Pregabalin 100mg capsules
Requires a prescription from a doctor or prescriber
Antiepileptic drugs
Some safe custody exemptions; written records required
Legal requirements and restrictions
Schedule 3 medicines that do not require locked storage or register entries.
Legal requirements
- Prescriptions valid for 28 days
- No controlled drugs register required
- No safe custody (locked storage) required
Other medicines in this category
Official documents, adverse reaction reporting, and safety monitoring
Report a side effect
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Official medicine documents
Safety monitoring data
Yellow Card reports
The MHRA Yellow Card scheme collects reports of suspected side effects from healthcare professionals and patients. View the Drug Analysis Profile (iDAP) for real-world adverse reaction data.
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Suspected adverse reactions reported for Pregabalin
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Report a side effect
Submit a Yellow Card report to the MHRA
Data from the MHRA Yellow Card scheme. A reported reaction does not necessarily mean the medicine caused it. Contains public sector information licensed under the Open Government Licence v3.0.
EudraVigilance
The European Medicines Agency (EMA) collects suspected adverse reaction reports from across the EU/EEA through the EudraVigilance system. Search for safety data on this medicine.
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Suspected adverse reactions reported for Pregabalin
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EudraVigilance data is published by the European Medicines Agency (EMA). A suspected adverse reaction is not necessarily caused by the medicine.
43 branded products available
MHRA licensed products
View all licensed products for Pregabalin on the MHRA register
Axalid 100mg capsules
Lyrica 100mg capsules
Lyrica 100mg capsules
Lyrica 100mg capsules
Lyrica 100mg capsules
Pregabalin 100mg capsules
Pregabalin 100mg capsules
Pregabalin 100mg capsules
Pregabalin 100mg capsules
Pregabalin 100mg capsules
Pregabalin 100mg capsules
Pregabalin 100mg capsules
This is the NHS Drug Tariff indicative price used for reimbursement purposes. It may not reflect the price paid by patients or pharmacies.
View full Drug TariffSource: NHS Drug Tariff via NHSBSA. Derived from dm+d VMPP (Virtual Medicinal Product Pack) pricing data. Contains public sector information licensed under the Open Government Licence v3.0.
WHO defined daily dose (DDD)
300 mg
Not a recommended dose. The DDD is the assumed average maintenance dose per day for a drug used for its main indication in adults. It is a statistical measure used for research and comparison purposes only.
Source: WHO Collaborating Centre for Drug Statistics Methodology, distributed via NHS dm+d BNF mapping files. Contains public sector information licensed under the Open Government Licence v3.0.
Therapeutically similar medicines
Similarity based on WHO Anatomical Therapeutic Chemical (ATC) classification and NHS BNF section grouping. Source data: NHS dm+d via TRUD (OGL v3.0), WHO ATC/DDD Index.
NHS prescribing volume and spending trends
Clinical guidelines and formulary information
British National Formulary
Pregabalin
Source: British National Formulary, NICE. Joint Formulary Committee. Contains public sector information licensed under the Open Government Licence v3.0.
NICE clinical guidance(11)
Neuropathic pain in adults: pharmacological management in non-specialist settings (CG173)
Generalised anxiety disorder and panic disorder in adults: management (CG113)
Low back pain and sciatica in over 16s: assessment and management (NG59)
Restless legs syndrome: Oxycodone/naloxone prolonged release (ESNM67)
Epilepsies in children, young people and adults (NG217)
Spinal injury: assessment and initial management (NG41)
Multiple sclerosis in adults: management (NG220)
Targeted muscle reinnervation for managing limb amputation pain (HTG750)
Aptiva for painful diabetic neuropathy (MIB119)
Cenobamate for treating focal onset seizures in epilepsy (TA753)
Difelikefalin for treating pruritus in people having haemodialysis (TA890)
Source: National Institute for Health and Care Excellence (NICE). Contains public sector information licensed under the Open Government Licence v3.0.
Check stock at pharmacies and supply information
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Search for this medicine at major UK pharmacy chains. These links open the retailer's own website — results depend on their current online catalogue.
Supply & product information
Official product databases and supply status monitoring
Pharmacy links redirect to the retailer's own search and do not represent real-time stock levels. emc (electronic medicines compendium) is operated by Datapharm Ltd. Shortage information sourced from NHS Specialist Pharmacy Service (SPS), sps.nhs.uk.
Codes for healthcare professionals and prescribing systems
These codes are used by healthcare IT systems and prescribers to identify this medicine.
NHS UK identifiers
Browse tools
SNOMED CT and dm+d codes from NHS TRUD (Technology Reference data Update Distribution), licensed under the Open Government Licence v3.0. BNF codes from NHS Business Services Authority (NHSBSA). ATC codes from the WHO Collaborating Centre for Drug Statistics Methodology (whocc.no).
Active and completed clinical studies from ClinicalTrials.gov
Source: ClinicalTrials.gov, a database of the U.S. National Library of Medicine (NLM), National Institutes of Health (NIH). Data accessed via ClinicalTrials.gov API v2. Trial information is provided for research purposes and does not constitute medical advice.
Pharmacology and chemical data from DrugBank
Key facts
Drug status
Approved
Major interactions
1 found
Half-life
6.3 hours
Mechanism
Although the mechanism of action has not been fully elucidated, studies involvin…
Food interactions
2 warnings
Human targets
1 target
Data: DrugBank · CC BY-NC 4.0
Pharmacokinetics at a glance
Absorption
90%
[A31165]…
Half-life
6.3 hours
[L7066]
Protein binding
[A31165][L7066]
Volume of distribution
0.5 L/kg
Metabolism
2%
[A31165][L7066]
Elimination
[A187093][A187096]
Further, based on preclinical studies, pregabalin does not appear…
Clearance
67.0 to 80.9 mL
Pharmacokinetic data: DrugBank · CC BY-NC 4.0
[L7066]
Known interactions with other medications. Always consult a healthcare professional.
Showing 50 of 1805 interactions
[A175876]
The most common symptoms of pregabalin toxicity (dose range includes 800 mg/day and single doses up to 11,500 mg) include somnolence, confusion, restlessness, agitation, depression, affective disorder and seizures.
[L9052]
Since there is no antidote for pregabalin overdose, patients should receive general supportive care. If appropriate, gastric lavage or emesis may help eliminate unabsorbed pregabalin (healthcare providers should take standard precautions to maintain the airway).
[L9052]
Pregabalin pharmacokinetic properties suggest that extra-corporeal elimination methods including haemodialysis, may be useful in situations of severe toxicity.
[A187105]
However, there are cases where patients have presented with very high serum levels of pregabalin and have been successfully managed with supportive care alone.
[A187105]
By binding presynaptically to the alpha2-delta subunit of voltage-gated calcium channels in the central nervous system, pregabalin modulates the release of several excitatory neurotransmitters including glutamate, substance-P, norepinephrine, and calcitonin gene related peptide.[A31163] In addition, pregabalin prevents the alpha2-delta subunit from being trafficked from the dorsal root ganglia to the spinal dorsal horn, which may also contribute to the mechanism of action.[A36628]
Although pregabalin is a structural derivative of the inhibitory neurotransmitter gamma-aminobutyric acid (GABA), it does not bind directly to GABA or benzodiazepine receptors.[A31165]
How the body processes this drug — absorption, distribution, metabolism, and elimination
[A31165]
Pregabalin oral bioavailability is reported to be ≥90% regardless of the dose.
[A31165]
Cmax is attained within 1.5 hours after single or multiple doses, and steady state is attained within 24-48 hours with repeated administration.
[A31165][L7066]
Both Cmax and AUC appear to be dose proportional.
[A31165]
Food decreases the rate of pregabalin absorption and as a result, lowers the Cmax by an estimated 25-30% and increases the Tmax to approximately 3 hours.
[L7066]
However, the effect of food does not appear to impact the total absorption of pregabalin in a way that is clinically relevant. As a result, pregabalin can be administered with or without food.
[L7066]
[L7066]
[A31165][L7066]
[L7066]
Although pregabalin is not very lipophilic, it is able to cross the blood brain barrier(BBB).
[A175894]
System L transporters facilitate the transport of large amino acids across the BBB and it has been confirmed that pregabalin is a substrate.
[L7066][A175894]
This information suggests that system L transporters are responsible for pregabalin uptake into the BBB.
[A175894]
In rat models, pregabalin has been shown to cross the placenta.
[L7066]
[A31165][L7066]
[A187093][A187096]
Further, based on preclinical studies, pregabalin does not appear to undergo racemization to the R enantiomer in the body.
[A31168]
[L7066]
Given pregabalin's lack of plasma protein binding, this clearance rate suggests that renal tubular reabsorption is involved.
[L7066]
Proteins and enzymes this drug interacts with in the body
PMID:35293990
Plays an important role in excitation-contraction coupling (By similarity)
Proteins that transport this drug across cell membranes
PMID:21123949 PMID:26690923 PMID:33658209 PMID:7521911 PMID:7914198 PMID:8857541
Can also transport L-cysteine .
PMID:21123949
Functions as a symporter that transports one amino acid molecule together with two or three Na(+) ions and one proton, in parallel with the counter-transport of one K(+) ion .
PMID:26690923 PMID:33658209 PMID:7521911 PMID:8857541
Mediates Cl(-) flux that is not coupled to amino acid transport; this avoids the accumulation of negative charges due to aspartate and Na(+) symport .
PMID:26690923 PMID:8857541
Plays an important role in L-glutamate and L-aspartate reabsorption in renal tubuli .
PMID:21123949
Plays a redundant role in the rapid removal of released glutamate from the synaptic cleft, which is essential for terminating the postsynaptic action of glutamate (By similarity). Contributes to glutathione biosynthesis and protection against oxidative stress via its role in L-glutamate and L-cysteine transport (By similarity). Negatively regulated by ARL6IP5 (By similarity)
PMID:10049700 PMID:10574970 PMID:11557028 PMID:11564694 PMID:12117417 PMID:12225859 PMID:15769744 PMID:18262359 PMID:25998567 PMID:30867591 PMID:9751058
The heterodimer with SLC3A2 mediates the uptake of L-DOPA (By similarity). Functions as an amino acid exchanger .
PMID:11557028 PMID:12117417 PMID:12225859 PMID:30867591
May play a role in the transport of L-DOPA across the blood-brain barrier (By similarity). May act as the major transporter of tyrosine in fibroblasts (Probable).
May mediate blood-to-retina L-leucine transport across the inner blood-retinal barrier (By similarity). Can mediate the transport of thyroid hormones diiodothyronine (T2), triiodothyronine (T3) and thyroxine (T4) across the cell membrane .
PMID:11564694
When associated with LAPTM4B, the heterodimer formed by SLC3A2 and SLC7A5 is recruited to lysosomes to promote leucine uptake into these organelles, and thereby mediates mTORC1 activation .
PMID:25998567
Involved in the uptake of toxic methylmercury (MeHg) when administered as the L-cysteine or D,L-homocysteine complexes .
PMID:12117417
Involved in the cellular activity of small molecular weight nitrosothiols, via the stereoselective transport of L-nitrosocysteine (L-CNSO) across the membrane PMID:15769744
ATC N02BF02
Chemical identifiers
CAS, UNII, InChI Key and database cross-references
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Chemical identifiers
CAS, UNII, InChI Key and database cross-references
Linked compound data from DrugBank Open Data (CC BY-NC 4.0)
Pregabalin
Additional database identifiers
Drugs Product Database (DPD)
15568
ChemSpider
4589156
BindingDB
50164279
ZINC
ZINC000000005152
HUGO Gene Nomenclature Committee (HGNC)
HGNC:1399
GenAtlas
CACNA2D1
GeneCards
CACNA2D1
GenBank Gene Database
M76559
GenBank Protein Database
179762
UniProt Accession
CA2D1_HUMAN
HUGO Gene Nomenclature Committee (HGNC)
HGNC:10939
GenAtlas
SLC1A1
GeneCards
SLC1A1
GenBank Gene Database
U08989
GenBank Protein Database
507898
Guide to Pharmacology
870
UniProt Accession
EAA3_HUMAN
HUGO Gene Nomenclature Committee (HGNC)
HGNC:11063
GenAtlas
SLC7A5
GeneCards
SLC7A5
GenBank Gene Database
AF077866
GenBank Protein Database
3639058
UniProt Accession
LAT1_HUMAN
International reference pricing
Reference pricing from DrugBank. Prices are indicative and may not reflect current UK costs.
Source: DrugBank. Used under CC BY-NC 4.0 academic licence for non-commercial purposes.
Patent information
3 active patents, 6 expired
Source: DrugBank · CC BY-NC 4.0. Patent data sourced from national patent offices. Expiry dates may not reflect extensions, regulatory exclusivity periods, or legal challenges.
DrugBank citations
If you use DrugBank data in your research, please cite the following publications: