- Lyrica vs. tramadol differences and similarities
- What is Lyrica? What is tramadol?
- What are the side effects of Lyrica and tramadol?
- Are Lyrica or tramadol addictive?
- What is the dosage of Lyrica vs. tramadol?
- What drugs interact with Lyrica and tramadol?
- Are Lyrica and tramadol safe to use while pregnant or breastfeeding?
Lyrica vs. tramadol differences and similarities
- Lyrica (pregabalin) and tramadol are used to treat pain.
- Lyrica is used to treat neuropathic pain associated with diabetic peripheral neuropathy or postherpetic neuralgia, and fibromyalgia. Lyrica is also used in combination with other drugs to treat partial onset seizures in adults.
- Tramadol is used to manage moderate to moderately severe pain.
- Brand names for tramadol include Ultram, Ultram ER, and Conzip.
- Lyrica and tramadol belong to different drug classes. Lyrica is an anti-epileptic drug (AED) and tramadol is a pain reliever (analgesic).
- Side effects of Lyrica and tramadol that are similar include dizziness, nausea, dry mouth, constipation, drowsiness, and visual disturbances (including blurred vision, double vision).
- Side effects of Lyrica that are different from tramadol include fatigue, fluid retention (edema), weight gain, abnormal gait, tremor, difficulty concentrating, increased appetite, gas, amnesia, disorientation, myoclonus (sudden, involuntary jerking of a muscle or muscle groups), heart failure, low blood pressure, vomiting, reduced blood platelet counts, and increased blood creatinine kinase levels.
- Side effects of tramadol that are different from Lyrica include headache, euphoria, indigestion, muscle stiffness, weakness, vomiting, itching, sweating, diarrhea, rash, and spinning sensation (vertigo).
- Withdrawal symptoms may occur if you suddenly stop taking tramadol.
What is Lyrica? What is tramadol?
Lyrica (pregabalin) is an oral medication chemically related to gabapentin (Gralise, Neurontin) used to treat pain caused by neurologic diseases such as postherpetic neuralgia as well as seizures. It also is used to treat fibromyalgia.
Tramadol is a pain reliever (analgesic) used to manage moderate to moderately severe pain. The mechanism of action of tramadol is similar to morphine. Like morphine, tramadol binds to receptors in the brain (narcotic or opioid receptors) that are important for transmitting the sensation of pain from throughout the body to the brain. Like other narcotics used to treat pain, patients taking tramadol may abuse the drug and become addicted to it.
QUESTION
See AnswerWhat are the side effects of Lyrica and tramadol?
Lyrica
Warning
Antiepileptic medications have been associated with increased risk of suicidal thinking and behavior. Anyone considering the use of antiepileptic drugs must balance this risk of suicide with the clinical need. Patients who are started on therapy should be closely observed for clinical worsening, suicidal thoughts, or unusual changes in behavior.
The most common side effects of Lyrica are
- dizziness,
- drowsiness,
- dry mouth (xerostomia),
- edema (accumulation of fluid),
- blurred vision,
- double vision (diplopia),
- weight gain,
- fatigue (tiredness),
- abnormal gait (ataxia),
- tremor, and
- difficulty concentrating.
Other side effects include
- constipation,
- increased appetite,
- nausea,
- flatulence,
- amnesia,
- disorientation,
- myoclonus (sudden, involuntary jerking of a muscle or muscle groups),
- heart failure,
- low blood pressure,
- vomiting,
- reduced blood platelet counts, and
- increased blood creatinine kinase levels.
Increased creatinine kinase can be a sign of muscle injury, and in clinical trials three patients experienced rhabdomyolysis (severe muscle injury). Therefore, patients should report unexplained muscle pain, tenderness or weakness to their doctors, especially if associated with fever and malaise (reduced well-being). Lyrica has rarely been associated with angioedema (swelling of the face, tongue, lips, and gums, throat and larynx).
Tramadol
Tramadol is generally well tolerated, and side effects are usually temporary.
Commonly reported side effects include:
- nausea,
- constipation,
- dizziness,
- headache,
- euphoria,
- indigestion,
- spasticity,
- weakness,
- drowsiness, and
- vomiting.
Less commonly reported side effects include:
Some patients who received tramadol have reported seizures. It may cause serotonin syndrome when combined with other drugs that also increase serotonin (see drug interactions section).
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Are Lyrica or tramadol addictive?
Lyrica
Addiction is not a listed side effect of Lyrica
Tramadol
Tramadol is a narcotic and is addictive. Tramadol is a Schedule IV controlled substance that has been associated with addiction, abuse, and misuse. Tramadol may be addictive, even at the dosage your doctor has prescribed. Abuse or misuse of tramadol can lead to overdose and death.
Like other opioids, people who take tramadol for a long time will develop withdrawal symptoms if your doctor reduces the dosage, or if you suddenly stop taking tramadol.
Withdrawal symptoms that may occur include:
- Restlessness
- Excessive tear production
- Yawning
- Sweating
- Chills
- Muscle pain
- Anxiety
- Backache
- Joint pain
- Weakness
- Abdominal cramps
- Insomnia
- Nausea
- Weight loss
- Vomiting
- Diarrhea
- Increased blood pressure
- Respiratory rate
- Heart rate
Infants born to mothers who were taking tramadol during the pregnancy will develop symptoms of withdrawal and difficulty breathing.
What is the dosage of Lyrica vs. tramadol?
Lyrica
- Lyrica may be taken with or without food.
- Treating diabetic peripheral neuropathy: The initial dose for neuropathic pain associated with diabetic peripheral neuropathy is 50 mg three times a day (150 mg/day). The dose may be increased to a maximum dose of 100 mg 3 times daily (300 mg/day) after one week.
- Treating postherpetic neuralgia: The recommended dose for postherpetic neuralgia is 75-150 mg twice daily or 50-100 mg three times daily. Dosing should begin at 75 mg two times a day or 50 mg three times a day (150 mg/day). The dose may be increased to 100 mg 3 times daily (300 mg/day) after one week. If pain relief is inadequate after 2-4 weeks of treatment at 300 mg/day, the dose may be increased to 300 mg twice daily or 200 mg three times daily. Doses greater than 300 mg cause more side effects.
- Treating neuropathic pain associated with spinal cord injury: The dose for treating neuropathic pain associated with spinal cord injury is 150 to 600 mg daily. Begin dosing at 75 mg two times a day an increase to 150 mg two times daily after one week if response is inadequate. May increase to 300 mg twice daily if response is inadequate after 2 to 3 weeks.
- Treating seizures: The recommended dose for treating seizures is 150-600 mg/day divided into 2 or 3 doses, starting at 150 mg daily and increasing based on response and tolerability. The maximum dose is 600 mg/day.
- Treating fibromyalgia: Fibromyalgia is treated with 300-450 mg/day in 2 or 3 divided doses.
Tramadol
- The recommended dose of tramadol is 50-100 mg (immediate-release tablets) every 4-6 hours as needed for pain.
- The maximum dose is 400 mg/day.
- To improve tolerance patients should be started at 25 mg/day, and doses may be increased by 25-50 mg every 3 days to reach 50-100 mg/day every 4 to 6 hours.
- The recommended dose for extended-release tablets is 100 mg daily, which may be increased by 100 mg every 5 days, but not to exceed 300 mg /day. To convert from immediate release to extended release, the total daily dose should be rounded down to the nearest 100 mg. Extended-release tablets should be swallowed whole and not crushed or chewed.
- Tramadol may be taken with or without food.
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What drugs interact with Lyrica and tramadol?
Lyrica
- Alcohol and drugs that cause sedation may increase the sedative effects of pregabalin.
- Pioglitazone (Actos) and rosiglitazone (Avandia) cause weight gain, fluid retention, and possibly heart failure. Therefore, combining pregabalin with these drugs may increase the occurrence of weight gain and fluid retention.
Tramadol
- Carbamazepine (Tegretol, Tegretol XR, Equetro, Carbatrol) reduces the effect of tramadol by increasing its inactivation in the body.
- Quinidine (Quinaglute, Quinidex) reduces the inactivation of tramadol, thereby increasing the concentration of tramadol by 50% to 60%.
- Combining tramadol with monoamine oxidase inhibitors or MAOIs (for example, tranylcypromine [Parnate]) or selective serotonin inhibitors (SSRIs), for example, fluoxetine (Prozac), may result in severe side effects such as seizures or a condition called serotonin syndrome.
- Tramadol may increase central nervous system and respiratory depression when combined with alcohol, anesthetics, narcotics, tranquilizers, or sedative hypnotics. This can reduce the level of consciousness or lead to respiratory insufficiency.
From
Pain Management Resources
Are Lyrica and tramadol safe to use while pregnant or breastfeeding?
Lyrica
- There are no adequate studies of Lyrica in pregnant women.
- It is not known whether Lyrica is excreted in breast milk.
Tramadol
- Researchers have not established the safety of tramadol during pregnancy, The safety of tramadol during pregnancy has not been established.
- Mothers who are breastfeeding should not take tramadol because the infant may develop side effects, and will develop symptoms of withdrawal and difficulty breathing.
Summary
Lyrica (pregabalin) and Ultram (tramadol) are used to treat pain. Lyrica is used to treat neuropathic pain associated with diabetic peripheral neuropathy or postherpetic neuralgia, and fibromyalgia. Lyrica is also used in combination with other drugs to treat partial onset seizures in adults. Tramadol is used to manage moderate to moderately severe pain.
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Pain management and treatment can be simple or complex, according to its cause. There are two basic types of pain, nociceptive pain and neuropathic pain. Some causes of neuropathic pain include: complex regional pain syndrome, interstitial cystitis, and irritable bowel syndrome. There are a variety of methods to treat chronic pain, which are dependant on the type of pain experienced.
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Chronic Pain
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Medications & Supplements
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Report Problems to the Food and Drug Administration
You are encouraged to report negative side effects of prescription drugs to the FDA. Visit the FDA MedWatch website or call 1-800-FDA-1088.
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Gabapentin and tramadol are used to treat different types of pain. Gabapentin is an anti-seizure (anticonvulsant) medication also used for nerve pain (neuralgia). Tramadol is an opioid pain reliever (analgesic) used to manage moderate to moderately severe pain.Headaches Quiz
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Lyrica (pregabalin) and Cymbalta (duloxetine) are used to treat neuropathic pain associated with diabetic peripheral neuropathy or postherpetic neuralgia, and fibromyalgia. Lyrica is also used in combination with other drugs to treat partial onset seizures in adults. Cymbalta is also used to treat depression and anxiety disorder.
Lyrica (pregabalin) vs. Topamax (topiramate)
Lyrica (pregabalin) and Topamax (topiramate) are anti-epileptic drugs (AEDs) used to prevent epileptic seizures. Lyrica is also used to treat neuropathic pain associated with diabetic peripheral neuropathy or postherpetic neuralgia, and fibromyalgia. Topamax is also used to prevent migraine headaches.
Lyrica (pregabalin) vs. Xanax (alprazolam)
Lyrica (pregabalin) and Xanax (alprazolam) are used to treat seizures and anxiety disorder. Lyrica is also used to treat neuropathic pain associated with diabetic peripheral neuropathy or postherpetic neuralgia, and fibromyalgia. Lyrica is also used in combination with other drugs to treat partial onset seizures in adults. Xanax is primarily used to treat anxiety disorders and panic attacks. Lyrica and Xanax belong to different drug classes. Lyrica is an anti-epileptic drug (AED) and Xanax is a benzodiazepine.
Lyrica vs. Gabapentin: Differences between Pain Relief and Uses
Lyrica (pregablin) and gabapentin (Neurotin) are drugs used to prevent seizures and to treat nerve pain associated with various conditions, for example, shingles. Lyrica and gabapentin are chemically related, but researchers do not know exactly how they work. Gabapentin also has several off-label uses to treat other conditions that cause pain, and substance abuse withdrawal.
Both pain medications also treat fibromyalgia. Off-label uses (non-FDA approved) for gabapentin are hot flashes, hiccups, restless leg syndrome (RLS), hyperhidrosis (excessive sweating), headaches, and diabetic neuropathy. Lyrica also treats pain associated with spinal cord injuries.
Lyrica and gabapentin both cause similar side effects, for example, tremors, blurred or double vision, memory or concentration problems, dizziness, and drowsiness.
Side effects of Lyrica that are different from gabapentin include constipation, weight gain, dry mouth, constipation, breast enlargement, and edema (swelling). Side effects unique to gabapentin include viral infections, fever, speech problems, unusual eye movements, and jerky movements.
The generic name for Lyrica is pregabalin. Gabapentin is available in the US under the brand names Neurontin, Gralise, Horizant, Fanatrex, and FusePag.
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- interstitial cystitis,
- and irritable bowel syndrome.
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Lyrica (pregabalin) is a drug prescribed for the treatment of neuropathic pain associated with diabetic peripheral neuropathy or post neuralgia; partial onset seizures in adults; and fibromyalgia. Side effects include
- blurred vision,
- double vision (diplopia),
- weight gain,
- fatigue (tiredness),
- constipation,
- increased appetite,
- nausea, and
- intestinal gas.
Drug interactions, warnings and precautions, and pregnancy and breastfeeding safety information should be reviewed prior to taking any medication.
15 Ways to Reduce Pain
Chronic pain can be a symptom of many conditions, including arthritis, headaches, and others. Comprehensive chronic pain management therapy may include physical therapy, lifestyle strategies such as exercise, diet changes, meditation, journaling, medications, and avoiding alcohol and tobacco use. Make helpful changes to manage your chronic condition.Tramadol (Ultram) Side Effects
Tramadol (Ultram, Ultram ER, Conzip) is a drug prescribed for the management of moderate to severe pain, and severe chronic pain.
Side effects include:- Indigestion
- Headache
- Constipation
- Nausea
- Euphoria
- Vomiting
- Dizziness
You shouldn't take tramadol if you are taking other opioid drugs. Acute intoxication occurs when you take with alcohol, hypnotics, centrally acting opioids, or psychotropic drugs.
You may become addicted to tramadol due to its opioid properties, even if you take it as your doctor has prescribed. Symptoms of withdrawal include:- Tremors
- Rigors
- Pain
- Anxiety
- Sweating
There is a risk of overdose with this drug.
Some patients had seizures while taking tramadol. Your risk of a seizure while taking tramadol increases if you also are taking these drugs.- Tricyclic antidepressants
- SSRI antidepressants
- Other opioids
- MAO inhibitors
- Neuroleptics
- Other drugs that reduce the threshold for seizures.