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Frequently ordered: potency boosters (sildenafil OTC), quit smoking aids.
Can I use pregabalin (Lyrica 75 mg) for severe attacks of trigeminal neuralgia, and if so, what is the proper dosage and potential risks associated with this drug?
Good morning I am suffering from S/M which gives me severe pains of trigeminal neuralgia, until now I use tegretol which I have gradually increased up to 1200 per day, unfortunately the pain is strong almost unbearable all the same.
I wanted to ask if I can help the Lyrica 75 mg pregabalin to find some relief and if so, the dosage, the number of tablets and the risks I am running with a new medicine.
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Anna Lewandowska Pharmacist, Editor
4 months ago
As an outsider, I am not able to give you individual medical advice on the basis of a short description alone. I cannot clearly determine whether Pregabalin (Lyrica) will be a better solution than Tegretol (Carbamazepine) in the treatment of trigeminal neuralgia. The choice depends on a variety of individual factors, including the type of symptoms, comorbidities, tolerability of the drug, and previous experience with other treatments. As a Pharmacist, I can only provide general information:
Pregabalin (Lyrica) is an antiepileptic and analgesic medication that may be effective in the treatment of trigeminal neuralgia. Pregabalin is recommended as a second-line medication for the treatment of trigeminal neuralgia when treatment with carbamazepine (tegretol) is ineffective or poorly tolerated.
The typical starting dose of pregabalin is 75 mg twice daily. The dose may be gradually increased every 3-7 days to a maximum dose of 600 mg per day, divided into two or three doses.
The most common side effects are: dizziness, drowsiness, constipation, dry mouth and weight gain. The risk of worsening side effects increases with increasing dose.
Pregabalin can cause dependence and withdrawal syndrome after abrupt discontinuation, so the dose should be gradually reduced before the end of treatment.
The decision on which medication to use should be made together with a doctor who knows the patient's medical history and can weigh the pros and cons of each treatment in the context of the patient's specific needs. Trigeminal neuralgia is a complex problem and may require a combination of pharmacological and surgical treatment for best results.
If you are unable to consult your doctor, you can use the teleconsultation here:
https://www.gdziepolek.pl/telekonsultacja/z-neurologiem
Before starting treatment with Pregabalin, tell your doctor about all the diseases and medications you are taking, as it may interact with other medications.
I also encourage you to read the article:
https://www.gdziepolek.pl/artykuly/leki-na-ospe-wietrzna-i-polpasiec