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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. Pregabalin and gabapentin are gabapentinoids used to manage anxiety disorders such as GAD, SAD, and PTSD. Pregabalin (Lyrica) exhibits higher affinity for alpha2-delta ligands than gabapentin (Neurontin), resulting in more potent activity. Gabapentin has been shown to be effective in reducing symptoms of anxiety in social anxiety disorder and mixed results in panic disorder (significant improvement in more severely ill). It is also likely effective for other anxiety disorders such as GAD but is not well studied. In this review, the author examines the evidence for psychopharmacologic treatments among adults for generalized anxiety disorder, panic disorder, and social anxiety disorder derived from clinical trials. For each disorder, major categories of drugs are reviewed, and then the evidence-based medications in each category are discussed. Pregabalin (Lyrica) and gabapentin (Neurontin) are both approved to treat nerve pain. How are they different, and which one is preferred? Compare both meds here. 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. Anxiety: In a small clinical trial, gabapentin was shown to be more effective for anxiety, insomnia, and fatigue symptoms in adults with low-back pain. However, the trial found that pregabalin was more effective for pain reduction. %PDF-1.4 %€„ˆŒ ”˜œ ¤¨¬°´¸¼ÀÄÈÌÐÔØÜàäèìðôøü 22 0 obj /T 139448 /L 140038 /Linearized 1 /E 56541 /O 24 /H [ 1092 303 ] /N 5 >> endobj Notably, pregabalin (SMD -0.55, 95% CI -0.92 to -0.18) and gabapentin (SMD -0.92, 95% CI -1.32 to -0.52) were more effective than placebo in reducing preoperative anxiety. In insomnia, results were inconclusive. Prescription rates for gabapentinoids are rising in England. Pregabalin is currently recommended by NICE for the treatment of anxiety. Gabapentinoids have some overlap with the action of benzodiazepines, and have similar issues with tolerance, dependence, addiction and withdrawal. They were schedule Lyrica and gabapentin are two prescription drugs that treat some seizures and nerve pain. Here's a comparison of how the drugs are similar and different. Gabapentin vs. Pregabalin for Anxiety Disorders. Although neither gabapentin nor pregabalin is officially approved for the treatment of anxiety disorders in the United States, growing evidence suggests both medications may offer benefits for certain patients. This review will focus on the comparative properties of gabapentin and pregabalin, specifically the available evidence on their use in the treatment of primary anxiety disorders — GAD, social anxiety disorder, panic disorder, and obsessive-compulsive disorder. The study also stated that Gabapentin could be a reasonable alternative to Pregabalin for the treatment of anxiety disorders, but the available evidence does not fully support this theory [7]. Pregabalin And Gabapentin – Warnings And Precautions The gabapentinoids, gabapentin, and pregabalin, target the α2δ subunits of voltage-gated calcium channels. Initially licensed for pain and seizures, they have become widely prescribed drugs. Pregabalin Vs Gabapentin For Anxiety Pregabalin and gabapentin are sometimes used off-label to manage anxiety disorders, particularly generalized anxiety disorder (GAD). Both drugs work by altering the activity of neurotransmitters to reduce neural excitability and lower anxiety symptoms.
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