A 35-year-old male asked:
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please describe efficacy difference in lyrica (pregabalin) vs gabapentin for migraine/headache of a very nervey type?

2 doctor answers
Dr. Paul Grin
Dr. Paul Grin answered
35 years experience Pain Management
Only cost and dosage: Lyrica (pregabalin) is effective as gabapentin for neuropathic pain migraine headache, however costs more.
Answered on Sep 22, 2015
Dr. James Rotchford
40 years experience Addiction Medicine
It depends: Efficacy refers to proven and clear superiority based on objective evidence. Hence, I doubt you'll find an answer for your efficacy question. Even the effectiveness question is problematic and in my clinical experience all I can say is that gabapentin is possibly preferable when nerve pain is associated with less rather than more anxiety.
Answered on Oct 1, 2015
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