Is there a generic for Lyrica? (2024)

Medically reviewed by Leigh Ann Anderson, PharmD. Last updated on Oct 27, 2023.

Is there a generic for Lyrica? (1)

Official answer

by Drugs.com

Yes, Lyrica (generic name: pregabalin) immediate-release capsules and oral solution are now available as a generic option in the US. Lyrica, the brand name product from Pfizer is also still available. Lyrica CR, which is an extended-release tablet formulation of pregabalin, is not yet available in a generic form.

In July 2019, the FDA approved pregabalin for the treatment of:

  • nerve pain in people with diabetes (diabetic neuropathy)
  • nerve pain due to shingles (postherpetic neuralgia)
  • partial onset seizures (as an adjunctive therapy)
  • management of fibromyalgia
  • nerve pain associated with spinal cord injury.

Generic pregabalin comes in strengths ranging from 25 mg to 300 mg per capsule. The generic oral solution comes as a pint-sized bottle (473 mL) containing 20 mg per mL.

See: Pregabalin dosing (in more detail)

Is generic Lyrica more affordable?

Yes, in most cases, cost-savings can be significant if you select a generic option over a brand name for your prescription.

  • The cost of 90 capsules of the 100 mg strength of pregabalin is approximately $12.87 using a freely-available online discount card. The same amount and strength of medication as a brand name option (Lyrica) ranges between $778.61 – $1,289.71.
  • Cost-savings for the generic oral solution are not as deep as the oral capsules. The cost of generic pregabalin oral solution is $711.43 for a pint bottle of 20 mg/mL. The brand Lyrica product runs close to $1086.27.

The prices listed are for customers paying cash, but your cost may be different based on your pharmacy, location or if you have medication insurance. Prices are always subject to change, but generics often become even more affordable over time.

Learn More:

  • Pregabalin Prices, Coupons and Patient Assistance Programs (in more detail)
  • Lyrica Prices, Coupons and Patient Assistance Programs (in more detail)

Are brand name and generic drugs both equally safe?

Yes, in most cases you can feel confident selecting a generic option at the pharmacy.

  • The FDA requires that generic drugs meet rigorous scientific and quality standards. Generic drugs must be as high in quality as brand name drugs.
  • Generic drugs contain the same active ingredients as their brand name counterparts and work the same way.
  • They have the same risks and the same benefits as the brand name drugs.
  • Colors, shapes and markings change on generic tablets and capsules. Need to identify a pill by its markings, shape or color? Use the Drugs.com Pill Identifier.

Is it OK to use generic Lyrica for seizures?

This is a controversial question. If you are using Lyrica to treat seizures, check with your doctor before making a generic substitution.

Using generic options in patients with seizures is controversial because studies have come to differing conclusions of the impact on seizure control. Switching between generic products and different manufacturers may also cause issues. Your doctor may decide to monitor your drug blood levels more closely if a substitution is made.

If your doctor decides that a generic substitution should NOT be made, be sure that they include “no substitution” on the prescription. This will alert the pharmacist and your insurance company that no generic substitution for the brand should occur.

Bottom Line

  • Lyrica (generic name: pregabalin) immediate-release capsules and oral solution are now available as a generic option in the US. These options will most likely save you money if you are paying cash for your prescriptions.
  • Lyrica, the brand name product from Pfizer is also still available.
  • Lyrica CR, which is an extended-release tablet formulation of pregabalin, is not yet available in a generic form.

This is not all the information you need to know about Lyrica (pregabalin) for safe and effective use. Review the full Lyrica (pregabalin) information here, and discuss this information and any questions with your doctor or other health care provider.

References
  • FDA approves first generics of Lyrica. US Food and Drug Administration (FDA). July 22, 2019. Accessed Nov. 6, 2020 at https://www.fda.gov/news-events/press-announcements/fda-approves-first-generics-lyrica
  • Schachter S, et al. Overview of the management of epilepsy in adults. Up to Date. Accessed Nov. 6, 2020 at https://www.uptodate.com/contents/overview-of-the-management-of-epilepsy-in-adults

Read next

In clinical studies with Lyrica, some patients experienced a decrease in pain as early as the first week, which persisted during the entire study period of 5 to 13 weeks. Continue reading

Weight gain is a common side effect associated with Lyrica treatment. In studies, 9% of Lyrica-treated patients and 2% of placebo-treated patients gained 7% or more compared to their weight at the beginning of the study. Lyrica is also linked with an increase in appetite and fluid retention. Continue reading

Lyrica (pregabalin) will stay in your blood (plasma) for about 35 hours, but its clinical effect may wear off before this time. Studies have shown pregabalin to be detectable in urine for up to 5 to 6 days. Continue reading

Related medical questions

  • Lyrica vs Gabapentin: What's the difference?
  • Can you stop Lyrica cold turkey?
  • Is Lyrica a controlled substance / narcotic?
  • Does Lyrica make you sleepy?
  • What is Lyrica used to treat?

Drug information

  • Lyrica Information for Consumers
  • (for Health Professionals)
  • Side Effects of Lyrica(detailed)

Related support groups

  • Lyrica(189 questions, 1,050 members)

Medical Disclaimer

Is there a generic for Lyrica? (2024)

FAQs

What is the equivalence of gabapentin to pregabalin? ›

Later studies used a 6:1 ratio of total daily dose of gabapentin to pregabalin. This ratio has become established in local-level NHS guidance. More recently, guidance from the Best Practice Advocacy Centre New Zealand modifies the 6:1 ratio.

Why is pregabalin not suitable for over 65s? ›

However, elderly patients are more likely to have unwanted effects (eg, dizziness, blurred vision, confusion, or clumsiness) and age-related kidney problems, which may require an adjustment in the dose for patients receiving pregabalin.

Is amitriptyline or pregabalin better for nerve pain? ›

Gabapentin, pregabalin, and amitriptyline demonstrate similar effectiveness in alleviating neuropathic (NeP) pain. The study concludes that gabapentin is superior to both pregabalin and amitriptyline with fewer adverse effects, leading to improved patient adherence for long-term use.

Can you get pregabalin on an emergency prescription? ›

Can gabapentin and pregabalin be issued as an emergency supply? NO - Emergency supply can be at the request of a patient or a healthcare prescriber. Schedule 3 CDs cannot be supplied in an emergency, except phenobarbitone or phenobarbitone sodium for epilepsy.

What is the strongest drug for nerve pain? ›

Peer-reviewed studies have shown that gabapentin, pregabalin, amitriptyline, duloxetine, and venlafaxine are the most effective nerve pain medications. These drugs are the first-line therapy for neuropathic pain. Opioid painkillers, such as tramadol, are some of the strongest drugs available for pain control.

What over the counter drug is close to gabapentin? ›

Gabapentin is a controlled substance and there are no over-the-counter equivalents. All gabapentin alternatives are prescription medications. What is the best tablet for nerve pain? The main medicines recommended for nerve pain are amitriptyline, duloxetine, gabapentin, and pregabalin.

What is the best nerve pain medication for the elderly? ›

Anti-seizure medications used to treat chronic nerve pain include gabapentin (Gralise, Neurontin, Horizant) and pregabalin (Lyrica). These medications treat the burning pain of shingles, known as postherpetic neuralgia.

Is Lyrica bad for the liver? ›

Conclusion: Pregabalin abuse can markedly affect the liver on both levels, biochemically and histopathologically Keywords: Pregabalin, Liver, Van kupffer cells.

Is it OK to take pregabalin long term? ›

Pregabalin has many side effects including weight gain, muddled thoughts, clumsiness, drowsiness, swelling of limbs, chest pain and wheezing. It is not intended for long term use and should be reviewed regularly to review side effects and to ensure it is easing symptoms.

What is the drug of choice for neuropathic pain? ›

The main medicines recommended for neuropathic pain include: amitriptyline – also used for treatment of headaches and depression. duloxetine – also used for treatment of bladder problems and depression. pregabalin and gabapentin – also used to treat epilepsy, headaches or anxiety.

Should I take pregabalin for nerve pain? ›

Pregabalin is used to treat epilepsy and anxiety. It's also taken to treat nerve pain. Nerve pain can be caused by different conditions including diabetes and shingles, or an injury.

What is the strongest drug for nerve pain amitriptyline? ›

The tricyclic antidepressants, such as amitriptyline, are the 'gold standard' for neuropathic pain as they are the most effective and best-known drugs for this condition. They can also be useful for chronic nociceptive pain, especially if there is a neuropathic component to it.

How do I get my doctor to prescribe pregabalin? ›

If you are 18 or over, the doctor can prescribe pregabalin for you as a licensed medicine for generalised anxiety disorder (GAD). There is less research about its use and effectiveness in young people under 18. Even so, specialists might prescribe it 'off-label' if they believe it is the best medicine for you.

Can you take pregabalin only when needed? ›

Unlike some other painkillers, Pregabalin will only work if taken regularly and not on a 'when needed' basis. Pregabalin may not begin to provide pain relief until 2 – 3 weeks after it has been started and may take around 4 - 6 weeks for full benefit, so you need to be patient.

Can you drive a car on pregabalin? ›

The most common side effects are drowsiness, dizziness, muscle fatigue and tremor. These side effects usually settle or reduce after a few days. If pregabalin makes you feel drowsy you should avoid driving or operating machinery. It is a criminal offence to drive a vehicle whilst unsafe due to medication use.

What is the reclassification of gabapentin and pregabalin? ›

From 1st April 2019, amendments to the Misuse of Drugs Regulations 2001 and the Safe Custody Regulations 1973 come into force which mean that pregabalin and gabapentin will be reclassified as Schedule 3 Controlled Drugs (CDs).

Is gabapentin better than pregabalin for chronic sciatica? ›

In Chronic Sciatica, Gabapentin Quells Nerve Pain Better than Pregabalin. This post comes from Fred Nelson, MD, an orthopaedic surgeon in the Department of Orthopedics at Henry Ford Hospital and a clinical associate professor at Wayne State Medical School. Some of Dr.

Which is better pregabalin or gabapentin in the management of painful diabetic neuropathy? ›

Gabapentin and pregabalin were both similar in terms of reducing pain score but onset of pain relief was relatively faster with pregabalin.

Is pregabalin good for severe pain? ›

Pregabalin is often used for epilepsy, but you can also take it to help with pain or anxiety if you do not have epilepsy.

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