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Lyrica vs. Pamelor

Head-to-head comparisons of medication uses, side effects, warnings, and more.

Key takeaways

Lyrica (pregabalin) and Pamelor (nortriptyline) are both prescription medications, but they are used for different purposes and belong to different drug classes. Lyrica is an antiepileptic medication used to treat nerve pain, fibromyalgia, and partial-onset seizures, while Pamelor is a tricyclic antidepressant primarily used to treat depression. Lyrica is taken 2 or 3 times a day and is available in both capsule and oral solution forms, whereas Pamelor is typically taken 3 or 4 times a day and also comes in capsule and liquid forms. Lyrica can cause dizziness and drowsiness, and it is a controlled substance due to its potential for addiction and dependence. On the other hand, Pamelor is not a controlled substance but can take 6 to 8 weeks to show its full effects and has a risk of increasing suicidal thoughts in younger individuals. Both medications should not be stopped suddenly to avoid withdrawal symptoms.

Pregabalin

(Lyrica)

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Nortriptyline

(Pamelor)

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Summary for Lyrica

Prescription only

Pregabalin (Lyrica) helps treat nerve pain and fibromyalgia in adults. It can also be taken with other medications to help treat certain seizures in people 1 month and older. Pregabalin (Lyrica) comes as a capsule and oral solution in both brand-name and generic versions. The dosage depends on what condition you're treating, but it's usually taken by mouth 2 or 3 times a day. Common side effects include feeling dizzy and drowsy. This medication is a controlled substance and has interactions, like with alcohol and benzodiazepines.

Indications for Lyrica

Pros and Cons for Lyrica

Pros

  • An option for relieving nerve pain caused by diabetes, shingles, and spinal cord injuries
  • Can take with other anti-seizure medications for partial-onset seizures in people as young as 1 month of age
  • Available in a capsule and liquid

Cons

  • Can cause dizziness and drowsiness
  • Can cause weight gain
  • Is a controlled substance, so there are some rules to follow to get it filled

Common Side Effects for Lyrica

  • Dizziness
  • Drowsiness
  • Headache
  • Weight gain

Warnings for Lyrica

  • Allergic reactions and severe swelling
  • Risk of suicidal thoughts and behavior
  • Higher risk of side effects if you stop taking the medication too suddenly or too fast
  • Slowed breathing
  • Dizziness, sleepiness, and trouble concentrating
  • Swelling of the arms or legs
  • Weight gain
  • Lower platelet levels
  • Possible risk of muscle breakdown

Summary for Pamelor

Prescription only

Nortriptyline (Pamelor) is a tricyclic antidepressant (TCA). It's approved to treat depression in adults. This medication is also often prescribed off-label to treat certain types of nerve pain. Nortriptyline (Pamelor) is available as a capsule and liquid that are taken by mouth. Side effects include dry mouth, dizziness, and possible weight gain. This medication is available under the brand name Pamelor and as a generic.

Indications for Pamelor

Pros and Cons for Pamelor

Pros

  • Available as a capsule and liquid
  • Taken by mouth once per day, or split into smaller doses throughout the day

Cons

Common Side Effects for Pamelor

  • Blurred vision
  • Dry mouth
  • Nausea
  • Vomiting
  • Stomach upset
  • Loss of appetite
  • Numbness in the hands or feet
  • Rash
  • Itching
  • Changes in blood pressure

Warnings for Pamelor

  • Worsening depression and risk for suicidal thoughts and unusual behavior
  • Not for use alone in bipolar disorder
  • Dizziness and drowsiness
  • Risk of heart problems, heart attack, or stroke
  • Glaucoma

Prices with our coupons for Lyrica vs. Pamelor

Price Card Drug Icon
Pregabalin60 capsules / 75mg
$13.43$39.25
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Nortriptyline30 capsules / 10mg
$4.00$4.00
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