Pregabalin Er
Pregabalin ER 165MG
What is Pregabalin Er?
Pregabalin-er is a medication primarily used for managing neuropathic pain, fibromyalgia, and generalized anxiety disorder. This extended-release formulation offers convenient dosing. Connect with a licensed provider through Rx.com for your prescription needs.Side Effects
- Swelling in your throat, head, or neck
- Severe dizziness or drowsiness
- Uneven heartbeat
Warnings
- Tell your doctor if you are pregnant or breastfeeding, or if you have kidney disease, heart failure, heart rhythm problems, lung or breathing problems, a bleeding disorder, diabetes, sores or skin problems, or a low blood platelet count. Tell your doctor if you have a history of angioedema (severe swelling), alcohol or drug abuse, depression, or other mood problems.
- This medicine may cause the following problems: Changes in mood or behavior, including suicidal thoughts or behaviorRespiratory depression (serious breathing problem that can be life-threatening), when used with narcotic pain medicinesPeripheral edema (swelling of your hands, ankles, feet, or lower legs)Increased risk for cancer and bleedingSerious muscle problemsHeart rhythm changes
- This medicine may make you dizzy or drowsy. It may also cause blurry or double vision. Do not drive or do anything else that could be dangerous until you know how this medicine affects you.
- Do not stop using this medicine suddenly. Your doctor will need to slowly decrease your dose before you stop it completely.
- Your doctor will do lab tests at regular visits to check on the effects of this medicine. Keep all appointments.
Prescription savings · · · ·
What is Pregabalin Er ?
Pregabalin-er is a medication primarily used for managing neuropathic pain, fibromyalgia, and generalized anxiety disorder. This extended-release formulation offers convenient dosing. Connect with a licensed provider through Rx.com for your prescription needs.- Swelling in your throat, head, or neck
- Severe dizziness or drowsiness
- Uneven heartbeat
- Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing
- Blistering, peeling, red skin rash
- Blue lips, fingernails, or skin, trouble breathing, chest pain
- Unusual bleeding, bruising, or weakness
- Fever, chills, cough, sore throat, body aches
- Muscle pain, tenderness, or weakness, general feeling of illness
- Sudden mood changes, unusual moods or behavior, including extreme happiness or depression, thoughts or attempts of killing oneself
- Rapid weight gain, swelling in your hands, ankles, or feet
- Blurry or double vision
- Tell your doctor if you are pregnant or breastfeeding, or if you have kidney disease, heart failure, heart rhythm problems, lung or breathing problems, a bleeding disorder, diabetes, sores or skin problems, or a low blood platelet count. Tell your doctor if you have a history of angioedema (severe swelling), alcohol or drug abuse, depression, or other mood problems.
- This medicine may cause the following problems: Changes in mood or behavior, including suicidal thoughts or behaviorRespiratory depression (serious breathing problem that can be life-threatening), when used with narcotic pain medicinesPeripheral edema (swelling of your hands, ankles, feet, or lower legs)Increased risk for cancer and bleedingSerious muscle problemsHeart rhythm changes
- This medicine may make you dizzy or drowsy. It may also cause blurry or double vision. Do not drive or do anything else that could be dangerous until you know how this medicine affects you.
- Do not stop using this medicine suddenly. Your doctor will need to slowly decrease your dose before you stop it completely.
- Your doctor will do lab tests at regular visits to check on the effects of this medicine. Keep all appointments.
- Keep all medicine out of the reach of children. Never share your medicine with anyone.
- Severe dizziness or drowsiness
- Sudden mood changes, unusual thoughts or behavior such as extreme happiness or depression
- Suicidal thoughts
- Swelling in your throat, head, or neck
- Uneven heartbeat
- Unusual bleeding, bruising, or weakness
Pregabalin Er Coupons & Prices
Pregabalin ER 165MG
Weight-loss medication, prescribed online
Licensed U.S. providers · No insurance needed · Shipped to your door
Use a free Rx.com pregabalin ER coupon to compare cash prices on pregabalin extended-release tablets, the once-daily generic of Lyrica CR, at more than 60,000 pharmacies nationwide. Pregabalin ER is FDA-approved for nerve pain from diabetic peripheral neuropathy and for postherpetic neuralgia (nerve pain after shingles). Because it is a Schedule V controlled substance, you will need a prescription, and cash prices for the same tablet can differ a great deal from one pharmacy to the next, even across the street. Enter your ZIP code above to see today's price near you and print, text, or email your coupon before you go.
What is pregabalin ER and how does it work?
Pregabalin extended-release (the generic of the brand Lyrica CR) is a gabapentinoid, also called an alpha-2-delta ligand. It binds to a part of the voltage-gated calcium channels on overactive nerve cells and calms the flood of pain signals those nerves send. It is classed as an anticonvulsant and neuropathic pain agent. The extended-release tablet releases the medicine slowly over the day, so it is taken just once daily after an evening meal. Swallow the tablet whole. Do not split, crush, or chew it, because breaking the tablet destroys the extended-release design.
Pregabalin ER is approved for two conditions only: neuropathic pain associated with diabetic peripheral neuropathy, and postherpetic neuralgia. This is an important difference from immediate-release pregabalin. The ER tablet is not approved for fibromyalgia, not approved as add-on therapy for partial-onset seizures, and not approved for nerve pain from spinal cord injury, because effectiveness was not established for those uses. Your prescriber decides which form fits your diagnosis.
Pregabalin ER cost and how to save without insurance
The good news for cash-payers: the generic already exists. An FDA-approved generic pregabalin extended-release tablet is available, and generics are typically the least expensive way to fill this prescription. Even so, a cash price is not one fixed number. Pharmacies set their own cash prices, so the same strength and quantity of pregabalin ER can cost noticeably more at one chain than at an independent or grocery-store pharmacy a few blocks away. That spread is exactly why comparing is worth the two minutes it takes.
Rx.com compares cash prices at more than 60,000 pharmacies and gives you a free discount coupon you can show at the counter. Enter your ZIP above to see today's price near you. A few practical notes: our coupon is a cash-discount price, not insurance, and you cannot combine it with your insurance benefit on the same fill, so it is worth checking both and using whichever is lower. If you are prescribed brand-name Lyrica CR, the manufacturer, Pfizer, runs an official savings program on its own Lyrica website; eligibility and terms vary and it generally excludes people with government coverage such as Medicare or Medicaid. Manufacturer cards typically do not apply to generics, where a cash-discount coupon is usually the better route.
Pregabalin ER vs. other nerve-pain options
Pregabalin ER is one of several medicines used for nerve pain. Which one is right for you depends on your diagnosis, your kidney function, other medicines you take, and cost. Common points of comparison:
- Pregabalin (immediate-release, brand Lyrica) is taken two or three times a day and carries a broader set of approved uses, including fibromyalgia and add-on treatment of partial-onset seizures. It is a common lower-cost alternative if once-daily dosing is not essential for you.
- Gabapentin (brand Neurontin) is a related gabapentinoid, usually dosed several times a day, and is very widely available as an inexpensive generic.
- Duloxetine (brand Cymbalta) works by a completely different mechanism and is another option prescribed for diabetic peripheral neuropathic pain.
Never switch, substitute, or stop any of these on your own. Doses are not interchangeable between products, and pregabalin should not be stopped abruptly. Talk with your prescriber or pharmacist if cost is the reason you are considering a change. They can often write for an equally appropriate, cheaper option.
Safety, side effects, and what to watch for
Pregabalin ER has no boxed warning, but it does have real risks worth knowing. The most common side effects are dizziness and sleepiness, which can impair driving or operating machinery until you know how the drug affects you. Other reported effects include peripheral edema (swelling in the hands, feet, or legs), weight gain, and blurred vision. Do not drink alcohol while taking it. Stop the medicine and get emergency help right away if you develop angioedema, meaning swelling of the face, mouth, tongue, or throat, which can be life-threatening. Like all antiepileptic medicines, pregabalin carries a class warning for suicidal thoughts or behavior (roughly 1 in 500 patients); tell someone and call your prescriber if your mood changes.
A few more precautions. Combining pregabalin with opioids, benzodiazepines, or other central nervous system depressants can cause serious respiratory depression, a risk the FDA highlighted in a 2019 safety communication, and it is highest in older adults and in people with COPD or other breathing problems. The dose must be lowered if your kidneys are impaired, and the ER tablets are not recommended when creatinine clearance is under 30 mL/min. Do not stop pregabalin ER suddenly; it should be tapered over at least one week to avoid withdrawal symptoms such as insomnia, nausea, headache, diarrhea, and seizures. It is a Schedule V controlled substance because of euphoria and misuse potential. Pregabalin may lower sperm counts, so discuss fertility, pregnancy (including the NAAED pregnancy registry), and breastfeeding with your clinician. This page is information, not medical advice: your prescriber and pharmacist know your full history.
This Pregabalin Er information was written and reviewed against authoritative U.S. medical sources — MedlinePlus (U.S. National Library of Medicine), DailyMed, and FDA prescribing information — and checked for accuracy. It is provided for education and is not a substitute for professional medical advice.
Verify the official label: Pregabalin Er on DailyMed (FDA)
Reviewed against FDA labeling · Last reviewed July 2026
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Medical disclaimer: This information is provided for general educational purposes only and is not medical advice. It is not a substitute for professional diagnosis or treatment. Always consult a licensed physician, pharmacist, or other qualified healthcare provider before starting, stopping, or changing any medication or treatment. Never disregard professional medical advice or delay seeking it because of something you read here. If you think you may have a medical emergency, call your doctor or 911 immediately.