Pregabalin

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Revision as of 21:42, 5 October 2020 by Helen (talk | contribs) (Dosage)

Pronunciation

Pregabalin 150mg

Pregabalin 25mg

Pregabalin 50mg


Introduction

Gabapentin is an anticonvulsant medication:

  • Peripheral and central neuropathic pain
  • Used as an adjunctive therapy for focal seizures with or without secondary generalization.
  • Generalized anxiety disorder


Mechanism of Action

Anticonvulsant medication. It inhibits the alpha 2-delta subunit of voltage-dependent calcium channels.


Generic Name 藥名 HA Code 藥物代碼 Classification藥物分類
Pregabalin Capsule 25mg PREG15 P1S1S3


Dosage

Epilepsy,

By mouth: the initial oral dose is 25 mg twice daily, increased at weekly intervals in steps of 50 mg daily to 300 mg daily in 2-3 divided doses, increased further if necessary after 7 days to max. 600 mg daily in 2-3 divided doses.

Neuropathic Pain

{|class="wikitable" Oral bioavailability Gabapentin is absorbed from the intestines by means of an active transport process which is saturable, so the pharmacokinetics of gabapentin are dose-dependent, with diminished bioavailability and delayed peak levels at higher doses.

Food increases the bioavailability by about 10%.

Onset of action Gabapentin at a low dose of 100 mg has a Tmax (time to peak levels) of about 1.7 hours, while the Tmax increases to 3 to 4 hours at higher doses.
Metabolism Gabapentin undergoes little or no metabolism.
Elimination half-life Gabapentin is eliminated renally in the urine.

The elimination half-life has been reported to be about 5 to 7 hours. Gabapentin is distributed into breast milk.

|Gabapentin is absorbed from the intestines by means of an active transport process which is saturable, so the pharmacokinetics of gabapentin are dose-dependent, with diminished bioavailability and delayed peak levels at higher doses. Food increases the bioavailability by about 10%. |- !style="text-align: left"| Onset of action |Gabapentin at a low dose of 100 mg has a Tmax (time to peak levels) of about 1.7 hours, while the Tmax increases to 3 to 4 hours at higher doses. |- !style="text-align: left"| Metabolism |Gabapentin undergoes little or no metabolism. |- !style="text-align: left"| Elimination half-life |Gabapentin is eliminated renally in the urine. The elimination half-life has been reported to be about 5 to 7 hours. Gabapentin is distributed into breast milk.

|}