Pregabalin

Question 1

Starts with an L

Another name for Pregabalin

Answer 1

Lyrica

Question 2

Same class as Gabapentin

What type of drug class is Pregablin

Answer 2

Antiepileptical

AED

Question 3

Controlled substance

What scheduled drug is this:

Answer 3

Schedule V

This is the least restrictive

Rationale: Can cause Euphoria (Feeling high)

Question 4

Main indicators

Answer 4

Adjunct to prevent seizured

Nerve pain

Question 5

Off label

Answer 5

Alcohol withdrawal symptoms

Anxiety

SAD

Question 6

Think “Preg”

Who should not be prescribed the drug

Answer 6

Pregnant women, breastfeeding

Question 7

Side effects from Lyrica

Answer 7

Sedation

Syncope

Headache

Concentration issues

Peripheral edema

Question 8

Who should be warned of this: Commorbidities

FDA respiratory warning

Answer 8

COPD

Obesity

Opioid Usage

Question 9

Initial dosage

Answer 9

50 mg TID

75 mg BID

Question 10

Titration of lyrica

Answer 10

After one week:

300 mg/QD

Question 11

Maintenance dosage for anxiety

Answer 11

300 - 600 mg

Question 12

Habit forming:

Answer 12

No

Question 13

How to stop

Answer 13

Taper over a minimum of 1 week

Question 14

Risk factors from sudden withdrawal of medication

Answer 14

Epileptic patients at a higher risk of seizures, especially once off

D/C sx are uncommon

Question 15

Renal

Answer 15

Lower dosage

Dependent on renal clearnace

Add additional dosage for anyone on Dialysis

Question 16

Hepatic Impairment

Answer 16

Nothing

Question 17

Cardiac Impairment

Answer 17

Nothing

Question 18

Elderly

Answer 18

Lower dose potentially

At risk for worse side effects