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Re: Lyrica's approval for GAD in Europe

Posted by james_glasgow on April 23, 2006, at 10:34:30

In reply to Re: Lyrica's approval for GAD in Europe » ed_uk, posted by Sobriquet Style on April 23, 2006, at 10:23:32

> I wonder if pregabalin, has the propensity to cause more side effects compared to that of Gabapentin.
>
> In theory, if a medication is more potent, eg clonzapam compared to diazepam. Then my theory is that perhaps it "may" cause more side effects. Then again, perhaps it being "new and improved" it has less?
>
> Do you know what the dosage equivalency is of gabapentin compared to pregabalin. i.e 300mg of gabapentin = ?
>
> ~

Hey there

Below is a coversion protocol advocated by one of the UK's top pain control clinics. It was originally in frames that will be lost here but you should be able to work out what is what.

James

Converting from Gabapentin to Pregabalin
Below are some suggested conversion regimes. Each step could be 3 - 7 days. Doses may need to be adjusted according to patient response and side effects. If excessive drowsiness occurs, reduce the Gabapentin dose faster than instructed

Convert From Gabapentin 2400 mg / day To Pregabalin 600 mg / day

Time Breakfast Lunch Supper
Drug Gaba Pregab Gaba Pregab Gaba Pregab
Step 0 900 mg - 600 mg - 900 mg -
Step 1 600 mg 75 mg 600 mg - 600 mg 75 mg
Step 2 300 mg 150 mg300 mg - 300 mg 150 mg
Step 3 - 300 mg - - - 300 mg

Convert From Gabapentin 1800 mg / day To Pregabalin 600 mg / day

Time Breakfast Lunch Supper
Drug Gaba Pregab Gaba Pregab Gaba Pregab
Step 0 600 mg - 600 mg - 600 mg -
Step 1 300 mg 100 mg 300 mg - 600 mg 100 mg
Step 2 300 mg 200 mg - - 300 mg 200 mg
Step 3 - 300 mg - - - 300 mg

Convert From Gabapentin 900 mg / day To Pregabalin 300 mg / day

Time Breakfast Lunch Supper
Drug Gaba Pregab Gaba Pregab Gaba Pregab
Step 0 300 mg - 300 mg - 300 mg -
Step 1 300 mg 50 mg - - 300 mg 50 mg
Step 2 - 100 mg - - 300 mg 100 mg
Step 3 - 150 mg - - - 150 mg



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poster:james_glasgow thread:636118
URL: http://www.dr-bob.org/babble/20060423/msgs/636134.html