FRCA Notes


Gabapentinoids


  • The gabapentinoids comprise of gabapentin and its specifically designed successor pregabalin
  • Pregabalin shares many features with gabapentin, but benefits from:
    • Higher receptor affinity
    • BD dosing schedule (vs. TDS)
    • Easier titration
  • Neuropathic pain
  • Focal seizures
    • Gabapentin may be used as monotherapy
    • Pregabalin is licensed as an adjunctive therapy only

  • Gabapentin is licensed for treatment of other symptoms such as:
    • Spasticity in multiple sclerosis
    • Oscillopsia in multiple sclerosis
    • Menopausal symptoms (esp. hot flushes) in women with breast cancer
    • Muscular symptoms in motor neurone disease

  • Pregabalin is also licensed for generalised anxiety disorder

Presentation

  • Both gabapentin and pregabalin preesnt as tablets, capsules or as an oral solution

Dosing

  • Gabapentin is started at doses of 100-300mg TDS, which are then uptitrated over time
  • The maximum dose depends on whether the indication is neuropathic pain (max. 3.6g/day), seizures (4.8g/day) or other symptoms (lower max. doses)

  • Pregabalin is started at doses of 25mg-75mg BD, which are then uptitrated over time
  • Maximum dose of pregabalin is 1800mg/day in divided doses

  • Inhibitory action via binding to the ɑ2δ-1 protein
    • The ɑ2δ-1 protein was initially considered to be an auxiliary subunit of pre-synaptic, voltage-gated calcium channels
    • It has since been shown to interact with a wider set of membrane proteins, including NMDA glutamate receptors
    • Inhibition of the protein impairs nociceptive signalling in the dorsal horn of the spinal cord
  • Other mechanisms:
    • Partially reduce glutamatergic action at the NMDA receptor
    • Stimulate glutamate decarboxylase (i.e. stimulates creation of GABA)
    • Enhance synaptic release of GABA

Absorption

  • Gabapentin has 60% oral bioavailability that decreases with increasing doses
  • Pregabalin has better bioavailability (90%) that is not affected by dose, although absorption is delayed by food

Distribution

  • Neither drug is bound to plasma proteins, which makes them less likely to interact with other drugs that are protein bound
  • This is a big positive feature as patients with neuropathic pain or epilepsy may be taking a large array of other medications

  • Gabapentin VD of 0.85L/kg
  • Pregabalin has a lower VD of 0.6L/kg

Metabolism

  • Undergo little-to-no metabolism
  • Therefore safe in hepatic impairment

Excretion

  • Both entirely renally excreted with an elimination half life of 6hrs
  • Therefore reduced dose required in renal dysfunction
  • Are removed by haemodialysis

Neurological

  • May cause development of psychiatric symptoms
  • Other CNS effects include ataxia, dizziness, fatigue, nausea, vomiting and fever
  • Enhanced mood
  • Improved sleep patterns

Renal

  • Reduced dose required in renal dysfunction

Gastrointestinal

  • GI upset more common with pregabalin

Metabolic

  • Weight gain, erectile dysfunction and leukopaenia may also occur
  • May increase risk of viral infections