Pregabalin
- Atc Codes:N03AX16
- CAS Codes:148553-50-9
- PHARMGKB ID:148553-50-9
Table of contents
- Brand Names
- Chemistry
- Pharmacologic Category
- Mechanism of Action
- Therapeutic Use
- Pregnancy and Lactation Implications
- Contraindications
- Warnings and Precautions
- Adverse Reactions
- Genes that may be involved
- Drug Interactions
- Nutrition/Nutraceutical Interactions
- Dosage
- Pharmacokinetics and Pharmacodynamics
- Special Considerations
Brand Names
Europe
Austria: Lyrica; Belgium: Lyrica; Czech Republic: Lyrica; Denmark: Lyrica; Estonia: Lyrica; Finland: Lyrica; France: Lyrica; Germany: Lyrica; Greece: Lyrica; Hungary: Lyrica; Ireland: Lyrica; Italy: Lyrica; Latvia: Lyrica; Lithuania: Lyrica; Luxembourg: Lyrica; Malta: Lyrica; Netherlands: Lyrica; Poland: Lyrica; Portugal: Lyrica; Romania: Lyrica; Slovakia: Lyrica; Slovenia: Lyrica; Spain: Lyrica; Sweden: Lyrica; UK: Lyrica.
North America
Canada: Lyrica; USA: Lyrica.
Latin America
Argentina: Axual, Balfibro, Gavin, Lyrica, Plenica, Prebanal; Mexico: Lyrica.
Asia
Japan: Lyrica.
Drug combinations
Chemistry
Pregabalin: C~8~H~17~NO~2~. Mw: 159.23. (S)-3-(Aminomethyl)-5-methylhexanoic acid. CAS-148553-50-9. (1997).
Pharmacologic Category
Anticonvulsants, Miscellaneous. Fibromyalgia Agents. (ATC-Code: N03AX16).
Mechanism of action
Binds to α~2~-δ-subunit of voltage-gated calcium channels within CNS, inhibiting excitatory neurotransmitter release. Exerts antinociceptive and anticonvulsant activity. Decreases symptoms of painful peripheral neuropathies and, as adjunctive therapy in partial seizures, decreases frequency of seizures.
Therapeutic use
Management of pain associated with diabetic peripheral neuropathy. Management of postherpetic neuralgia. Adjunctive therapy for partial-onset seizure disorder in adults. Management of fibromyalgia.
Pregnancy and lactiation implications
Increased incidence of fetal abnormalities, particularly skeletal malformations, observed in animal studies. Male-mediated teratogenicity observed in animal studies. There are no adequate, well-controlled studies in pregnant women. Use only when potential benefit to mother outweighs possible risk to fetus. Not recommended during lactation.
Unlabeled use
Contraindications
Hypersensitivity to pregabalin or any component of the formulation.
Warnings and precautions
Angioedema reported, may be life-threatening (use with caution in history of angioedema episodes). Concurrent use with other drugs known to cause angioedema (e.g. ACEIs) may increase risk. May cause CNS depression. Hypersensitivity reactions, including skin redness, blistering, hives, rash, dyspnea, and wheezing reported. May decrease platelet count. May cause mild prolongation of PR interval (use with caution in underlying AV block). Associated with increases in CPK and rare cases of rhabdomyolysis. Visual disturbances, such as blurred vision, decreased acuity and visual field changes, associated with therapy. Use may be associated with weight gain and peripheral edema (effect on weight gain/edema may be additive to thiazolidinedione antidiabetic agent particularly in prior cardiovascular disease). Use with caution in CHF, hypertension, or diabetes (weight gain and/or peripheral edema may occur). Use with caution in renal impairment. Effects with other sedative drugs or ethanol may be potentiated. Increased incidence of hemangiosarcoma noted in animal studies (unknown significance in humans). Therapy should be withdrawn gradually.