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Overview

Pregabalin

Prescription vs.OTC: Prescription by Doctor required

Pregabalin is an anticonvulsant and is considered to be the first-line of treatment for neurotic pain, shingles, seizures and fibromyalgia. It is used for the treatment of diabetic nerve pain, epilepsy, spinal cord injury, restless leg syndrome and generalised anxiety disorder. It works by binding to a certain region of the brain and reducing the pain signals sent out by the damaged nerves of the body.

Some common side effects of Pregabalin include sleepiness, trouble with memory, confusion, poor motor coordination, problem with vision, dry mouth and weight gain. More serious side effects may include drug misuse, angioedema, and an increased risk of suicide. Prolonged use of this medicine can cause addiction.

Pregabalin is not recommended for you if you are pregnant, or have an allergic reaction towards any of its ingredients. Some medicines interact with Pregabalin. Inform your doctor if you are taking any of the following:

  • Angiotensin- converting enzyme inhibitors
  • Benzodiazepines or narcotic pain medicines
  • Thiazolidinedione antidiabetic agents

Ensure your doctor is informed if you have any of the following medical conditions before starting the medication:

  • If you have congestive heart failure, irregular heartbeat, diabetes, bleeding problems, muscle problems, highballed pressure or low platelet count.
  • If you have improper kidney functioning or are on dialysis.
  • If you have a history of angioedema.
  • If you are pregnant, planning to be pregnant or are breastfeeding.
  • If you take any other medicines, dietary supplements or herbal preparations.
  • If you have mental or mood problems, suicidal thoughts, or are dealing with depression.

The initial dose for Pregabalin is usually 50 mg, taken orally 3 times a day. the dosage can later be increased depending on efficacy and tolerability.

Diabetic Neuropathy
Pregabalin is used for relieving of pain caused in the arms, legs, fingers, toes etc associated with nerve damage due to diabetes.
Postherpetic Neuralgia
Pregabalin is used for the relief of nerve pain caused due to herpes virus infection, known as shingles.
Pregabalin is used along with other medicines to treat partial-onset seizures, which is a common type of seizure, in patients suffering from epilepsy.
Pregabalin is used to relieve the symptoms of a condition where the patient experiences severe pain of muscles and joints, extreme tiredness, inability to sleep.
Neuropathic pain
Pregabalin is also used for the treatment of pain caused due to damaged nerves. The damage can be caused do to a spinal chord injury, trauma, or other degenerative diseases.
Generalized anxiety disorder
Pregabalin is also used to relieve general episodes of anxiety in adults.
This medicine is not recommended for use if you have a known history of allergy to Pregabalin.
In addition to its intended effect, Pregabalin may cause some unwanted effects too. In such cases, you must seek medical attention immediately. This is not an exhaustive list of side effects. Please inform your doctor if you experience any adverse reaction to the medication.
Difficulty in breathing Major Less Common
Chest tightness Major Less Common
Chills Major Rare
Severe diarrhea Major Rare
Swelling of face, lips, eyelids, tongue, hands and feet Major Rare
Unusual tiredness and weakness Major Rare
Blurred or double vision Major Rare
Allergic skin reaction Major Rare
Dizziness Moderate Less Common
Dry mouth Minor Common
Headache Minor Less Common
Memory problem Moderate Rare
Loss of coordination Moderate Less Common
Fever Moderate Less Common
Loss of appetite Minor Rare
Anxiety and nervousness Minor Less Common
Slurred speech Minor Rare
Trouble sleeping Minor Less Common
Loss of bladder control Moderate Less Common
Burning, numbness, tingling in the arms and feet Minor Less Common
How long is the duration of effect?
The effect of this medicine lasts for an average duration of 10-12 hours.
What is the onset of action?
This medicine has a varying onset time depending on the intended use.
Are there any pregnancy warnings?
Use of this medicine during pregnancy is not recommended unless absolutely necessary. It should be used only when no other alternatives are capable of producing the desired results. Consult your doctor and discuss the potential benefits and risks before taking this medicine.
Is it habit forming?
This medicine has a low abuse potential with limited physical and psychological dependence.
Are there any breast-feeding warnings?
Use of this medicine by breastfeeding women is not recommended. However, if it becomes necessary to use this medicine, then breastfeeding should be discontinued. Consult your doctor before using this medicine.
Missed Dose instructions
Take the missed dose as soon as you remember. If it is almost time for the next scheduled dose then the missed dose can be skipped.
Overdose instructions
Contact your doctor immediately if an overdose is suspected. Symptoms of overdose may include agitation, mental confusion, excessive drowsiness.
India
United States
Japan
Below is the list of medicines, which contains Pregabalin as ingredient
Alkem Laboratories Ltd
Sun Pharma Laboratories Ltd
Icon Lifesciences
Icon Lifesciences
Zydus Cadila
Torrent Pharmaceuticals Ltd
Torrent Pharmaceuticals Ltd
Intas Pharmaceuticals Ltd
Sun Pharma Laboratories Ltd
Sun Pharma Laboratories Ltd
Panacea Biotec Ltd
Cadila Pharmaceuticals Ltd
Intas Pharmaceuticals Ltd
Alkem Laboratories Ltd
Sun Pharma Laboratories Ltd
Unichem Laboratories Ltd
Torrent Pharmaceuticals Ltd
Intas Pharmaceuticals Ltd
Sun Pharma Laboratories Ltd
Solvate Laboratories Pvt Ltd
Whenever you take more than one medicine, or mix it with certain foods or beverages, you're at risk of a drug interaction.
Interaction with Disease
Angioedema Moderate
This medicine should be administered with caution in patients who have a history of or are at risk of developing swellings of the inner layers of the skin. These swellings can cause airway blockage and prove life-threatening.
Interaction with Alcohol
Ethanol Moderate
Avoid or limit the use of alcohol while taking this medicine. One should refrain from operating heavy machinery or performing works that require a high level of mental alertness.
Interaction with Lab Test
Lab
Information not available.
Interaction with Food
Food
Information not available.
Interaction with Medicine
Lorazepam Moderate
Report the use of Lorazepam or any other medicine that you take for sleep disorders or anxiety problems. The risk of adverse effects like dizziness, drowsiness, confusion, lack of focus, etc., is very high while taking these medicines together. Special precaution is advised if these medicines are taken by an elderly person.
Pioglitazone Moderate
Report the use of Pregabalin to the doctor before receiving Pioglitazone or any other medicine used for controlling high blood sugar levels. These medicines could increase the risk of weight gain, fluid retention, and heart failure when taken together. You may need a dose adjustment and frequent monitoring to safely use these medicines together.
Ramipril Moderate
Report the use of Ramipril or any other medicine belonging to the class of ACE inhibitors used for lowering blood pressure. The risk of fluid retention and associated adverse effects on the heart are significantly increased when these medicines are used together.
Oxycodone Major
Report the use of any opiate pain medicines to the doctor before receiving Pregabalin. Using these medicines together can cause severe dizziness, confusion, lack of coordination especially in the elderly and people with a history of emotional disturbances, suicidal thoughts, alcohol abuse, or drug abuse. Any such effect while using them together should be reported to the doctor.
What are you using Pregabalin for?
Neuropathic pain
Diabetic Neuropathy
Other
Fibromyalgia
Generalized anxiety disorder
Postherpetic Neuralgia
How much was the improvement?
Average
Poor
Excellent
How long did it take before seeing improvement?
More than 2 days
Within 6 hours
Within a day
Within 2 hours
How frequently did you take this medicine?
Once a day
Twice a day
Thrice a day
Not taking on daily level
How did you take this medicine?
With Food
Empty stomach
With or without food
What were the side effects of this medicine?
Chills
tongue
Difficulty in breathing
lips
Swelling of face
Severe diarrhea
Dizziness
Disclaimer: The information produced here is best of our knowledge and experience and we have tried our best to make it as accurate and up-to-date as possible, but we would like to request that it should not be treated as a substitute for professional advice, diagnosis or treatment.

Lybrate is a medium to provide our audience with the common information on medicines and does not guarantee its accuracy or exhaustiveness. Even if there is no mention of a warning for any drug or combination, it never means that we are claiming that the drug or combination is safe for consumption without any proper consultation with an expert.

Lybrate does not take responsibility for any aspect of medicines or treatments. If you have any doubts about your medication, we strongly recommend you to see a doctor immediately.

Popular Questions & Answers

Respected Sir I am from Kolkata. My wife 63 years is suffering from Chronic Urticaria since last one and half year. She is taking one Levocetirizine 5 mg Tablet AS AND WHEN REQUIRED one tablet ROUGHLY AT AN INTERVAL of every 3-4 days. SURPRISINGLY IT TAKES ONLY 10-15 MINUTES (AFTER TAKING levocetirizine) TO GET RELIEF FROM ITCHING For last 5 months Homeopathy Medicine as detailed below have been tried in Dr. Batras Clinic without any improvement (NIL IMPROVEMENT) FREQUENCY OF TAKING ANTI ALLERGY MEDICINE HAS NOT INCREASED/IMPROVED AT ALL. MEDICINES TRIED- Ignatia ,Rhustox ,Apis Melifica, lycopodium, Urticaria Urens. Phosphor Because of her age she takes following allopathy Tablets as detailed below (All Tablets One Tablet Daily) 1) Telvas 3 D for Controlling Hypertension 2) Gluconorm SR 500 for Diabetes 3) Pregabalin M 75 SR for Nerve Problem ALL SYMPTOMS CONTROLLED WITH MEDICATION 4) Anti Allergy levocetirizine AS DESCRIBED EARLIER. THERE IS NO SPECIFIC AREA WHERE ITCHING STARTS ,IT CAN START AT ANY PLACE OF THE BODY AND AT ANY TIME OF THE DAY Is there any PERMANENT cure in Homeopathy. With thanks.

Bachelor of Ayurveda Medicine & Surgery (BAMS), MD [Masters In Ayurveda - Kaumarabhrutiya( Pediatrics)]
Ayurveda, Panipat
Respected Sir
I am from Kolkata. My wife 63 years is suffering from Chronic Urticaria since last one and half year. S...
Hello lybrate-user if you are interested consult us for AYURVEDA TREATMENT till then start URTIPLEX LOTION charak pharma AND KHADIRAARISHTAM 15 ml with 1/2 cup water twice daily for 1 week and then consult us at Lybrate VIDEO CONSULTATION.
2 people found this helpful

I am diabetic and taking caspa plus at night and my doctor has prescribed stiloz100 and myelogen pg 75 for diabetic neuropathy. Can these medicines be taken to gather at night? Please advice

MD - Diabetology, Membership of the Royal College of Surgeons (MRCS), MBBS
Endocrinologist, Kochi
I am diabetic and taking caspa plus at night and my doctor has prescribed stiloz100 and myelogen pg 75 for diabetic n...
It's NOT a good idea to take all these medications together. Caspa Plus is Escitalopram with Clonazepam. Of these, Clonazepam is an anti-epileptic. Myelogen PG contains Pregabalin which is again an anti-epileptic. Combining these two for diabetic neuropathy is definitely not advisable. Please talk to your doctor and clarify.
1 person found this helpful

I have diabetic neuropathy. It pains all over the feet (sole) of two legs. I take pregabalin M 75 cap. One in the morning and one in the evening. I have swelling in the ankles. I get numbness in the legs if I stand in one place for some time. My Doctor referred me to a neurologist. I have not yet done. Beofe going to a neurologist, I want to get opinion in this forum. I want to know whether this problem can be cured? My sugar level is 150-200 and my weight is 95 Kg. I am able to walk only 2-3 KM with this difficulty.

MBBS, MD - Internal Medicine, Post Graduate Program in Diabetology
General Physician, Delhi
I have diabetic neuropathy. It pains all over the feet (sole) of two legs. I take pregabalin M 75 cap. One in the mor...
Paramathma diabetic neuropathy is a complication of uncontrolled diabetes You need to get BP and blood sugar under control Get kft hba1c lipids vit b12 checked Problem can be halted symptoms can be controlled but the pathology can’t be reversed
2 people found this helpful

My mom aged 44 is suffering from Diabetes and she is facing sensitive feet, she is not able to stand with out footwear for even a minute, and almost daily she is applying oil or moisture to sooth the burning sensation on feet. Please help me with the solution for this.

MBBS, Post Graduate Diploma in Diabetology (PGDD)
Endocrinologist, Chennai
My mom aged 44 is suffering from Diabetes and she is facing sensitive feet, she is not able to stand with out footwea...
Hi lybrate-user, What your mom is suffering from is called Diabetic Neuropathy. She needs to be on medications like pregabalin or gabapentin for the same. Please note, that the above drugs can cause giddiness/dizziness in some patients.

Age 78 years Diabetic but under control through medicine neuropathy case Cannot walk barefooted Numbness on toes fear may not slip if walk without shoes Sometimes abrupt pain on the baby toe and main toe have to stretch all toes to get relief.

MBBS, Post Graduate Diploma in Diabetology (PGDD)
Endocrinologist, Chennai
Age 78 years Diabetic but under control through medicine neuropathy case
Cannot walk barefooted Numbness on toes fear...
Hello Mr. lybrate-user. Assuming you have diabetes for a while now, like you rightly said, you have diabetic neuropathy. This is a treatable complication of diabetes. However, symptomatic relief varies from patient to patient. Depending on the response, you may require multiple medications to help you. Drugs like pregabalin and gabapentin are used for managing DPN. They however, may cause some giddiness and drowsiness in some patients. It's also best if you wear footwear like sandles or shoes through the day when ever you walk. Hope this helps.
3 people found this helpful

Popular Health Tips

6 Ways To Deal With Pinched Nerve!

MD, FIPP
Pain Management Specialist, Kolkata
6 Ways To Deal With Pinched Nerve!

Our body is composed of many elements that carry out emotional and physical functions that are usually in sync with one another. It is important for these organs and other elements to be in sync for good health. All nerves are connected to the brain and are responsible for sending important signals throughout your body. Therefore, even one pressed nerve may send you warning signals such as pain to the body. It is advisable not to overlook these signals. Damage from a pressed nerve might be minor or extreme. It might bring about persistent and chronic issues. Therefore, the sooner you get a treatment for nerve compression, the more relieving experience you will have. In a few cases, you cannot reverse the damage caused by a pressed nerve. However, treatment does relieve you from the pain in most cases.

Nerves are the most vulnerable at spots in your body where they go through narrow spaces and have very less tissue to protect them. These are the places they are more likely to get pinched. A number of the causes may include:

  1. If the nerve is pressed between tissues, for example, your tendon, ligament or bone.
  2. Nerve compression in your neck or arm may likewise bring pain in zones, for example, your elbow, hand, wrist or fingers.
  3. Aggravation or weight on a nerve root leaving the spine may bring about neck or low back pain.
  4. In case a disc tears, it is known as a herniated circle that can put weight on a spinal nerve.

Some of the common symptoms of pinched nerves are:

  1. Pain in the region of pressure, for example, the neck or low back
  2. Transmitting pain, for example, sciatica or radicular pain
  3. Numbness
  4. Tingling
  5. Blazing sensation
  6. Weakness

To what extent you are affected depends on individual to individual. Treatment fluctuates, based upon the seriousness and reason for the pinched nerve. You may find that you benefit from just resting the affected area and by maintaining distance from any exercises that may cause you harm. If side effects endure or torment is serious, it is best to consult a specialist. You may require one or more types of treatment to contract swollen tissue around the nerve.

Treatment may include:

  1. NSAIDs - Non-steroidal inflammation mitigating drugs (NSAIDs, for example, headache medicine, ibuprofen, or naproxen) may diminish swelling & helps in certain situation' but it do not work in most of the time and must be avoided. 
  2. Oral corticosteroids - These are utilized to lessen swelling and agony, used in certain specific situations. 
  3. Opiates - These are utilized for brief periods to lessen extreme pain. 
  4. Co-analgesics - These are the main medicines for nerve pain. Carbamazepine, Pregabalin, Duloxetine etc medicines are best medicines for these situations. 
  5. Interventional Pain Procedures - They are the most cost effective and non invasive methods for pain relief as recommended by the WHO. Your pain will be taken care of by the interventional pain physician or the pain specialist. 
  6. Surgery - Surgery might be required for more serious issues that do not react to different sorts of treatment.

In case you have a concern or query you can always consult an expert & get answers to your questions!

8324 people found this helpful

5 Causes Of Sciatica Pain And Its Treatment!

MD, FIPP
Pain Management Specialist, Kolkata
5 Causes Of Sciatica Pain And Its Treatment!

The sciatic nerve spreads down the spine till the legs. The pain in this nerve can feel like sparks running down your back of leg from buttock area. Anything that puts weight on or aggravates this nerve can cause pain that shoots down the back of one butt cheek or thigh. The amount of pain can increase gradually. Sciatica may feel like a gentle ache, a sharp sensation or extreme uneasiness. Sciatica can bring feelings of shivering, numbness and weakness. 

Sitting, standing up, coughing, sneezing, lifting, or straining for a very long time, might aggravate pain. Now and then, individuals experience numbness or shivering in the leg, too. 

Some of the most regular symptoms of sciatic pain include: 

  1. Pain in the buttock and/or back of leg when sitting or walking 
  2. Hip pain 
  3. Burning sensation in the leg 
  4. Numbness or trouble moving the leg or foot 
  5. Shooting pain that makes it hard to stand up properly 

The most common causes of sciatic pain include: 

  1. Lumbar spinal stenosis (narrowing of the spinal channel in the lower back) 
  2. Degenerative disk disease (breakdown of discs, which go about as pads between the vertebrae) 
  3. Spondylolisthesis (a condition in which one vertebra slips over another) 
  4. Piriformis syndrome
  5. Muscle spasms 

How to treat: 

Visit doctor early, have a proper diagnosis. As you can see that several diseases can cause sciatica, diagnosis is very important before starting treatment. Outline of treatment: 

  1. No exercises during acute painful condition. No absolute rest is also needed. Do normal daily activities. 
  2. Medications to relieve nerve pain, like pregabalin etc. 
  3. Interventional pain management is the best way to confirm the diagnosis, relieve pain, and cure the condition.
  4. Surgery is rarely needed.

In case you have a concern or query you can always consult an expert & get answers to your questions!

6950 people found this helpful

Cervical Spondylosis (Arthritis of the Neck) - Know Its Treatment!!

BPTh/BPT, MPT - Orthopedic Physiotherapy
Physiotherapist, Gurgaon
Cervical Spondylosis (Arthritis of the Neck) - Know Its Treatment!!

Cervical spondylosis is fast becoming the bane of modern life. An age-related wear and tear problem affecting the spinal discs in your neck, cervical spondylosis is increasingly affecting the young because of the use of cell phones, laptops and the like.

Cervical spondylosis is a general term used to define shrinkage of discs in between vertebrae in the neck region. Along with disc degeneration, bony projections also form in the area and are called bone spurs.
Other causes of cervical spondylosis are dehydrated discs. Discs are thick, pad-like cushions in between vertebrae that act as shock absorbers. They are made of a gel- like material that can dry over time. This causes the spinal vertebrae to rub together causing pain. The discs also crack which allows the internal gel-like material to spill out and impinge on spinal nerves causing symptoms.

There is a narrowing of the space required by the spinal cord and nerves that emanate in the upper spine to go to various parts of the body. Pinching of these nerves can cause alarming symptoms like:

  1. Numbness and weakness in your arms, hands, legs and feet
  2. Lack of coordination and difficulty in walking
  3. Loss of bladder or bowel movement
  4. Stiffness and pain in neck

Treatment and management
Usually, cervical spondylosis doesn’t cause any symptoms. But when you start experiencing pain, stiffness and weakness of muscles, it’s best to go to a doctor who will diagnose the problem and then treat it.
Treatment for cervical spondylosis depends on the severity of your symptoms. Its goal is to get rid of pain, allow you to carry on your daily activities and prevent any permanent damage to your spinal cord and nerves.

Medicines

  1. Anti-inflammatory drugs are prescribed to reduce pain and inflammation. Example Ibuprofen.
  2. Corticosteroids are oral medications to get rid of the severe pain. If these don’t work, your doctor can suggest steroid injections.
  3. Muscle relaxants medicines relax the muscles in the upper part of the spine and help in curing neck pain and stiffness
  4. Anti-seizure medications are also prescribed to dull the pain of damaged nerves in the spine. These include epilepsy medications, such as gabapentin and pregabalin.

Physiotherapy

  1. Non surgical treatments are usually very effective in treating cervical spondylosis and surgery is usually not required. Physiotherapy is a bulwark for patients as it helps manage the condition very well.
  2. Neck exercises that help stretch and strengthen muscles in your neck and shoulders can help manage debilitating symptoms of cervical spondylosis.
  3. Few patients also benefit from traction, which can help provide more space for nerve roots within the spine.

Surgery

  1. Surgery is the last resort for treating cervical spondylosis.
  2. It is suggested when non-surgical treatments fail and the pain and neurological signs such as weakness in your arms or legs get worse.
  3. It is done to create more room for your spinal cord and nerve roots.

Cervical spondylosis surgery typically involves removing:

  1. Herniated disk
  2. Bone spurs
  3. Part of a vertebra. 

If you wish to discuss about any specific problem, you can consult a Physiotherapist.

3454 people found this helpful

Back Pain - Causes And Prevention

Pain Management, MD - Pain Medicine & Anesthesiology
Pain Management Specialist, Srinagar
Back Pain - Causes And Prevention

Most of us, experience back pain due to incorrect posture or longer duration of sitting.

Sometimes you may experience back pain because of exertion - you spent the entire day doing the same kind of job or maybe you bent in a wrong manner while picking up your child. However, the actual cause of your spinal agony may not be very clear, but it pays to be aware of the possible reasons that can cause backache. It is good to consult a doctor if your back pain is consistent and recurrent.

Here are few of the causes:

1. The position of your pelvis: The pelvis consists of three bones that can shift depending on which muscles become weak or stiff. This brings about a pull in the muscle of the lower back, resulting in severe strain to this area. You should consult a physiotherapist for suggestions regarding the best exercises for strengthening your pelvic area.

2. Weak abdominal muscles: A cause of your back pain can be weak stomach muscles. Abdominal muscles play an important role in balancing out the constant bending that your back muscles perform. When you've weak abdominal muscles, your spine is not able to maintain proper balance, resulting in severe stress on the spinal column.

3. Disc injuries: Located between the bones of your spine, discs perform the function of a shock absorber. Physical injury to these padded cushions can cause them to break open, leading to a condition known as herniated disc. This can then bring about pain in the back area.

Few other causes behind back pain

  1. Weak back muscles
  2. Weak osteoporotic back bones
  3. Disc disease
  4. Facet joint arthopathy (degenerative or traumatic )
  5. Sacro Iliac joint pain
  6. Infection of the spinal bones
  7. Most of us, experience back pain due to incorrect posture or longer duration of sitting. Some people inherit back pain. Degenerative disc disease can be genetic or inherited. That is why we see degenerative spinal changes causing chronic back pain in some young age group patients without any apparent cause.
  8. Cancers which can be primary or metastasis
  9. Psychogenic 

Few precautions that can be taken for a hurting back. Despite the causes, there are certain precautions that you can take, which are:

  • Avoid sitting in a bad posture, that is, keep your back straight as much as you can. Pull and stretch your body in continual intervals to keep it relaxed.
  • Consult the right physician instead of doing exercise that can aggravate your pain.
  • Take a break from work and go for short walks, every couple of hours.

Treatment: 

Most often back pain will resolve itself in 3 to 6 weeks time and does not need to be treated. Please note, bed rest of no more than 2 days is required. Bed rest may weaken the back muscles and prolong back pain. If the back pain continues or increases, investigations are required. Expensive Investigations like MRI is usually over prescribed and will be needed only if neuro deficit is present or infection is suspected. 

Treatment includes

  1. Physical rehabilitation and Pain medication like NSAID.
  2. Neuropathic pain medications for neural compression (gabapentin or pregabalin).

Minimally invasive procedures which have revolutionised the treatment for back pain and saved millions from spinal surgeries include

  1. Radiofrequency ablation treatment for Facet pain
  2. Transforaminal blocks for nerve compression
  3. SCS for chronic back pain
  4. Intra thecal pumps
  5. Intradiscal Radiofrequency procedures. ( this procedure makes the disc painless ).

Surgery should be the last option and should be restricted to patients having progressive neuro deficit. If you wish to discuss about any specific problem, you can consult a Pain Management Specialist.

4570 people found this helpful

Things To Know About Spinal Stenosis Treatment!

MD - General Medicine
Sexologist, Delhi
Things To Know About Spinal Stenosis Treatment!

Spinal Stenosis is basically the narrowing of the spaces in the spine that further causes pressure on the spinal cord as well as nerves. It has been observed that nearly 75% of cases, mainly occur in the low back that requires lumbar spine treatment. The type of spinal stenosis treatments received for this problem may vary, as it totally depends on the location of the stenosis and the severity of your signs as well as symptoms.

Here are some treatments offered by a spine specialist:

1. Medications 
Sometimes, medications are prescribed by spine physicians to control the pain associated with spinal stenosis. Some of the common medicines prescribed are mentioned below.

• NSAIDs (Onsteroidal anti-inflammatory drugs that help to ease the pain and reduce the inflammation. These mainly include ibuprofen (Advil, Motrin IB, others) and naproxen (Aleve), that are easily available without prescription.

• Muscle relaxants help to calm the muscle spasms that occasionally occur and these medicines includes cyclobenzaprine (Amrix, Fexmid).

• Antidepressants like amitriptyline are recommended to be given as tricyclic nightly doses to ease chronic the pain.

• Anti-seizure drugs are commonly used to reduce pain caused by damaged nerves and these medicines include names like gabapentin (Neurontin, Gralise, Horizant) and pregabalin (Lyrica).

2. Therapy 
People suffering from stenosis tend to become less active to reduce the pain caused by physical activities. This further leads to weakness in the muscles that is even more painful. Therefore a physiotherapist teaches some exercises to build up the strength, maintain stability as well as flexibility in the spine and improvement in maintaining balance.

3. Steroid injections 
Because of this ailment nerve roots become a little irritated the spots that are pinched gets swollen. Thus injecting corticosteroid around that constriction that reduces the inflammation and gives relief to the pressure. Theses injections sometimes don't work for everyone and if they are repetitive, they can cause weakness in the nearby bones as well as the connective tissue. Therefore, only a few injections per year are suggested.

4. Surgery 
Surgery is considered, only if the other treatments don't work or a patient is disabled by its symptoms. The main aim of a surgery is to relieve the pressure on the spinal cord or nerve roots which is done by creating more space within the spinal canal. The main examples of surgeries suggested includes Laminectomy, Laminotomy and Laminoplasty.

In most cases, these space-creating operations help in the reduction of the symptoms of spinal stenosis. But sometimes the symptoms do not fully disappear or even get worse after surgery. Surgery even includes some risks like infections, blood clot in a leg vein, neurological deterioration or even a tear in the membrane that covers the spinal cord.

 

4 people found this helpful

Table of Content

About Pregabalin
When is Pregabalin prescribed?
What are the contraindications of Pregabalin?
What are the side effects of Pregabalin?
Key highlights of Pregabalin
What are the dosage instructions?
Where is the Pregabalin approved?
Medicines containing Pregabalin
What are the interactions for Pregabalin?