Pregan ER may be prescribed for:
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Pregan ER 82.5 is an extended-release medicine containing pregabalin. It is primarily used to manage neuropathic pain, including nerve pain associated with diabetes, shingles, and spinal cord injury. It may also be prescribed for fibromyalgia and as an add-on treatment for certain types of seizures.
The safety and effectiveness of pregabalin in children have not been adequately established for these indications. Pediatric use should therefore be determined by a specialist.
Pregabalin is primarily eliminated through the kidneys, so the dose needs to be adjusted in patients with reduced kidney function.
Patients undergoing hemodialysis may require an additional dose after dialysis. Your doctor may determine the dose according to your creatinine clearance/eGFR.
Pregabalin is structurally related to the neurotransmitter GABA and binds to the alpha-2-delta subunit of voltage-gated calcium channels in the nervous system.
This reduces the release of several excitatory neurotransmitters and helps decrease abnormal nerve activity. As a result, it can reduce nerve pain and abnormal electrical activity associated with seizures.
The dose and duration depend on the condition being treated and how the patient responds.
Pregan ER should be taken exactly as prescribed by the doctor.
Because the exact dose for an extended-release formulation can differ from immediate-release pregabalin, follow the specific dose prescribed for Pregan ER 82.5 rather than changing the dose yourself.
Pregabalin has relatively few metabolic drug interactions, but it can have additive effects on the central nervous system with other medicines.
Pregan ER should not be used in patients with a known hypersensitivity or allergy to pregabalin or any component of the formulation.
Extra caution and dose adjustment may be necessary in patients with:
Take the missed dose when you remember, unless it is nearly time for your next scheduled dose. If it is almost time for the next dose, skip the missed dose and continue with your normal schedule.
Do not take a double dose to compensate for a missed one.
Pregabalin overdose may cause excessive sleepiness, dizziness, confusion, agitation, loss of consciousness, or other CNS effects. In severe cases, respiratory depression or coma may occur, particularly when combined with other CNS depressants.
Seek urgent medical attention if an overdose is suspected.
Pregnant women, women planning pregnancy, and those who could become pregnant should discuss pregabalin treatment with their doctor.
There is insufficient information regarding the presence of pregabalin in human breast milk and its effects on breastfed infants. Breastfeeding is generally not recommended during treatment unless specifically advised by a healthcare professional.
Pregabalin can cause dizziness, drowsiness, blurred vision, and impaired coordination. Avoid driving, operating machinery, or performing hazardous activities until you know how the medicine affects you.
Contact your doctor promptly if you develop:
Pregabalin can rarely cause angioedema, which may involve swelling of the face, lips, tongue, throat, or airway.
If swelling of the tongue or throat, difficulty breathing, or other signs of a severe allergic reaction occur, stop the medicine and seek emergency medical care immediately.
The risk may be increased when pregabalin is combined with ACE inhibitors or certain mTOR inhibitors.
Do not stop pregabalin suddenly. Abrupt or rapid discontinuation can cause withdrawal-like symptoms such as:
It may also increase the risk of seizures in patients taking it for epilepsy. The medicine should generally be tapered gradually under medical supervision.
⚠️Disclaimer:
At ePharma, we’re committed to providing accurate and accessible health information. However, all content is intended for informational purposes only and should not replace medical advice from a qualified physician. Please consult your healthcare provider for personalized guidance. We aim to support, not substitute, the doctor-patient relationship.