Overview
This is a summary of the European public assessment report (EPAR) for Pregabalin Zentiva. It explains how the Agency assessed the medicine to recommend its authorisation in the EU and its conditions of use. It is not intended to provide practical advice on how to use Pregabalin Zentiva.
For practical information about using Pregabalin Zentiva, patients should read the package leaflet or contact their doctor or pharmacist.
Pregabalin Zentiva is a medicine used to treat adults with the following conditions:
- epilepsy, where it is used as an ‘add-on’ to existing treatment in patients who have partial seizures (epileptic fits starting in one specific part of the brain) that cannot be controlled with their current treatment;
- generalised anxiety disorder (long-term anxiety or nervousness about everyday matters).
Pregabalin Zentiva is a ‘generic medicine’. This means that Pregabalin Zentiva is similar to a ‘reference medicine’ already authorised in the European Union (EU) called Lyrica.
Pregabalin Zentiva contains the active substance pregabalin.
Pregabalin Zentiva is available as capsules (25, 50, 75, 100, 150, 200, 225 and 300 mg) and can only be obtained with a prescription. The recommended starting dose is 150 mg per day, divided into two or three doses. After three to seven days, the dose can be increased to 300 mg per day. Doses can be increased up to twice more until the most effective dose is reached. The maximum dose is 600 mg per day. Stopping treatment with Pregabalin Zentiva should also be done gradually, over at least a week. Doctors may need to lower the dose in patients who have kidney problems.
The active substance in Pregabalin Zentiva, pregabalin, is similar in structure to the body’s own ‘neurotransmitter’ gamma?amino butyric acid (GABA), but has very different biological effects. Neurotransmitters are chemicals that allow nerve cells to communicate with each other. The exact way that pregabalin works is not fully understood, but it is thought to affect the way that calcium enters nerve cells. This reduces the activity of some of the nerve cells in the brain and spinal cord, reducing the release of other neurotransmitters that are involved in epilepsy and anxiety.
Because Pregabalin Zentiva is a generic medicine, studies in people have been limited to tests to determine that it is bioequivalent to the reference medicine, Lyrica. Two medicines are bioequivalent when they produce the same levels of the active substance in the body.
Because Pregabalin Zentiva is a generic medicine and is bioequivalent to the reference medicine, its benefits and risks are taken as being the same as the reference medicine’s.
The Agency’s Committee for Medicinal Products for Human Use (CHMP) concluded that, in accordance with EU requirements, Pregabalin Zentiva has been shown to have comparable quality and to be bioequivalent to Lyrica. Therefore, the CHMP’s view was that, as for Lyrica, the benefit outweighs the identified risk. The Committee recommended that Pregabalin Zentiva be approved for use in the EU.
A risk management plan has been developed to ensure that Pregabalin Zentiva is used as safely as possible. Based on this plan, safety information has been included in the summary of product characteristics and the package leaflet for Pregabalin Zentiva, including the appropriate precautions to be followed by healthcare professionals and patients.
Further information can be found in the Pregabalin Zentiva : EPAR - Risk-management-plan summary.
The European Commission granted a marketing authorisation valid throughout the European Union for Pregabalin Zentiva on 17 July 2015.
For more information about treatment with Pregabalin Zentiva, read the package leaflet (also part of the EPAR) or contact your doctor or pharmacist.
Pregabalin Zentiva : EPAR - Summary for the public
Pregabalin Zentiva : EPAR - Risk-management-plan summary
Product information
Pregabalin Zentiva : EPAR - Product Information
Latest procedure affecting product information: IA/0049
22/12/2023
This medicine’s product information is available in all official EU languages.
Select 'available languages' to access the language you need.
Product information documents contain:
- summary of product characteristics (annex I);
- manufacturing authorisation holder responsible for batch release (annex IIA);
- conditions of the marketing authorisation (annex IIB);
- labelling (annex IIIA);
- package leaflet (annex IIIB).
Pregabalin Zentiva : EPAR - All Authorised presentations
Product details
- Name of medicine
- Pregabalin Zentiva
- Active substance
- pregabalin
- International non-proprietary name (INN) or common name
- pregabalin
- Therapeutic area (MeSH)
- Anxiety Disorders
- Epilepsy
- Anatomical therapeutic chemical (ATC) code
- N02BF02
Pharmacotherapeutic group
AntiepilepticsTherapeutic indication
Neuropathic pain
- Pregabalin Zentiva is indicated for the treatment of peripheral and central neuropathic pain in adults.
Epilepsy
- Pregabalin Zentiva is indicated as adjunctive therapy in adults with partial seizures with or without secondary generalisation.
Generalised anxiety disorder
- Pregabalin Zentiva is indicated for the treatment of generalised anxiety disorder (GAD) in adults.
Assessment history
Pregabalin Zentiva : EPAR - Procedural steps taken and scientific information after authorisation