Pregabalin
Alzain, Axalid, Lyrica
נבדק על ידי Sid Dajaniעודכן לאחרונה על ידי Michael Stewart, MRPharmSLast updated 27 Oct 2023
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Read the information leaflet from inside the pack.
You need to take pregabalin regularly. Do not stop taking pregabalin unless your doctor tells you to do so.
Pregabalin can cause you to feel dizzy or sleepy. Make sure your reactions are normal before you drive and before you use tools or machines.
At a glance
Pregabalin is an anti-epileptic medicine used for epilepsy, neuropathic pain, and generalised anxiety disorder.
It works by reducing abnormal electrical activity in the brain.
Take pregabalin exactly as your doctor tells you, usually two or three doses a day.
Do not stop taking pregabalin suddenly as it can cause problems.
If you have mood changes or suicidal thoughts, tell your doctor straight away.
If you become pregnant, tell your doctor straight away.
If you have breathing difficulties or swelling of your face, mouth, tongue, or throat, contact your doctor immediately.
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About pregabalin
סוג התרופה | An anti-epileptic medicine |
שימוש עבור | Epilepsy; neuropathic pain; general anxiety disorder |
נקרא גם | Lyrica®; Alzain®, Axalid® |
זמין כ | Capsules, tablets and oral liquid medicine |
Pregabalin belongs to a group of medicines known as anti-epileptic medicines, although it is prescribed for the treatment of several different conditions. You may have been prescribed pregabalin for the treatment of partial seizures, which are a type of אפילפסיה. A seizure is a short episode of symptoms which is caused by a burst of abnormal electrical activity in the brain. With a partial seizure, the burst of electrical activity stays in one part of the brain. Therefore, you tend to have localised or 'focal' symptoms. Pregabalin works by reducing the abnormal electrical activity in the brain. It is taken alongside other medicines for epilepsy.
Pregabalin is also prescribed to treat certain types of long-lasting pain caused by damage to nerves. This type of pain, called neuropathic pain, can be caused by a number of different conditions, including סוכרת (where it is called diabetic neuropathy) and shingles (where it is called postherpetic neuralgia).
Pregabalin can also be helpful in treating the symptoms of generalised anxiety disorder (GAD), particularly if other medicines which are more often prescribed for people with this condition are not suitable. GAD is a long-term condition where anxiety is a major symptom.
Before taking pregabalin
חזרה לתוכןSome medicines are not suitable for people with certain conditions, and sometimes a medicine may only be used if extra care is taken. For these reasons, before you start taking pregabalin it is important that your doctor knows:
If you are under 18 years of age.
אם את בהריון, מנסה להיכנס להריון או מניקה.
If you have any problems with the way your kidneys work.
If you have any problems with your heart.
If you have ever had drug or alcohol dependence problems.
אם אתה נוטל תרופות אחרות כלשהן. זה כולל כל תרופה שאתה נוטל שניתן לרכוש ללא מרשם, כמו גם תרופות צמחיות ומשלימות.
אם אי פעם הייתה לך תגובה אלרגית לתרופה.
המשך לקרוא למטה
How to take pregabalin
חזרה לתוכןBefore you start the treatment, read the manufacturer's printed information leaflet from inside the pack. It will give you more information about pregabalin and will provide you with a full list of the side-effects which you may experience from taking it.
Take pregabalin exactly as your doctor tells you to. The dose varies from one person to another so it is important that you follow your doctor's instructions carefully. There are several strengths of pregabalin capsules available, so it is always worth checking the strength of the capsules each time you get a new prescription to make sure they are what you are expecting.
You will be advised to take a low dose when you first start taking pregabalin, and then to increase the dose over the first few weeks. This is to allow your body to get used to the new medicine. Most people take two or three doses a day once they are on a regular maintenance dose. Your doctor will explain all this to you, and the dosing directions will be printed on the label of the pack. If you are still unsure about how to take your doses, seek medical advice from a pharmacist.
You can take pregabalin before or after food. Swallow the capsules with a drink of water. If you have been supplied with oral liquid medicine, see the instructions below for using the oral dosing syringe.
Once you are taking a regular amount of pregabalin, try to take your doses at the same times each day. This will help you avoid missing doses.
If you do forget to take a dose, take one as soon as you remember. Try to take the correct number of doses each day, but do not take two doses at the same time.
Instructions for using the dosing syringe with Lyrica® Oral Solution
Remove the bottle cap, and push the syringe adaptor into the top of the open bottle.
Insert the syringe into the adapter.
Turn the bottle (with the syringe connected to it) upside down.
Gently pull out the plunger of the syringe so that the solution fills the syringe to the mark which corresponds to your dose. Make sure any air bubbles are removed.
Turn the bottle the correct way up again, and remove the syringe from the bottle.
Put the tip of the syringe into your mouth, and gently push the plunger so that the liquid is released into your mouth.
Replace the bottle cap (leaving the adapter in the bottle). Wash the syringe with water after each use.
להפיק את המרב מהטיפול שלך
חזרה לתוכןנסה לשמור על הפגישות הקבועות שלך עם הרופא. זה כדי שהרופא יוכל לבדוק את ההתקדמות שלך.
A small number of people have developed mood changes or suicidal thoughts whilst being treated with anti-epileptics. If this happens to you, you must tell your doctor about it straightaway.
You must avoid getting pregnant while you are taking pregabalin, so make sure you have discussed with your doctor which types of contraception are suitable for you. If you want to have a family, make sure that you discuss this with your doctor before you become pregnant. This is so that you can be given advice about your treatment from a specialist. If you become pregnant while you are taking pregabalin, you must tell your doctor straightaway.
When you first start a new treatment for epilepsy there may be a change in the number or type of seizures you experience. Your doctor will advise you about this.
People with epilepsy must stop driving. Your doctor will advise you about when it may be possible for you to start driving again. This will usually be after a year free of seizures.
You must take pregabalin regularly every day. Stopping treatment suddenly can cause problems which will make you feel unwell. If it becomes necessary for the treatment to stop, your doctor will ask you to reduce your dose over a period of at least a week.
המשך לקרוא למטה
Can pregabalin cause problems?
חזרה לתוכןAlong with their useful effects, most medicines can cause unwanted side-effects although not everyone experiences them. The table below contains some of the most common ones associated with pregabalin. You will find a full list in the manufacturer's information leaflet supplied with your medicine. The unwanted effects often improve as your body adjusts to the new medicine, but speak with your doctor or pharmacist if any of the following continue or become troublesome.
Common pregabalin side-effects | מה אני יכול לעשות אם אני חווה את זה? |
Feeling dizzy, or sleepy; blurred or double vision | Do not drive and do not use tools or machines |
Headache, back pain, other aches and pains | Drink plenty of water and ask your pharmacist to recommend a suitable painkiller. If the pain continues, let your doctor know |
יובש בפה | נסה ללעוס מסטיק ללא סוכר או למצוץ סוכריות ללא סוכר |
Feeling sick (nausea) or being sick (vomiting), wind (flatulence), bloated tummy (abdomen) | Stick to simple meals - avoid rich or spicy food |
עצירות | Eat a well-balanced diet and drink several glasses of water each day |
שלשול | שתו הרבה מים כדי להחליף נוזלים שאבדו |
Increased appetite, weight gain, mood changes, nose or throat infections, difficulties sleeping, reduced sexual desire, erectile dysfunction, feeling unsteady or shaky, memory problems, speech problems, tingling 'pins and needles' feelings, loss of concentration, muscle cramps, swollen feet or ankles | אם אחד מאלה הופך לבעייתי, התייעץ עם הרופא שלך לקבלת עצה |
חשוב: pregabalin has been associated with allergic-type symptoms in a few people. If you experience any trouble breathing, or notice any swelling of your face, mouth, tongue or throat, you must contact your doctor for advice straightaway.
Some people have experienced difficulty breathing when taking pregabalin, often alongside feeling drowsy. Let your doctor know if you notice any new or increased breathing problems during treatment. The risk may be higher if you also take other medicines that cause drowsiness or breathing problems.
אם אתה חווה תסמינים נוספים שלדעתך עשויים להיות כתוצאה מהתרופה, פנה לרופא או לרוקח שלך לקבלת ייעוץ נוסף.
How to store pregabalin
חזרה לתוכןשמור את כל התרופות מחוץ לטווח הראייה והישג ידם של ילדים.
יש לאחסן במקום קריר ויבש, הרחק מחום ואור ישיר.
מידע חשוב על כל התרופות
חזרה לתוכןמידע חשוב על כל התרופות
If you buy any medicines, always check with a pharmacist that they are suitable to take with your other medicines.
אם אתה עובר ניתוח או טיפול שיניים, אמור לאדם שמבצע את הטיפול אילו תרופות אתה נוטל.
Never take more than the prescribed dose. If you suspect that you or someone else might have taken an overdose of this medicine, go to the accident and emergency department of your local hospital. Take the container with you, even if it is empty, so the doctor knows what has been taken.
תרופה זו מיועדת עבורך. לעולם אל תיתן אותה לאנשים אחרים, גם אם מצבם נראה דומה לשלך.
אל תשמרו תרופות שפג תוקפן או שאינן רצויות. קחו אותן לבית המרקחת המקומי שלכם שיטפל בהן עבורכם.
אם יש לך שאלות לגבי התרופה הזו, שאל את הרוקח שלך.
דווח על תופעות לוואי לתרופה או חיסון
אם אתה חווה תופעות לוואי, תוכל לדווח עליהן באינטרנט דרך ה Yellow Card website.

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שאלות נפוצות
Can I take pregabalin if I am currently taking other medications?
You should always tell your doctor about all medicines you are taking, including those bought without a prescription, as well as herbal and complementary medicines. This is important because some medicines are not suitable to be taken with pregabalin. Your doctor needs this information before you start taking pregabalin.
How long will it take for pregabalin to start working?
When you first start pregabalin, you will be advised to take a low dose, which will then be gradually increased over the first few weeks. This allows your body to adjust to the medicine. The article does not specify an exact timeframe for the medicine to become fully effective, but your doctor will monitor your progress during regular appointments.
What should I do if I forget a dose of pregabalin?
If you forget to take a dose, take it as soon as you remember. You should try to take the correct total number of doses each day, but do not take two doses at the same time to make up for a missed one.
Is it safe to drive or operate machinery while taking pregabalin?
Pregabalin can cause side-effects such as feeling dizzy, sleepy, or having blurred or double vision. If you experience these symptoms, you should not drive or use tools or machinery. Additionally, people with epilepsy must stop driving and will be advised by their doctor when it might be safe to drive again, usually after a year free of seizures.
What should I do if I notice any mood changes or unusual thoughts while taking pregabalin?
A small number of people taking anti-epileptic medicines, including pregabalin, have experienced mood changes or suicidal thoughts. If this happens to you, it's crucial to tell your doctor about it straightaway.
What are the common side-effects of pregabalin and how can I manage them?
Some common side-effects include dizziness, sleepiness, blurred vision, headache, dry mouth, nausea, vomiting, flatulence, bloating, constipation, diarrhoea, increased appetite, and weight gain. Many of these often improve as your body adjusts. For dizziness or blurred vision, avoid driving or using machinery. For headaches, drink plenty of water and consider a suitable painkiller. For dry mouth, chew sugar-free gum or suck sugar-free sweets. For digestive issues like nausea or bloating, stick to simple meals. If any side-effects become troublesome or continue, speak with your doctor or pharmacist.
Can I stop taking pregabalin if I feel better?
No, you must take pregabalin regularly every day. Stopping treatment suddenly can cause problems and make you feel unwell. If it becomes necessary to stop the treatment, your doctor will guide you to reduce your dose gradually over at least a week.
What should I do if I experience breathing difficulties while on pregabalin?
Some people have experienced difficulty breathing with pregabalin, sometimes along with feeling drowsy. You should let your doctor know if you notice any new or increased breathing problems during your treatment. The risk might be higher if you are also taking other medicines that can cause drowsiness or breathing issues. Additionally, if you experience trouble breathing alongside swelling of your face, mouth, tongue, or throat, you must contact your doctor for advice immediately as this could be an allergic reaction.
קריאה נוספת והפניות
- Manufacturer's PIL, Lyrica® Capsules; Upjohn UK Ltd, The electronic Medicines Compendium. Dated March 2023.
- Manufacturer's PIL, Lyrica® 20 mg/ml oral solution; Upjohn UK Ltd (Pfizer Limited), The electronic Medicines Compendium. Dated March 2023.
- תרופות מלאות BNF מהדורה 89; האגודה הרפואית הבריטית והחברה המלכותית לפרמקולוגיה של בריטניה הגדולה, לונדון.
המשך לקרוא למטה
About the authorView full bio

מייקל סטיוארט, MRPharmS
Medicine Leaflet Review Manager – Contractor, Pharmacist
BPharm (Hons), MRPharmS
Michael is a community pharmacist practicing in the Midlands and South Yorkshire with more than 20 years’ experience advising on medicines and medical conditions. He has a strong background in healthcare training, having produced and delivered training courses for pharmacy teams and staff of residential care settings, including nurses. He has also contributed to pharmacy advisory boards for the management of low acuity conditions in the community.
About the reviewer

סיד דג'אני
Sultan Dajani qualified at the London School of Pharmacy in 1994 and became the youngest elected member of the Royal Pharmaceutical Society council since its founding in 1842.
היסטוריית המאמר
המידע בעמוד זה נכתב ונבדק על ידי קלינאים מוסמכים.
Next review due: 26 Oct 2026
27 Oct 2023 | הגרסה האחרונה

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