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Lyrica capsules and oral solution both contain the active ingredient pregabalin, which is a medicine that is used for three different purposes - treating epilepsy, nerve pain and anxiety. The way in which pregabalin works is not fully understood. It is thought to work by binding to calcium channels found on nerve cells in the brain and spinal cord. This reduces the release of various neurotransmitters from these nerve cells. Neurotransmitters are natural body chemicals that are stored in nerve cells. They are involved in transmitting messages between the nerve cells. Pregabalin is thought to reduce the release of neurotransmitters called glutamate, noradrenaline and substance P. Glutamate is a neurotransmitter that acts as a natural 'nerve-exciting' agent. It is released when electrical signals build up in nerve cells and subsequently excites more nerve cells. It is thought to play a key role in causing epileptic seizures. Reducing the release of glutamate from the nerve cells in the brain is thought to help stabilise the electrical activity in the brain and prevent epileptic fits. Pregabalin is used as an add-on treatment for adults whose epilepsy has not been well controlled by other anti-epileptic medicines. It is used to prevent partial seizures, and partial seizures that spread to secondary generalised seizures. Glutamate, substance P and noradrenaline are also involved in transmitting pain signals in the brain and nervous system. As pregabalin reduces the release of these neurotransmitters it can also be used to treat nerve pain occuring as a result of damage to or a disturbance in the function of nerves (neuropathic pain). It can be used for peripheral neuropathic pain, ie nerve pain in the hands, legs or feet, or central neuropathic pain, eg as a result of a spinal cord injury. Pregabalin can also used to treat generalised anxiety disorder, which is another condition thought to involve overactivity of glutamate, substance P and noradrenaline in the brain.
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What if I miss a dose? If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses. What should I remember while taking this medicine? Visit your doctor or health care professional for regular checks on your progress. Your doctor will need to check you at regular visits. Do not miss any scheduled appointments. You may want to keep a personal record at home of how you feel your condition is responding to treatment.