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Lyrica

Pregabalin

An oral medicine for nerve pain, epilepsy and anxiety.

Generic name
Pregabalin
Brand name
Lyrica
Route
Oral
Marketed by
CP Pharmaceuticals (Pfizer)
First FDA approval
30 Dec 2004

Where Pregabalin is approved

All regulators →

Of the three regulators tracked here, the first to approve Pregabalin was the EU, on 5 Jul 2004. It is approved in 3 of the 3 regulators tracked here.

USUnited States (FDA)
30 Dec 2004
Lyrica
NDA021723 on Drugs@FDA
First original NDA/BLA approval
EUEuropean Union (EMA)
5 Jul 2004
Lyrica
EMA product page
First centralised authorisation
CACanada (Health Canada)
3 Jun 2005
Lyrica
Notice of Compliance 6995
First new-drug NOC

From the regulators' own registers: FDA Drugs@FDA, the EMA medicines list and Health Canada's Notice of Compliance database. Dates are the first listed approval of a product containing only this substance; combination products and nationally authorised EU medicines are not counted.

Pregabalin patents and exclusivity

Expiry tracker →

Protections still running for marketed products containing Pregabalin, as listed by the regulators. Expired patents and exclusivities, and discontinued products, are not shown.

US FDA Orange Book Lyrica, Lyrica Cr
  • 3 listed patents; the last listed expires 2 May 2027 (US 10022447, including a 6-month paediatric extension).
See the Orange Book listing for NDA 021446
Patents and exclusivities above are pooled across 3 applications for this substance.

Reproduced from the FDA Orange Book and Purple Book (checked 5 Oct 2026) and the European Commission's Union Register of medicinal products (CC BY 4.0; the EU expiry date is calculated exactly as the Commission's register displays it). Listed patents and dates are as submitted to or published by the regulator and may not reflect litigation, invalidation, settlements, lapsed fees or later extensions. This is not legal advice or a freedom-to-operate opinion, and it does not say when a generic or biosimilar will launch.

What health systems spend on Pregabalin

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ENNHS England
£20.8m
10,220,612 items dispensed, Aug 2025 to Jul 2026
-28% on the previous 12 months
Net ingredient cost, community prescriptions
USUS Medicaid
$62.5m
2,135,532 prescriptions in 2025 · Lyrica, Pregabalin, Pregabalin
+81% on 2024
Amount Medicaid reimbursed, before rebates

From NHSBSA Prescription Cost Analysis (Open Government Licence v3.0) and CMS State Drug Utilization Data. Both are gross amounts: neither system publishes its discounts or rebates per drug. Products combining several substances are not counted here.

How Pregabalin works

All drug targets →
  • Voltage-gated calcium channel modulator Modulator
    Target: Voltage-gated calcium channel
    ChEMBL only
Diseases it has been tested for in clinical trials, by furthest phase
  • Chronic painPhase 3
  • Focal-onset seizurePhase 3
  • HeadachePhase 3
  • Low back painPhase 3
  • PainPhase 3
  • PruritusPhase 3
  • Sleep disturbancePhase 3
  • Alcohol dependencePhase 3
  • Burning mouth syndromePhase 3
  • Chronic prostatitisPhase 3
45 diseases in all

Mechanisms and diseases from ChEMBL via the Open Targets Platform (release 26.09), ChEMBL record CHEMBL1059, CC BY-SA 3.0. Targets checked against the IUPHAR/BPS Guide to PHARMACOLOGY (2026.3), ligand 5484, CC BY-SA 4.0. Trial phases are not approvals: approved uses are shown from the regulators' own records where we hold them.

Patient leaflets for Pregabalin

The package leaflet is the official guide for patients that comes with every medicine. These links go to the regulators that publish it.

Leaflets differ between brands and countries; always read the one that comes with your own medicine. This is regulatory information, not medical advice.

Reference identifiers for Pregabalin

ATC code
N03AX16
ChEMBL
CHEMBL1059
DrugBank
DB00230
PubChem CID
25271887
CAS number
148553-50-8
FDA UNII
55JG375S6M
Wikidata
Q412174
Wikipedia
Pregabalin

Codes that identify this medicine in other databases, from Wikidata (CC0), matched by its ChEMBL ID. The ATC code is the WHO classification of what the medicine is used for.

What Lyrica is used for

LYRICA is indicated for: • Management of neuropathic pain associated with diabetic peripheral neuropathy • Management of postherpetic neuralgia • Adjunctive therapy for the treatment of partial-onset seizures in patients 1 month of age and older • 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 the treatment of partial-onset seizures in patients 1 month of age and older ( 1 ) • Fibromyalgia ( 1 ) • Neuropathic pain associated with spinal cord injury ( 1 )

How it works

12.1 Mechanism of Action LYRICA (pregabalin) binds with high affinity to the alpha 2 -delta site (an auxiliary subunit of voltage-gated calcium channels) in central nervous system tissues. Although the mechanism of action of pregabalin has not been fully elucidated, results with genetically modified mice and with compounds structurally related to pregabalin (such as gabapentin) suggest that binding to the alpha 2 -delta subunit may be involved in pregabalin's anti-nociceptive and antiseizure effects in animals. In animal models of nerve damage, pregabalin has been shown to reduce calcium-dependent release of pro-nociceptive neurotransmitters in the spinal cord, possibly by disrupting alpha …

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How this page is built

The facts on this page are pulled directly from official U.S. FDA datasets — they are not written from memory. Each field below names the dataset it came from, so you can check it yourself.

Plain-English summaries and drug-class explainers are written and reviewed by Sreepriya Prasannan (MSc Digital Transformation of Life Sciences (Innopharma Education / Griffith College); MSc & BSc Botany). Data is retrieved automatically from the sources above and cross-checked with AI-assisted verification (Anthropic's Claude) — brand and generic names are matched against the exact FDA product record so that a combination product or a different formulation cannot be mistaken for the drug on this page. An editor reviews the result before publication. We describe this in full in our editorial standards and corrections policy. The FDA data on this page was last retrieved on 4 Oct 2026. How every register is built: methodology · fixes we have made: corrections log.

Please verify before you rely on this. This page is general information for life-science and pharmaceutical professionals. It is not medical advice, and it has not been reviewed by a clinician — our editorial team holds life-science qualifications, not clinical ones. It is not exhaustive and may not reflect the most recent label change. Always check the official prescribing information (US Prescribing Information or EU SmPC) and speak to your doctor or pharmacist before acting on anything here. Drugs in the same class are not automatically interchangeable, and approvals, brand names and indications differ between the US, the EU/Ireland (EMA/HPRA) and other regions. Spotted an error? Tell us — we correct promptly and log it.