and ACCEPTED that our lives had become unmanageable and we KNEW we were powerless over pain pills. You can, too! Welcome aboard.....keep asking, keep posting and you will feel right at home here.
Blessings to you~