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Pregabalina, cuándo y cómo debemos tomarla Tu Farmacéutico Informa Side Effects 2 Views • 5 months ago

Videoconsejo sanitario sobre pregabalina, para qué sirve este principio activo, y cómo y cuándo debemos administrar este medicamento. Videoconsejo impartido por la farmacéutica Irene Suárez, elaborado por el Consejo General de Colegios Farmacéuticos y producido por Medicina TV.

La pregabalina es un fármaco que se emplea para el tratamiento de la epilepsia, del dolor neuropático y del trastorno de ansiedad generalizada en adultos.

Pregabalina está disponible en el mercado en forma de cápsulas, comprimidos y solución oral.

La dosis a emplear y la duración del tratamiento se deben ajustar individualmente y tienen que ser definidas por el médico. De forma general, el rango de dosis es de 150 a 600 mg día, dividido en dos o tres tomas.

Por ejemplo, para el tratamiento de pacientes con dolor neuropático, se suele comenzar con una dosis de 150 mg al día, dividida en varias tomas y en función de la respuesta del paciente se puede incrementar paulatinamente a lo largo de varias semanas, hasta un máximo de 600 mg al día.

En pacientes con insuficiencia renal, es necesario realizar un ajuste individualizado, ya que la pregabalina se elimina principalmente por orina.

Pregabalina se puede tomar con o sin alimentos y es aconsejable no consumir alcohol durante el tratamiento.

Entre sus reacciones adversas más frecuentes, destacamos el aumento de apetito, cambios en el estado de ánimo o dolores de cabeza.

También es habitual que aparezca somnolencia y mareos, por lo que se debe tener precaución a la hora de conducir o realizar actividades peligrosas que requieran tu atención.

Entre las principales recomendaciones, es fundamental no usar pregabalina sin receta médica. Además, es importante que tomes el medicamento a las horas y durante el periodo de tiempo que te haya indicado el médico. Y finalmente, desecha el tratamiento que te haya sobrado en el punto SIGRE de tu farmacia.

Y recuerda, pregunta siempre a tu farmacéutico de confianza. Te informaremos sobre los como debes administrar pregabalina y sobre cualquier otra duda que tengas.

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Lyrica for Restless Legs Syndrome Side Effects 0 Views • 5 months ago

Lyrica® (pregabalin) is one of three medications in the class of drugs known as alpha-2-delta ligands along with its cousins gabapentin (Neurontin®) and gabapentin enarcarbil (Horizant®) that are the consensus first-line drugs for the treatment of restless legs syndrome (RLS). Andy Berkowski, MD of ReLACS Health analyzes the use of this medication in this video.

To read in more depth about RLS and other sleep disorders, follow A ReLACSing Blog:
https://www.relacshealth.com/blog

For more information on gabapentin and Horizant, this video explains the differences:
https://youtu.be/PPFw-W9unvw

Lyrica works by reducing the transmission of the abnormal signal from one brain cell to another that is telling the brain that one has to move the legs. It affects a calcium channel in these nerve cells and essentially quiets down that loud voice creating the urge to move and the discomfort caused by this disease. Originally and still occasionally used a drug to prevent seizures by this same mechanism, Lyrica has become popular for a variety of nerve or nerve pain conditions including Shingles, neuropathic pain in the feet, and fibromyalgia. It turns out to work fairly well for RLS in the majority of cases. For RLS, it can be dosed once or twice in the evening and/or at night when typical RLS symptoms take place. The main side effects can be dizziness and drowsiness, which people may adapt to after a few days. Rarely people can gain a few pounds on Lyrica, possible due to increase in body fluid rather than eating more or more fat accumulation, but this is unclear.

There is a Black Box warning about suicide risk with this medication in those with depression, and though this is very rare, it should be noted. Lyrica can slow down breathing in some circumstances when combined with other drugs that also affect breathing like opioids (narcotics, pain medications), hypnotics (benzodiazepines, prescription sleeping pills), and muscle relaxants. This is particularly important to know for those with untreated obstructive sleep apnea (OSA), significant obesity, COPD or lung disease, or anyone that may have reasons for difficulty breathing at night. Lyrica can be quite effective for RLS, but it is not always tolerated or effective. It is often less effective in those exposed to dopamine agonists (ropinirole/Requip®, pramipexole/Mirapex®, rotigotine/Neupro®) or those with the inevitable augmentation from these medications.

For more information on what is augmentation, see here:
https://youtu.be/gO0uQfILGQk

Arguably the most impression clinical trial for RLS in the New England Journal of Medicine was done on Lyrica a few years back so there is strong evidence in research and extensive experience among doctors treating RLS.
https://www.nejm.org/doi/full/....10.1056/nejmoa130364

Generally, clinicians start patients on either gabapentin or Lyrica, and if one does not work they try the other as there could be fewer side effects or better effects on RLS of one versus the other even if they are cousins from the same drug class. Lyrica seems to be better absorbed on an empty stomach than gabapentin or Horizant which are best taken with a meal.

These videos are for general medical information only, but for those who live in or near Michigan, Ohio, or Florida, you can hire @andyberkowskimd of ReLACS Health as your personal sleep and RLS specialist to determine whether pregabalin is a treatment for you. He has successfully treated several hundred individuals with the most challenging cases of RLS including those with augmentation from dopamine agonists and offers an RLS Augmentation Management Program for those who need more personalization, time, and expertise. Go to https://www.relacshealth.com/ to schedule your consultation now.