Drugs like pregabalin for pain relief

What patients need to know about drugs like pregabalin for pain relief

11/25/20242 min read

person about to pick medicine from medicine organizer
person about to pick medicine from medicine organizer

Drugs like pregabalin for pain relief: What You Need to Know

What are gabapentinoids?
Gabapentinoids are medications that affect nerve signals in your body. The two main types are:

  • Gabapentin (Neurontin)

  • Pregabalin (Lyrica)

They were originally developed to treat epilepsy but are now commonly used to help manage certain types of chronic pain.

What kinds of pain do they help with?

Gabapentinoids may help if your pain is caused by nerve damage or irritation (called neuropathic pain), such as:

  • Diabetic nerve pain

  • Shingles pain (postherpetic neuralgia)

  • Spinal cord injury pain

  • post-surgical nerve pain

They are not usually helpful for:

  • Arthritis

  • Back pain not caused by nerve issues

  • Headaches

  • Widespread pain

How do they work?

They calm overactive nerves by changing the way nerve signals are sent in your body, which can reduce pain, burning, tingling, or electric shock-like sensations.

How are they taken?

  • Taken as a pill or capsule, usually 1 to 3 times per day

  • Doses are often started low and increased slowly to reduce side effects

  • Please only take medications as prescribed by your GP or pain expert.

Possible side effects

Common side effects include:

  • Drowsiness or dizziness

  • Fatigue

  • Swelling in the legs

  • Trouble thinking clearly or memory issues

  • Weight gain

  • Constipation

Serious side effects are rare but can include mood changes or breathing problems, especially when taken with opioids or alcohol. Congenital abnormalities can occur if a person falls pregnant whilst taking the medication

Are they addictive?

Gabapentinoids are not opioids, but in some people, especially at high doses or with a history of substance use, they can be misused. They should be taken exactly as prescribed. There are concerns about inappropriate intake of nerve-type pain killers in the community,

How well do they work?

Gabapentinoids don’t work for everyone. Some people get good relief, while others may not notice much difference. If they don't help after a few weeks, your doctor may adjust the dose or suggest stopping them.

Key points to remember

  • They are best for nerve-related pain

  • They don’t work instantly—relief may take days to weeks

  • Medications like pregabalin should be used as part of a co-ordinated management plan for pain relief

    Do not rely on this blog for medical advice. Do not start any new medication without discussing this with your doctor.

Always seek the advice of your physician or other qualified healthcare provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health care regimen. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.