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Drug interactions

Difelikefalin + Pregabalin

Severity: Moderate

Difelikefalin and Pregabalin: moderate interaction.

Last updated

For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.

Summary

Difelikefalin can cause dizziness and somnolence, and pregabalin shares these effects. Combined use may increase sedation and the risk of falls, especially in dialysis patients who are already sensitive to pregabalin.

What this interaction means in plain words

Difelikefalin and Pregabalin can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Difelikefalin belongs to Dermatology; Pregabalin belongs to Central Nervous System.

Evidence level: Low

Why it happens

Additive CNS depressant effects (pharmacodynamic).

What to do

Monitor for sedation, dizziness and confusion. Make sure the pregabalin dose is appropriately reduced for renal function.

What to ask your pharmacist

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Frequently asked questions

Can I take Difelikefalin with Pregabalin?

MediHelp rates the interaction as moderate. Difelikefalin and Pregabalin can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Difelikefalin can cause dizziness and somnolence, and pregabalin shares these effects. Combined use may increase sedation and the risk of falls, especially in dialysis patients who are already sensitive to pregabalin.

How serious is the interaction between Difelikefalin and Pregabalin?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor for sedation, dizziness and confusion. Make sure the pregabalin dose is appropriately reduced for renal function.

What other medicines interact with Pregabalin?

MediHelp also lists interactions of Pregabalin with, for example, Alprazolam, Amobarbital, Belladonna and opium. The full list is on the Pregabalin page.

Full monographs, dosing and an interaction checker in the MediHelp app

Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.

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