We would like to show you a description here but the site won’t allow us. Pregabalin (Lyrica) and gabapentin (Neurontin and others) are drugs used to prevent seizures and to treat nerve pain associated with various conditions (shingles, diabetic neuropathy). Lyrica and gabapentin both cause similar side effects, including tremors, blurred or double vision, memory or concentration problems, dizziness, and drowsiness. Everything considered, standard Lyrica capsules are cheaper than standard Neurontin capsules/tablets at moderate-to-high doses (e.g. 300 mg/day of Lyrica vs. 1800 mg/day Neurontin) – whereas standard Neurontin capsules/tablets are cheaper than standard Lyrica capsules at low doses (100 mg/day of Pregabalin demonstrates superior efficacy and safety compared with gabapentin in treating neuropathic pain, with improved pain control, quality of life, and fewer adverse events, The average number of pills per day by a patient in the gabapentin group was 1.8 pills higher than the pregabalin group which was statistically significant (p = 0.01). The results of this analysis support the notion that there is no significant difference in meaningful pain reduction with gabapentin versus pregabalin. The particular NNTs for pregabalin and gabapentin were 7.71 and 7.16, respectively. 10 A more recent meta-analysis in 2022 specifically focused on post-herpetic neuralgia and found greater efficacy with pregabalin in alleviating pain and improving global perception of pain and sleep. 15 Another meta-analysis published in 2021 reported similar Lyrica and gabapentin are two prescription drugs used to treat nerve pain and focal onset seizures. Find out how they’re alike and different. (diabetic neuropathy) nerve pain due to a spinal 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. 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. Researchers compare four treatments for neuropathy. Researchers publishing in JAMA Neurology describe the results of a unique trial in which 402 people with idiopathic sensory polyneuropathy were randomly assigned to one of four medications: duloxetine, mexiletine, nortriptyline, or pregabalin. After 12 weeks, each person rated their neuropathy For example, a recent cost analysis of adding pregabalin or gabapentin to the management of community – based patients with peripheral NeP, which estimated also the indirect costs, showed that although the pharmaceutical costs of pregabalin were significant, the overall patient cost was lower in the pregabalin group due to reduced sick leave Bockbrader HN, et al. (2013). Gabapentin to pregabalin therapy transition: A pharmacokinetic simulation. Cao X, et al. (2022). A meta-analysis of 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. In conclusion, pregabalin demonstrated superior and faster efficacy in alleviating neuropathic pain than gabapentin did. Additionally, it improved patient-reported outcomes, resulted in lower opioid consumption, and led to fewer adverse events. PROSPERO (CRD42024565208). Gabapentin is indicated as adjunct therapy for partial seizures and postherpetic neuralgia. 4 Pregabalin is indicated for the same uses as gabapentin, plus the management of fibromyalgia and neuropathic pain associated with diabetes, specifically diabetic neuropathy. 5 Pregabalin (Lyrica) and gabapentin (Neurontin) are medications that treat certain types of seizures and nerve pain. Pregabalin has more FDA approved uses. Both are frequently used off-label for a wide range of health conditions. When comparing pregabalin versus gabapentin, they work in similar ways but pregabalin is absorbed more quickly and fully. Conclusion: In conclusion, pregabalin demonstrated superior and faster efficacy in alleviating neuropathic pain than gabapentin did. Additionally, it improved patient-reported outcomes, resulted in lower opioid consumption, and led to fewer adverse events. Pooled risk ratio (RR) of pregabalin (PGB) vs. gabapentin (GBP) for adverse events (AEs). There was no significant difference between two drugs for AEs. CI: confidence interval, df: degree of freedom. PGB vs. placebo: Drowsiness, dizziness, edema, and peripheral edema were the most common AEs in the selected studies [41,43,44]. Research supports the use of the anticonvulsants gabapentin (Gralise, Neurontin, Horizant) and pregabalin (Lyrica) to help relieve pain caused by damaged nerves. Both gabapentin and pregabalin are particularly effective in the treatment of postherpetic neuralgia, diabetic neuropathy and pain caused by a spinal cord injury. Comparative studies (clinical trials and cohort studies) were included, with patients with neuropathic pain treated either with pregabalin or gabapentin. Primary outcomes assessed were efficacy and safety.
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