Details
Stereochemistry | ABSOLUTE |
Molecular Formula | C8H16NO2.Na |
Molecular Weight | 181.2079 |
Optical Activity | ( + ) |
Defined Stereocenters | 1 / 1 |
E/Z Centers | 0 |
Charge | 0 |
SHOW SMILES / InChI
SMILES
[Na+].CC(C)C[C@H](CN)CC([O-])=O
InChI
InChIKey=RDOYGLCZFATQEB-FJXQXJEOSA-M
InChI=1S/C8H17NO2.Na/c1-6(2)3-7(5-9)4-8(10)11;/h6-7H,3-5,9H2,1-2H3,(H,10,11);/q;+1/p-1/t7-;/m0./s1
Molecular Formula | Na |
Molecular Weight | 22.9898 |
Charge | 1 |
Count |
|
Stereochemistry | ACHIRAL |
Additional Stereochemistry | No |
Defined Stereocenters | 0 / 0 |
E/Z Centers | 0 |
Optical Activity | NONE |
Molecular Formula | C8H16NO2 |
Molecular Weight | 158.2181 |
Charge | -1 |
Count |
|
Stereochemistry | ABSOLUTE |
Additional Stereochemistry | No |
Defined Stereocenters | 1 / 1 |
E/Z Centers | 0 |
Optical Activity | UNSPECIFIED |
DescriptionCurator's Comment: description was created based on several sources, including
https://www.ncbi.nlm.nih.gov/pubmed/17126531
Curator's Comment: description was created based on several sources, including
https://www.ncbi.nlm.nih.gov/pubmed/17126531
Pregabalin, marketed under the brand name Lyrica among others. LYRICA is indicated for: Neuropathic pain associated with diabetic peripheral neuropathy (DPN) Postherpetic neuralgia (PHN); Adjunctive therapy for adult patients with partial onset seizures; Fibromyalgia; Neuropathic pain associated with spinal cord injury. It has been shown the clinical effects of pregabalin are likely due to direct and selective interactions with α(2)δ-1 and α(2)δ-2 subunits of voltage-gated calcium channels. While pregabalin is a structural derivative of the inhibitory neurotransmitter gamma aminobutyric acid (GABA), it does not bind directly to GABAA, GABAB, or benzodiazepine receptors, does not augment GABAA responses in cultured neurons, does not alter rat brain GABA concentration or have acute effects on GABA uptake or degradation. However, in cultured neurons prolonged application of pregabalin increases the density of GABA transporter protein and increases the rate of functional GABA transport. Pregabalin does not block sodium channels, is not active at opiate receptors, and does not alter cyclooxygenase enzyme activity. It is inactive at serotonin and dopamine receptors and does not inhibit dopamine, serotonin, or noradrenaline reuptake.
Originator
Approval Year
Targets
Primary Target | Pharmacology | Condition | Potency |
---|---|---|---|
Target ID: CHEMBL3896 Sources: https://www.ncbi.nlm.nih.gov/pubmed/?term=21651903 |
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Target ID: CHEMBL1919 Sources: https://www.ncbi.nlm.nih.gov/pubmed/?term=21651903 |
Conditions
Condition | Modality | Targets | Highest Phase | Product |
---|---|---|---|---|
Palliative | LYRICA Approved UseLYRICA is indicated for: Management of neuropathic pain associated with diabetic peripheral neuropathy Management of postherpetic neuralgia Adjunctive therapy for adult patients with partial onset seizures Management of fibromyalgia Management of neuropathic pain associated with spinal cord injury LYRICA is indicated for: Neuropathic pain associated with diabetic peripheral neuropathy (DPN) (1) Postherpetic neuralgia (PHN) (1) Adjunctive therapy for adult patients with partial onset seizures (1) Fibromyalgia (1) Neuropathic pain associated with spinal cord injury (1) Launch Date2004 |
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Palliative | LYRICA Approved UseLYRICA is indicated for: Management of neuropathic pain associated with diabetic peripheral neuropathy Management of postherpetic neuralgia Adjunctive therapy for adult patients with partial onset seizures Management of fibromyalgia Management of neuropathic pain associated with spinal cord injury LYRICA is indicated for: Neuropathic pain associated with diabetic peripheral neuropathy (DPN) (1) Postherpetic neuralgia (PHN) (1) Adjunctive therapy for adult patients with partial onset seizures (1) Fibromyalgia (1) Neuropathic pain associated with spinal cord injury (1) Launch Date2004 |
|||
Palliative | LYRICA Approved UseLYRICA is indicated for: Management of neuropathic pain associated with diabetic peripheral neuropathy Management of postherpetic neuralgia Adjunctive therapy for adult patients with partial onset seizures Management of fibromyalgia Management of neuropathic pain associated with spinal cord injury LYRICA is indicated for: Neuropathic pain associated with diabetic peripheral neuropathy (DPN) (1) Postherpetic neuralgia (PHN) (1) Adjunctive therapy for adult patients with partial onset seizures (1) Fibromyalgia (1) Neuropathic pain associated with spinal cord injury (1) Launch Date2004 |
|||
Palliative | LYRICA Approved UseLYRICA is indicated for: Management of neuropathic pain associated with diabetic peripheral neuropathy Management of postherpetic neuralgia Adjunctive therapy for adult patients with partial onset seizures Management of fibromyalgia Management of neuropathic pain associated with spinal cord injury LYRICA is indicated for: Neuropathic pain associated with diabetic peripheral neuropathy (DPN) (1) Postherpetic neuralgia (PHN) (1) Adjunctive therapy for adult patients with partial onset seizures (1) Fibromyalgia (1) Neuropathic pain associated with spinal cord injury (1) Launch Date2004 |
Cmax
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
4568.68 ng/mL EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/28513426 |
150 mg single, oral dose: 150 mg route of administration: Oral experiment type: SINGLE co-administered: |
PREGABALIN plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
AUC
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
29831.454 ng × h/mL EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/28513426 |
150 mg single, oral dose: 150 mg route of administration: Oral experiment type: SINGLE co-administered: |
PREGABALIN plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
T1/2
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
6.3 h |
unknown, oral |
PREGABALIN plasma | Homo sapiens population: UNKNOWN age: ADULT sex: UNKNOWN food status: UNKNOWN |
Doses
Dose | Population | Adverse events |
---|---|---|
600 mg single, oral Highest studied dose |
healthy, 24.8 years n = 10 Health Status: healthy Age Group: 24.8 years Sex: M Population Size: 10 Sources: |
Other AEs: Vision blurred, Nausea... Other AEs: Vision blurred (moderate, 1 patient) Sources: Nausea (moderate, 1 patient) Dizziness (mild, 4 patients) Dysarthria (moderate, 1 patient) Headache (mild, 2 patients) |
600 mg 1 times / day multiple, oral Highest studied dose Dose: 600 mg, 1 times / day Route: oral Route: multiple Dose: 600 mg, 1 times / day Sources: |
unhealthy, 53.91 years n = 22 Health Status: unhealthy Condition: Essential Tremor Age Group: 53.91 years Sex: M+F Population Size: 22 Sources: |
|
150 mg 1 times / day steady, oral Dose: 150 mg, 1 times / day Route: oral Route: steady Dose: 150 mg, 1 times / day Sources: |
unhealthy, adult n = 979 Health Status: unhealthy Age Group: adult Population Size: 979 Sources: |
Disc. AE: Dizziness, Somnolence... AEs leading to discontinuation/dose reduction: Dizziness (3.47%) Sources: Somnolence (2.76%) Asthenia (0.82%) Confusion (0.72%) Peripheral edema (0.61%) Headache (1.12%) Amblyopia (0.82%) Dry mouth (0.72%) Nausea (0.72%) Infection (0.41%) Ataxia (0.41%) Neuropathy (0.41%) Tremor (0.41%) Constipation (0.31%) Diarrhea (0.31%) Incoordination (0.31%) Abnormal thinking (0.31%) |
AEs
AE | Significance | Dose | Population |
---|---|---|---|
Headache | mild, 2 patients | 600 mg single, oral Highest studied dose |
healthy, 24.8 years n = 10 Health Status: healthy Age Group: 24.8 years Sex: M Population Size: 10 Sources: |
Dizziness | mild, 4 patients | 600 mg single, oral Highest studied dose |
healthy, 24.8 years n = 10 Health Status: healthy Age Group: 24.8 years Sex: M Population Size: 10 Sources: |
Dysarthria | moderate, 1 patient | 600 mg single, oral Highest studied dose |
healthy, 24.8 years n = 10 Health Status: healthy Age Group: 24.8 years Sex: M Population Size: 10 Sources: |
Nausea | moderate, 1 patient | 600 mg single, oral Highest studied dose |
healthy, 24.8 years n = 10 Health Status: healthy Age Group: 24.8 years Sex: M Population Size: 10 Sources: |
Vision blurred | moderate, 1 patient | 600 mg single, oral Highest studied dose |
healthy, 24.8 years n = 10 Health Status: healthy Age Group: 24.8 years Sex: M Population Size: 10 Sources: |
Abnormal thinking | 0.31% Disc. AE |
150 mg 1 times / day steady, oral Dose: 150 mg, 1 times / day Route: oral Route: steady Dose: 150 mg, 1 times / day Sources: |
unhealthy, adult n = 979 Health Status: unhealthy Age Group: adult Population Size: 979 Sources: |
Constipation | 0.31% Disc. AE |
150 mg 1 times / day steady, oral Dose: 150 mg, 1 times / day Route: oral Route: steady Dose: 150 mg, 1 times / day Sources: |
unhealthy, adult n = 979 Health Status: unhealthy Age Group: adult Population Size: 979 Sources: |
Diarrhea | 0.31% Disc. AE |
150 mg 1 times / day steady, oral Dose: 150 mg, 1 times / day Route: oral Route: steady Dose: 150 mg, 1 times / day Sources: |
unhealthy, adult n = 979 Health Status: unhealthy Age Group: adult Population Size: 979 Sources: |
Incoordination | 0.31% Disc. AE |
150 mg 1 times / day steady, oral Dose: 150 mg, 1 times / day Route: oral Route: steady Dose: 150 mg, 1 times / day Sources: |
unhealthy, adult n = 979 Health Status: unhealthy Age Group: adult Population Size: 979 Sources: |
Ataxia | 0.41% Disc. AE |
150 mg 1 times / day steady, oral Dose: 150 mg, 1 times / day Route: oral Route: steady Dose: 150 mg, 1 times / day Sources: |
unhealthy, adult n = 979 Health Status: unhealthy Age Group: adult Population Size: 979 Sources: |
Infection | 0.41% Disc. AE |
150 mg 1 times / day steady, oral Dose: 150 mg, 1 times / day Route: oral Route: steady Dose: 150 mg, 1 times / day Sources: |
unhealthy, adult n = 979 Health Status: unhealthy Age Group: adult Population Size: 979 Sources: |
Neuropathy | 0.41% Disc. AE |
150 mg 1 times / day steady, oral Dose: 150 mg, 1 times / day Route: oral Route: steady Dose: 150 mg, 1 times / day Sources: |
unhealthy, adult n = 979 Health Status: unhealthy Age Group: adult Population Size: 979 Sources: |
Tremor | 0.41% Disc. AE |
150 mg 1 times / day steady, oral Dose: 150 mg, 1 times / day Route: oral Route: steady Dose: 150 mg, 1 times / day Sources: |
unhealthy, adult n = 979 Health Status: unhealthy Age Group: adult Population Size: 979 Sources: |
Peripheral edema | 0.61% Disc. AE |
150 mg 1 times / day steady, oral Dose: 150 mg, 1 times / day Route: oral Route: steady Dose: 150 mg, 1 times / day Sources: |
unhealthy, adult n = 979 Health Status: unhealthy Age Group: adult Population Size: 979 Sources: |
Confusion | 0.72% Disc. AE |
150 mg 1 times / day steady, oral Dose: 150 mg, 1 times / day Route: oral Route: steady Dose: 150 mg, 1 times / day Sources: |
unhealthy, adult n = 979 Health Status: unhealthy Age Group: adult Population Size: 979 Sources: |
Dry mouth | 0.72% Disc. AE |
150 mg 1 times / day steady, oral Dose: 150 mg, 1 times / day Route: oral Route: steady Dose: 150 mg, 1 times / day Sources: |
unhealthy, adult n = 979 Health Status: unhealthy Age Group: adult Population Size: 979 Sources: |
Nausea | 0.72% Disc. AE |
150 mg 1 times / day steady, oral Dose: 150 mg, 1 times / day Route: oral Route: steady Dose: 150 mg, 1 times / day Sources: |
unhealthy, adult n = 979 Health Status: unhealthy Age Group: adult Population Size: 979 Sources: |
Amblyopia | 0.82% Disc. AE |
150 mg 1 times / day steady, oral Dose: 150 mg, 1 times / day Route: oral Route: steady Dose: 150 mg, 1 times / day Sources: |
unhealthy, adult n = 979 Health Status: unhealthy Age Group: adult Population Size: 979 Sources: |
Asthenia | 0.82% Disc. AE |
150 mg 1 times / day steady, oral Dose: 150 mg, 1 times / day Route: oral Route: steady Dose: 150 mg, 1 times / day Sources: |
unhealthy, adult n = 979 Health Status: unhealthy Age Group: adult Population Size: 979 Sources: |
Headache | 1.12% Disc. AE |
150 mg 1 times / day steady, oral Dose: 150 mg, 1 times / day Route: oral Route: steady Dose: 150 mg, 1 times / day Sources: |
unhealthy, adult n = 979 Health Status: unhealthy Age Group: adult Population Size: 979 Sources: |
Somnolence | 2.76% Disc. AE |
150 mg 1 times / day steady, oral Dose: 150 mg, 1 times / day Route: oral Route: steady Dose: 150 mg, 1 times / day Sources: |
unhealthy, adult n = 979 Health Status: unhealthy Age Group: adult Population Size: 979 Sources: |
Dizziness | 3.47% Disc. AE |
150 mg 1 times / day steady, oral Dose: 150 mg, 1 times / day Route: oral Route: steady Dose: 150 mg, 1 times / day Sources: |
unhealthy, adult n = 979 Health Status: unhealthy Age Group: adult Population Size: 979 Sources: |
Overview
CYP3A4 | CYP2C9 | CYP2D6 | hERG |
---|---|---|---|
Drug as perpetrator
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/label/2020/021446s040,%20022488s017lbl.pdf#page=34 Page: 34.0 |
no | |||
no | ||||
no | ||||
no | ||||
no | ||||
no | ||||
no | ||||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/label/2020/021446s040,%20022488s017lbl.pdf#page=34 Page: 34.0 |
no | |||
no |
Drug as victim
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
Sources: https://www.iqpc.com/media/8156/15859.pdf#page=6 Page: 6.0 |
no | |||
Sources: https://www.iqpc.com/media/8156/15859.pdf#page=6 Page: 6.0 |
no | |||
Sources: https://www.iqpc.com/media/8156/15859.pdf#page=6 Page: 6.0 |
no | |||
no | ||||
Sources: https://www.iqpc.com/media/8156/15859.pdf#page=5 Page: 5.0 |
yes | |||
Sources: https://www.iqpc.com/media/8156/15859.pdf#page=5 Page: 5.0 |
yes |
Tox targets
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
PubMed
Title | Date | PubMed |
---|---|---|
Future prospects for the drug treatment of epilepsy. | 2001 |
|
Benzodiazepines and anticonvulsants for social phobia (social anxiety disorder). | 2001 |
|
Stereospecific effect of pregabalin on ectopic afferent discharges and neuropathic pain induced by sciatic nerve ligation in rats. | 2001 Dec |
|
Pharmacotherapy of social anxiety disorder at the turn of the millennium. | 2001 Dec |
|
Pregabalin enhances nonrapid eye movement sleep. | 2001 Dec |
|
Progress report on new antiepileptic drugs: a summary of the Fifth Eilat Conference (EILAT V). | 2001 Jan |
|
Brain microdialysis and PK/PD correlation of pregabalin in rats. | 2001 Jan-Jun |
|
Upregulation of gamma-aminobutyric acid transporter expression: role of alkylated gamma-aminobutyric acid derivatives. | 2001 Nov |
|
Clinical importance of changes in chronic pain intensity measured on an 11-point numerical pain rating scale. | 2001 Nov |
|
Effect of gabapentin-like compounds on development and maintenance of morphine-induced conditioned place preference. | 2001 Oct |
|
Inhibition of neuronal Ca(2+) influx by gabapentin and pregabalin in the human neocortex. | 2002 Feb |
|
Gateways to Clinical Trials. June 2002. | 2002 Jun |
|
Novel anticonvulsant medications in development. | 2002 Oct |
|
Progress report on new antiepileptic drugs: a summary of the Sixth Eilat Conference (EILAT VI). | 2002 Sep |
|
Protein 4.1N is required for translocation of inositol 1,4,5-trisphosphate receptor type 1 to the basolateral membrane domain in polarized Madin-Darby canine kidney cells. | 2003 Feb 7 |
|
An enantioselective synthesis of (S)-(+)-3-aminomethyl-5-methylhexanoic acid via asymmetric hydrogenation. | 2003 Jul 11 |
|
Exposure-response analysis of pregabalin add-on treatment of patients with refractory partial seizures. | 2003 Jun |
|
Gateways to clinical trials. | 2003 Sep |
|
Pregabalin relieves symptoms of painful diabetic neuropathy: a randomized controlled trial. | 2004 Dec 14 |
|
Pregabalin (Pfizer). | 2004 Jan |
|
Highly selective asymmetric hydrogenation using a three hindered quadrant bisphosphine rhodium catalyst. | 2004 May 19 |
|
Gateways to clinical trials. | 2004 Nov |
|
Gateways to clinical trials. | 2004 Oct |
|
Progress report on new antiepileptic drugs: a summary of the Seventh Eilat Conference (EILAT VII). | 2004 Sep-Oct |
|
The biology and pharmacology of calcium channel alpha2-delta proteins Pfizer Satellite Symposium to the 2003 Society for Neuroscience Meeting. Sheraton New Orleans Hotel, New Orleans, LA November 10, 2003. | 2004 Summer |
|
Pregabalin: in the treatment of postherpetic neuralgia. | 2005 |
Patents
Sample Use Guides
Neuropathic Pain Associated with Diabetic Peripheral Neuropathy:
The maximum recommended dose is 100 mg three times a day (300 mg/day) in patients with creatinine clearance of at least 60 mL/min.
Postherpetic Neuralgia:
The recommended dose is 75 to 150 mg two times a day, or 50 to 100 mg three times a day (150 to 300 mg/day) in patients with creatinine clearance of at least 60 mL/min. Begin dosing at 75 mg two times a day, or 50 mg three times a day (150 mg/day). The dose may be increased to 300 mg/day within 1 week based on efficacy and tolerability.
Adjunctive Therapy for Adult Patients with Partial Onset Seizures:
LYRICA at doses of 150 to 600 mg/day has been shown to be effective as adjunctive therapy in
the treatment of partial onset seizures in adults. Both the efficacy and adverse event profiles of
In general, it is recommended that patients be started on a total daily dose no greater than 150 mg/day (75 mg two times a day, or 50 mg three times a day).
Management of Fibromyalgia:
The recommended dose is 300 to 450 mg/day. Begin dosing at
75 mg two times a day (150 mg/day). The dose may be increased to 150 mg two times a day (300 mg/day) within 1 week based on efficacy and tolerability.
Neuropathic Pain Associated with Spinal Cord Injury:
The recommended dose range is 150 to 600 mg/day. The recommended starting dose is 75 mg two times a day (150 mg/day). The dose may be increased to 150 mg two times a day (300 mg/day) within 1 week based on efficacy and tolerability.
Route of Administration:
Oral
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/21196706
Curator's Comment: Pregabalin antagonizes the neurotoxic effects of copper
Unknown
Substance Class |
Chemical
Created
by
admin
on
Edited
Sat Dec 16 18:24:48 GMT 2023
by
admin
on
Sat Dec 16 18:24:48 GMT 2023
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Record UNII |
3DA4H8E58A
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Record Status |
Validated (UNII)
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Record Version |
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-
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914254-22-1
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23669189
Created by
admin on Sat Dec 16 18:24:48 GMT 2023 , Edited by admin on Sat Dec 16 18:24:48 GMT 2023
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3DA4H8E58A
Created by
admin on Sat Dec 16 18:24:48 GMT 2023 , Edited by admin on Sat Dec 16 18:24:48 GMT 2023
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ACTIVE MOIETY |
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