Can you take Lyrica and Gabapentin together?

Can you take Lyrica and Gabapentin together?

Lyrica and Gabapentin are not usually taken together as both of the drugs work in a similar way and are used for the same medical conditions. Lyrica is so similar to Gabapentin that it can get detected as the same medication in a urine test.

Lyrica (Pregabalin) and Gabapentin can help reduce nerve pain, convulsions/epileptic seizures, and anxiety attacks. They both increase the activity of an inhibitory neurotransmitter in your brain, called Gamma-aminobutyric acid (GABA). (1)

This controls the excessive neuronal firing in your brain which triggers seizures and anxiety (1). The concomitant use of these two is not commonly seen, but the two can be used together in rare cases. 

However, make sure you don’t take these matters into your own hands and only take a combination of meds, either this one or some other when it is prescribed by your healthcare provider. 

Potential risks of taking Gabapentin and Lyrica together

Taking Gabapentin and Lyrica together can pose potential risks due to their similar mechanisms of action and potential for additive effects. 

When taken together, the combined use of these drugs may lead to an increased risk of side effects, including dizziness, drowsiness, confusion, and difficulty concentrating. (2,3)

The use of both medications concurrently can also heighten the risk of developing other adverse reactions, such as respiratory depression, especially when taken in higher doses or by individuals with pre-existing respiratory conditions (2,3). 

Additionally, there is a possibility of increased sedation, which can impair cognitive and motor functions, affecting daily activities and tasks such as driving.

Consultation with a healthcare provider

Before combining Gabapentin and Lyrica, it is essential to have a thorough consultation with a healthcare provider to ensure your safety and well-being. During this discussion, several crucial points should be addressed. 

First, your medical history and current health condition will be assessed to determine if using both medications is appropriate for your specific case. 

Second, potential drug interactions and side effects need to be discussed to understand any risks associated with the combination. It is crucial to be aware of the possible interactions with other medications you might be taking. 

Your healthcare provider will also consider the dosages of both drugs and opt for dose adjustment to prevent any adverse effects from taking higher-than-recommended amounts.

Furthermore, your provider will assess your response to previous treatments and the efficacy of each medication separately to determine if combining them is necessary. 

Remember, detailed communication with your healthcare provider is essential for making informed decisions about your treatment plan and ensuring that you receive the most suitable and safe care for your condition.

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References

1.-

Bockbrader HN, Wesche D, Miller R, Chapel S, Janiczek N, Burger P. A comparison of the pharmacokinetics and pharmacodynamics of pregabalin and gabapentin. Clin Pharmacokinet. 2010 Oct;49(10):661-9. doi: 10.2165/11536200-000000000-00000. PMID: 20818832. https://pubmed.ncbi.nlm.nih.gov/20818832/

2.-

Cross AL, Viswanath O, Sherman AL. Pregabalin. 2022 Nov 14. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan–. PMID: 29261857. https://www.ncbi.nlm.nih.gov/books/NBK470341

3.-

Yasaei R, Katta S, Saadabadi A. Gabapentin. 2022 Dec 19. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan–. PMID: 29630280. https://www.ncbi.nlm.nih.gov/books/NBK493228