Hello @gpgarrison, Welcome to Connect. I'm sorry to hear that your neuropathy has gotten worse and the pain medication no longer works as well and has cognitive side effects. There are a couple of different discussions on tapering off of Lyrica in a different group than neuropathy that might be helpful:
--- My lyrica journey: https://connect.mayoclinic.org/discussion/my-lyrica-journey/
--- Tapering off Lyrica gave me panic, nausea, extreme anxiety: https://connect.mayoclinic.org/discussion/lyrica/.

Have you discussed tapering off of Lyrica or alternative treatments with your doctor?