Mirogabalin, a γ-aminobutyric acid derivative, selectively binds to α2δ subunits of voltage-gated calcium channels (VGCCs). This reduces calcium influx at nerve endings, limiting neurotransmitter release and decreasing neuronal hyperexcitability.
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Migalin (Mirogabalin) Tablet
Mirogabalin Besylate
Common: Dizziness, somnolence, edema, weight gain
Occasional: Headache, nausea, blurred or double vision
Serious (rare): Loss of consciousness, liver dysfunction (jaundice, vomiting, fatigue)
👉 Stop immediately & consult a doctor if severe reactions occur.
Adults: Start with 5 mg twice daily, titrate by 5 mg weekly to 15 mg twice daily as tolerated.
Renal impairment: Dose adjustment required.
Children/adolescents: Safety not established.
Hepatic impairment: Mild/moderate – safe; severe – no data.
Cimetidine, Probenecid ↑ Mirogabalin levels
Lorazepam → enhanced CNS depression
Use caution with OAT, OCT, MATE, UGT inhibitors
With food: No effect on absorption
With alcohol: Avoid – may worsen sedation & motor impairment
Known hypersensitivity to Mirogabalin
Significant renal or hepatic impairment (caution advised)
Store below 30°C in a dry place, protected from light & moisture
Keep out of reach of children
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