Pregabalin Misuse and Associated Adverse Events: A Cross-Sectional Study in Libya

Authors

  • Hanan Alhadi Thwer Faculty of Medical Technology, University of Zawia Author
  • Entesar Rajeb Knaz Libyan Medical Research Center Author
  • Hager Tahir Ali Libyan Medical Research Center Author
  • Sara M. El. Ahmed Libyan Medical Research Center Author
  • Najway Ali Mohmmed Faculty of Medical Technology, University of Zawia Author
  • Wayel A. Almrabet Faculty of Medical Technology, University of Zawia Author
  • Suhila Alhadi Atwier Libyan Medical Research Center Author
  • .Asma.M. bsheena Faculty of Medical Technology, University of Zawia Author

DOI:

https://doi.org/10.54361/LJMR.19.2.38

Keywords:

Pregabalin, Drug misuse, Adverse effects, Withdrawal, Libya

Abstract

Background: Pregabalin, a gamma-aminobutyric acid (GABA) analogue, is widely prescribed for neuropathic pain, fibromyalgia, anxiety disorders, and epilepsy. Despite its therapeutic value, pregabalin has been increasingly associated with misuse and significant adverse effects. Aim: This study aimed to evaluate the prevalence, severity, and pattern of adverse effects related to pregabalin abuse among adults in Western Libya. Materials and Methods: A descriptive cross-sectional study was conducted in Zawiya, Libya. Data were collected using structured questionnaires from 80 participants with a history of pregabalin use. Descriptive statistics were applied. Results: The majority of participants (55%) were young adults (20–30 years), and 57.5% reported non-medical use of pregabalin. High doses (≥300 mg) were commonly used without medical supervision. Reported side effects included blurred vision (75%), sleepiness (72.5%), dry mouth (65%), and cognitive impairment (45%). Withdrawal symptoms after discontinuation were severe, including headache (87.5%), stress (80%), sleep disturbance (77.5%), tachycardia (75%), and depression (60%).Conclusion: Pregabalin misuse is prevalent among Libyan adults, particularly young individuals with low educational levels. Adverse effects and withdrawal symptoms were frequent and severe, underscoring the urgent need for stronger regulatory measures, public awareness campaigns, and safer prescribing practices.

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References

1. Althobaiti, Y. S., Almalki, A. H., Alsaab, H. O., Aljuaid, S. M., & Sari, Y. (2019). Abuse potential of pregabalin: Behavioral and clinical evidence. Scientific Reports, 9, 5156. https://doi.org/10.1038/s41598-019-41646-4.

2. Bicknell, M., Ashworth, J., Holliday, E., & Pryce, R. (2023). Assisted withdrawal from pregabalin in drug and alcohol users. Prescriber, 34(6), 20–27. https://doi.org/10.1002/psb.2061

3. Cross, A. L., Viswanath, O., & Sherman, A. I. (2022). Pregabalin. StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing.

4. Çıtak Ekici, F., Demirci, A. C., & Korkmaz, U. (2019). Pregabalin misuse among patients with opioid use disorders: A single-center study. Psychiatry and Psychopharmacology, 29(3), 134–142. https://doi.org/10.1080/24750573.2019.1673946

5. European Medicines Agency. (2004). Lyrica: EPAR – Scientific discussion. EMA.

6. Frampton, J. E. (2014). Pregabalin: A review of its use in adults with generalized anxiety disorder. CNS Drugs, 28(9), 835–854. https://doi.org/10.1007/s40263-014-0180-8

7. Freynhagen, R., Backonja, M., Schug, S., & Baron, R. (2013). Adverse effects and discontinuation rates of pregabalin in neuropathic pain: A review. Pain Practice, 13(8), 592–600. https://doi.org/10.1111/papr.12020

8. Libyan Journal of Medical Research. (2025). Community pharmacy practitioners’ experiences and concerns about medication misuse and abuse in Libya. LJMR, 12(2), 45–56.

9. Luo, X., Li, H., Chen, Z., & Wang, J. (2025). Pregabalin withdrawal: Case reports and clinical considerations. Clinical Neuropharmacology, 48(2), 115–122. https://doi.org/10.1097/WNF.0000000000000536

10. McNeilage, A., Turner, M., O’Brien, T., & Costa, D. (2024). Psychiatric symptoms associated with pregabalin discontinuation: Clinical implications. European Neuropsychopharmacology, 65, 45–53. https://doi.org/10.1016/j.euroneuro.2024.03.004

11. Medscape. (2025). Pregabalin vs. gabapentin: Cardiovascular safety signals in older adults. Retrieved from https://www.medscape.com

12. Papazisis, G., Garyfallos, G., & Kouvelas, D. (2021). Pregabalin misuse and dependence: Emerging concerns in clinical practice. Frontiers in Psychiatry, 12, 640264. https://doi.org/10.3389/fpsyt.2021.640264

13. Schifano, F. (2014). Misuse and abuse of pregabalin and gabapentin: Cause for concern? CNS Drugs, 28(6), 491–496. https://doi.org/10.1007/s40263-014-0164-4

14. Schjerning, O., Rosenzweig, M., Pottegård, A., Damkier, P., & Nielsen, J. (2016). Pregabalin abuse and dependence: A systematic review. CNS Drugs, 30(9), 823–835. https://doi.org/10.1007/s40263-016-0375-5

15. Schwan, S., Sundström, A., Stjernberg, E., Hallberg, E., & Hallberg, P. (2010). A signal for an abuse liability for pregabalin: Results from the Swedish adverse drug reaction reporting system. European Journal of Clinical Pharmacology, 66(9), 947–953. https://doi.org/10.1007/s00228-010-0840-5

16. Servais, L., Dubois, C., & Verhaeghe, N. (2023). Patterns of pregabalin misuse and dependence: A qualitative study. BMC Public Health, 23, 16051. https://doi.org/10.1186/s12889-023-16051-6

17. Toth, C., Cote, I., & Toth, E. (2014). Safety and tolerability of pregabalin: A review of clinical trial data. Journal of Pain Research, 7, 123–134. https://doi.org/10.2147/JPR.S41108

18. World Health Organization, Expert Committee on Drug Dependence. (2018, November). Critical review report: Pregabalin. Geneva: World Health Organization. Department of Essential Medicines and Health Products.

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Published

01-07-2025

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How to Cite

1.
Thwer H, Knaz E, Ali H, Ahmed S, Mohmmed N, Almrabet W, et al. Pregabalin Misuse and Associated Adverse Events: A Cross-Sectional Study in Libya. LJMR [Internet]. 2025 Jul. 1 [cited 2025 Oct. 2];19(2):317-23. Available from: http://ljmr.ly/index.php/ljmr/article/view/443

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