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Pregabalin, sold under the brand name Lyrica among others, is an anticonvulsant, analgesic, and anxiolytic amino acid medication used to treat epilepsy, neuropathic pain, fibromyalgia, restless legs syndrome, opioid withdrawal, and generalized anxiety disorder (GAD). [13] [17] [18] Pregabalin also has antiallodynic properties.
However, food has been found to substantially delay the absorption of pregabalin and to significantly reduce peak levels without affecting the bioavailability of the drug; T max values for pregabalin of 0.6 hours in a fasted state and 3.2 hours in a fed state (5-fold difference), and the C max is reduced by 25–31% in a fed versus fasted state ...
Approximately 6/10 people who take gabapentin to treat pain related to fibromyalgia experience unpleasant side effects such as dizziness, abnormal walking, or swelling from fluid accumulation. [180] Pregabalin demonstrates a benefit in about 9% of people. [181] Pregabalin reduced time off work by 0.2 days per week. [182]
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Parke-Davis developed a drug called pregabalin, which is related in structure to gabapentin, as a successor to gabapentin. [159] Another similar drug atagabalin has been unsuccessfully tried by Pfizer as a treatment for insomnia. [160] A prodrug form (gabapentin enacarbil) [161] was approved by the U.S. Food and Drug Administration (FDA).
The effectiveness of pregabalin and its older relative gabapentin against pain syndromes of this kind (which tend to respond poorly to other analgesic drugs) has led to their widespread use, and these drugs have subsequently been found to be useful for many other medical applications, including as anticonvulsants, muscle relaxants, anxiolytics ...
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