Since you are already on a strong combination of Lyrica, Zenoxa, and Tryptomer, do not adjust your dosages independently. Your current doses are moderate; your neurologist may consider gradually increasing Zenoxa or Lyrica to their therapeutic maximums. Alternatively, switching Zenoxa to Carbamazepine (the gold standard for cranial neuropathies) or considering localized treatments like an occipital nerve block could provide targeted relief. Please consult your neurologist immediately to safely evaluate these options, as altering these medications requires close supervision to avoid severe side effects.