The FDA has approved these three drugs and pregabalin Lyrica as non-opioid medications for treatment of various chronic pain syndromes. Opioid drugs are usually used to treat acute or severe pain.
Based on your diagnosis and symptoms, your doctor might prescribe morphine, fentanyl , oxycodone , or codeine. Opioids are highly addictive drugs.
Corticosteroids are usually used to relieve inflamed areas, easing swelling, redness, itching, and allergic reactions. Based on your diagnosis and symptoms, your doctor might prescribe prednisone, prednisolone or methylprednisolone. NSAIDs are usually used to relieve fever, inflammation, and swelling. Based on your diagnosis and symptoms, your doctor might prescribe celecoxib Celebrex , flurbiprofen Ansaid, Ocufen , oxaprozin Daypro , sulindac Clinoril , or one of many other prescription NSAIDs.
Non-aspirin pain relievers, such as acetaminophen Tylenol , work for fevers and common pains like headaches, but do not relieve inflammation. The most common non-aspirin pain reliever is acetaminophen Tylenol. Although there is limited to no medical support for these claims, some people feel that there are natural alternatives for Lyrica including:.
Lyric is a nonnarcotic prescription drug that is somewhat habit forming and can trigger depression in some patients. If your doctor feels that Lyrica is right for your medical condition, discuss its potential side effects and how your doctor feels you should deal with them. Pruritus, or severe Itching, may be a symptom of fibromyalgia, or it could be a side effect of your medication.
Work with your doctor to find ways to…. Does fibromyalgia leave you feeling hazy? Learn about positive lifestyle changes that may improve your glomerular filtration rate GFR and slow the loss of kidney function for people with…. If you have kidney disease, reducing your potassium, phosphorus, and sodium intake can help manage it. Here are 17 foods that you should likely avoid…. Your doctor will adjust your dosage as needed based on how well the drug is working for you and any side effects that you may experience.
For treating fibromyalgia in adults, the recommended starting dosage of Lyrica is mg per day. This is taken as 75 mg twice per day. After 1 week, your doctor may increase your dosage to mg twice per day a total of mg per day. Whether or not your dosage is increased will depend on how well the drug is working for you and any side effects that you may experience. This is the maximum dosage for treating fibromyalgia.
The recommended starting dosage of Lyrica for adults with nerve pain after shingles is mg per day. This can be taken as 75 mg twice per day or 50 mg three times per day. After 1 week, your doctor may increase your dosage to one of the two recommended dosages. Both options equal a total of mg to mg:. After 2 to 4 weeks of taking mg daily, your doctor may increase your dosage to the maximum of mg daily. This can either be taken as mg twice per day or mg three times per day.
For treating nerve pain from a spinal cord injury , the recommended starting dosage of Lyrica is mg per day. This is taken either as 50 mg three times per day or 75 mg twice per day. This is divided into two or three doses per day. For example, if a child weighs 32 kg about 70 pounds [lb] , the recommended starting dosage would be 80 mg total per day. This could be taken as 40 mg twice daily.
It could also be split into three doses per day such as 30 mg in the morning and afternoon, and 20 mg at night. The maximum dosage for children in this weight range is 10 mg per kg of body weight daily, with a maximum of mg per day. This dosage should be divided into two or three doses per day. For example, if a child weighs 20 kg about 44 lb , the recommended starting dosage would be 70 mg total per day.
This could be taken as 35 mg twice per day. It could also be split into three doses per day such as 20 mg in the morning and afternoon, and 10 mg at night. The maximum dosage for children in this weight range is 14 mg per kg of body weight daily. For children ages 1 month to younger than 4 years, this should be divided into three doses per day.
For children ages 4 years and older, this may be divided into two or three doses per day. Then, take your next dose as its regular time. This could raise your risk for side effects. This can include setting an alarm on your phone or downloading a reminder app. A kitchen timer can also work.
Lyrica is meant to be used as a long-term treatment. You may wonder how Lyrica compares with other medications that are prescribed for similar uses. Here, we look at how Lyrica and gabapentin are alike and different. Lyrica belongs to a drug class called antiepileptic drugs AEDs. Lyrica contains the active drug pregabalin. Gabapentin is also an AED. Gabapentin is approved for use in children ages 3 years and older.
But this form of Lyrica is only available in one strength: 20 mg of the drug per milliliter mL of liquid. Gabapentin comes in three forms: capsules, tablets, and a liquid solution. All are taken by mouth. Gabapentin is available in the following strengths:. Lyrica and gabapentin have some similar side effects and others that vary. Below are examples of these side effects. These lists contain examples of serious side effects that can occur with either Lyrica or gabapentin, as well as serious side effects that both drugs may share.
But studies have found both Lyrica and gabapentin to be effective for nerve pain after shingles and for partial onset seizures. According to estimates on GoodRx. Lyrica is a brand-name drug. Brand-name medications usually cost more than generics. Gabapentin is a generic drug. Other drugs are available that can treat your condition. Some may be a better fit for you than others. They can tell you about other medications that may work well for you. Note: Some of the drugs listed here are used off-label to treat these specific conditions.
Examples of other drugs that may be used to treat diabetic nerve pain include:. Examples of other drugs that may be used to treat fibromyalgia include:. Examples of other drugs that may be used to treat pain after shingles include:. Examples of other drugs that may be used to treat nerve pain from a spinal cord injury include:.
Examples of other drugs that may be used to treat partial onset seizures include:. In larger clinical studies :. Because of this, anyone with a history of misusing alcohol, prescription medications, or recreational drugs should talk with their doctor before using Lyrica.
It might. Lyrica can show up on certain drug tests that specifically screen for pregabalin, which is its active drug. Instead, most drug tests look for drugs that are commonly misused or used illegally, including:. Pregabalin belongs to a class of medications known as antiepileptic drugs. But Lyrica is a controlled substance. Anyone with a history of misusing drugs or alcohol may be more likely to misuse Lyrica.
If you have questions or concerns about misusing Lyrica, talk with your doctor before you start treatment. Lyrica may cause certain side effects that could affect your ability to drive or operate machinery. These side effects can include:. Yes, Lyrica can be used in people with diabetes. The drug is approved to treat diabetic nerve pain. But people with diabetes should pay special attention to their skin while taking Lyrica. In animal studies , Lyrica caused skin ulcers sores.
If you have diabetes and notice any sores or skin problems while taking Lyrica, talk with your doctor. Lyrica may not be safe for you if you use certain other medications called thiazolidinediones to treat diabetes. Examples of thiazolidinediones include pioglitazone Actos and rosiglitazone Avandia. Lyrica and thiazolidinediones can both cause swelling in your feet, hands, and legs. But in some people with breathing problems, Lyrica may cause respiratory depression slow and shallow breathing.
This side effect can be life threatening. Lyrica can also cause respiratory depression if taken with other drugs that depress the central nervous system CNS , such as opioids.
If you have a breathing problem or are taking a CNS depressant, talk with your doctor before you start treatment with Lyrica. If you do take Lyrica, your doctor will likely have you and the people around you watch for sedation severe sleepiness or worsening breathing problems. This is because suddenly stopping Lyrica may cause withdrawal symptoms. In clinical studies , some people who suddenly stopped Lyrica experienced side effects, including:. Because of this, you should gradually stop taking Lyrica over time.
This is known as a drug taper. For this purpose, Lyrica is used with other seizure treatments. Lyrica begins working as soon as you take your dose. But your symptoms may not be relieved right away. In clinical trials , some adults taking Lyrica for nerve pain or fibromyalgia reported a decrease in pain within 1 week of starting treatment. But it may take several weeks before the drug starts to relieve your symptoms.
Drinking alcohol during your Lyrica treatment could raise your risk for certain side effects, such as dizziness, sleepiness, and even respiratory depression. Alcohol is a central nervous system depressant. Lyrica can interact with several other medications. Different interactions can cause different effects. For instance, some interactions can interfere with how well a drug works, while others can increase side effects or make them more severe.
Below is a list of medications that can interact with Lyrica. This list does not contain all drugs that may interact with Lyrica.
Before taking Lyrica, talk with your doctor and pharmacist. Tell them about all prescription, over-the-counter, and other drugs you take.
Also, tell them about any vitamins, herbs, and supplements you use. Sharing this information can help you avoid potential interactions. If you have questions about drug interactions that may affect you, ask your doctor or pharmacist. Lyrica may cause respiratory depression slow and shallow breathing if taken with other drugs that cause sedation severe sleepiness or respiratory depression. Opioids are a type of drug that can cause these side effects.
Tramadol is an example of an opioid medication that can cause respiratory depression and sedation. Taking Lyrica and tramadol together may increase your risk for severe side effects. Lyrica can affect your central nervous system CNS. Your CNS is made up of your brain and spinal cord. Your spinal cord has nerves that your brain uses to send signals throughout your body. This may cause symptoms such as sedation severe sleepiness and respiratory depression.
Your doctor may adjust the dosage of one or more of your medications, or they may have you try a different medication for your condition. Lyrica may interact with certain diabetes drugs called thiazolidinediones.
Both thiazolidinediones and Lyrica can cause swelling in your hands, feet, and legs. Taking Lyrica with thiazolidinediones may raise your risk for swelling, as well as weight gain. If you take these drugs together, your doctor will likely monitor you for any symptoms of swelling or unusual weight gain.
Your doctor may adjust your dosage of Lyrica or the thiazolidinedione, or they may have you try a different drug to treat your condition. But you should still check with your doctor or pharmacist before using any of these products while taking Lyrica.
If you have any questions about eating certain foods with Lyrica, talk with your doctor. As with all medications, the cost of Lyrica can vary. Dosage recommendations vary depending on your condition and symptoms.
Usually, though, healthcare providers start adults off with a low dose of milligrams mg per day of Lyrica, then may gradually increase it. The maximum dose is mg in a single day. Learn about treatment and lifestyle changes to cope with fibromyalgia and chronic fatigue syndrome. Approval package for Lyrica. Approved December 30, Aspects of fibromyalgia in the general population: sex, pain threshold, and fibromyalgia symptoms.
J Rheumatol. Lyrica [labeling]. Updated May Living with fibromyalgia, drugs approved to manage pain. Updated January 31, Pregnancy outcome following maternal exposure to pregabalin may call for concern.
Trial of pregabalin for acute and chronic sciatica. New England Journal of Medicine. Pregabalin for neuropathic pain in adults. Cochrane Database of Systematic Reviews.
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I Accept Show Purposes. Frequently Asked Questions How common are side effects with Lyrica? What is Lyrica used for? Learn More: Understanding Chronic Pain. What is a typical dosage of Lyrica? Was this page helpful? Thanks for your feedback!
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