Learn the similarities and differences of pregabalin vs gabapentin in treating neuropathic pain and seizures. Get informed for better treatment decisions. Lyrica (pregabalin) and Neurontin (gabapentin) are both classified as “gabapentinoids” (i.e. α2δ ligands). As gabapentinoids, Lyrica (pregabalin) and Neurontin (gabapentin) are chemical analogues of the inhibitory neurotransmitter GABA (gamma-aminobutyric acid) that interact with α2δ subunit-containing voltage-dependent calcium channels. Development of gabapentin (Neurontin) was An article from the musculoskeletal medicine section of GPnotebook: Switching between gabapentin and pregabalin for neuropathic pain. Pregabalin is licensed for peripheral and central neuropathic pain whereas gabapentin is licensed for peripheral neuropathic pain only. Use of gabapentin for central neuropathic pain is therefore off-label. Gabapentin 100 mg nightly was added and the pregabalin was reduced to 150 mg once daily. This regimen greatly improved the patient’s pain and the pregabalin was further tapered over 3 weeks to 25 mg daily while gabapentin was increased to 100 mg twice daily. The authors noted no adverse effects with this combination. 5. Gabapentin and pregabalin are FDA-approved to treat some of the same conditions, including postherpetic neuralgia in adults. Both drugs are also indicated to treat partial seizures in adults and certain children with epilepsy (a seizure disorder) when taken along with other medication. Both Lyrica and gabapentin are used as anti-epileptic medications and to treat nerve pain. But there are several differences between them. The main differences between Lyrica and gabapentin are: Lyrica is a brand name for pregabalin. Gabapentin is a generic name - brands of gabapentin include Neurontin, Gralise, and Horizant. View pregabalin information, including dose, uses, side-effects, renal impairment, pregnancy, breast feeding, monitoring requirements and important safety information. Gabapentin and pregabalin are antiepileptic drugs commonly used for neuropathic pain management and pain reduction in adults. Both medications are classified as antiepileptic medications, but they have differences in pharmacokinetics, safety profile, and clinical applications. Even people who think they might obtain benefit from the use of a pregabalin or gabapentin should undertake a trial dose reduction periodically, to ensure they are benefiting / to see if they get the same benefit on a lower dose. Pregabalin and Gabapentin are both anticonvulsants used for nerve pain & anxiety. Pregabalin is generally faster-acting and more potent than Gabapentin. Gabapentin und Pregabalin sind ähnliche Arzneimittel, unterscheiden sich jedoch in mehreren Punkten. Die Hauptunterschiede sind ihre Indikationen – spezifische Anwendungen, für deren Behandlung die Food and Drug Administration (FDA) sie zugelassen hat – und ihre Dosierungen. Gabapentin und Pregabalin sind von der FDA zur Behandlung einiger derselben Erkrankungen zugelassen Pregabalin and gabapentin are both FDA approved as an add-on treatment for partial-onset seizures. But pregabalin is approved for adults and children as young as 1 month old, whereas gabapentin is approved for adults and children who are at least 3 years old. Gabapentin is approved for treating seizure disorders and nerve damage from herpes zoster (shingles, postherpetic neuralgia). There are many non FDA-approved uses for gabapentin. These include: What are the side effects of Lyrica vs. gabapentin? WARNING. Compare Gabapentin vs Pregabalin head-to-head with other drugs for uses, ratings, cost, side effects and interactions. Pregabalin may be used to treat certain types of pain and used in combination with other medications for partial seizures. Pregabalin and gabapentin are often considered first-line treatments for various neuropathic pain syndromes, generally irrespective of cause. 1 Because the products are so variable, this article compares the pharmacokinetics (PK) and pharmacodynamics (PD) of pregabalin with various gabapentin formulations, and also covers conversion regimens. Renal dose adjustments for gabapentin and pregabalin are ubiquitously evident in the medical literature. All manufacturers for these branded and generic dosage forms list dosing recommendations relative to creatinine clearance (CrCl) for both medications (Table 1). 1,2 However, the basis of these recommendations has not been well articulated. Gabapentin is typically prescribed at significantly higher doses than pregabalin. For nerve pain, typical doses are 75-150mg of pregabalin twice daily (max 600mg per day). [8] . This is compared with 300-600mg three times per day (max 1800mg per day) for gabapentin. [9] Pregabalin and gabapentin can both provide relief from pain and be effective ways to manage seizure disorders. However, it’s important to consider the differences between them. Pregabalin is more rapidly absorbed compared to gabapentin, which has a slower absorption rate.
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