Mirogabalin is a novel agent for the management of neuropathic pain, including diabetic peripheral neuropathic pain (DPNP), postherpetic neuralgia (PHN), and other forms of peripheral neuropathic pain (PNP).
Mirogabalin selectively binds with high affinity to the α2δ subunits of voltage-gated calcium channels (VGCCs) in the dorsal root ganglion. This action reduces calcium influx and suppresses the release of excitatory neurotransmitters, thereby decreasing neuronal hyperexcitability and relieving neuropathic pain symptoms.
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Common: Dizziness, somnolence, peripheral edema, weight gain
Rare but serious: Loss of consciousness, liver dysfunction (jaundice, nausea, vomiting, fatigue)
Cimetidine, Probenecid → may increase Mirogabalin plasma levels
Alcohol, Lorazepam → potentiates CNS depressive effects
Does not affect CYP450 enzymes
Hypersensitivity to Mirogabalin
Patients with hepatic or renal impairment (mild to moderate – contraindicated; severe – not recommended)
May cause drowsiness, dizziness, blurred or double vision → avoid driving or operating machinery
Elderly patients: increased risk of falls and fractures
Monitor for weight gain and hepatic function
Store below 30°C in a dry, light-protected place
Keep out of reach of children
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