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Gabapentinoid (alpha-2-delta ligand)

Who should not take Pregabalin

A contraindication is a condition under which Pregabalin (Pregabalin) should not be taken because the risk outweighs the benefit. Pregabalin has both absolute contraindications (do not use) and relative cautions (use only after careful review). This page summarises both at the 25mg, 50mg, 75mg, 100mg, 150mg, 200mg dosing range.

Absolute contraindications

According to the prescribing information for Pregabalin, absolute contraindications typically include severe allergic reactions to the active ingredient or excipients, severe hepatic or renal impairment, certain cardiovascular conditions, and concurrent use of specific interacting medications. The exact list depends on the molecule and is detailed in the official label.

Relative cautions

Relative cautions are situations where Pregabalin can be used but with extra monitoring, dose reduction or alternative considered. These often include mild-to-moderate organ impairment, age extremes, multiple comorbidities, and complex medication regimens. Pregabalin binds the alpha-2-delta auxiliary subunit of voltage-gated calcium channels in the central nervous system, reducing presynaptic calcium influx and the release of excitatory neurotransmitter…

Frequently asked questions

Can someone with heart disease take Pregabalin?

Some forms of heart disease are absolute contraindications for Pregabalin, particularly with nitrate use or recent cardiovascular events. Stable, well-controlled cardiovascular disease may allow Pregabalin use under specialist supervision. The prescribing information for Pregabalin should be reviewed.

Is Pregabalin safe with kidney problems?

Mild to moderate kidney impairment usually allows Pregabalin at adjusted lower 25mg, 50mg, 75mg, 100mg, 150mg, 200mg doses. Severe kidney failure is often a contraindication or requires substantial dose reduction. The prescriber decides based on lab results and concurrent medications.

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The information on this website is provided for reference and educational purposes only. It does not replace consultation with a qualified healthcare professional.