Pregabalin addiction and treatment

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Private Rehab for Pregabalin Addiction

Castle Craig is one of the UK’s leading drug addiction rehab centres.
Victoria McCann BA, MSc
Page Editorially Reviewed on

Pregabalin is prescribed to hundreds of thousands of people in the UK each year. For many, it provides relief from nerve pain, anxiety, and epilepsy. But it also carries a risk of addiction, even if you don’t have any history of addiction. If you’re taking pregabalin and something feels wrong, it may be time to seek help. Addiction can develop even when you take the medication exactly as prescribed.

What is Pregabalin (Lyrica)?

Pregabalin is a prescription medication used to manage nerve pain, generalised anxiety disorder (GAD), and epilepsy. You may know it by its brand names: Lyrica, Alzain, or Axalid. It belongs to a class of medicines called gabapentinoids, which also includes gabapentin.

Doctors prescribe pregabalin in doses ranging from 50 mg to 600 mg daily, usually split across two or three doses. It’s available in several forms, including capsules and liquid.

In 2019, the UK government reclassified pregabalin as a Class C controlled substance. This followed growing evidence of misuse and deaths linked to the drug. According to the UK government, this reclassification introduced stricter rules: prescriptions must now be handwritten and signed by a doctor, dispensed within 28 days, and collected with proof of identity.

How pregabalin addiction develops

Pregabalin works by calming overactive nerve signals in the brain. Over time, your brain begins to rely on the drug to maintain that calm. This reliance is the beginning of dependence.

Dependence can develop even when you take pregabalin exactly as prescribed. This is a known effect of how the drug works. It doesn’t mean you’re taking it incorrectly.

Pregabalin carries a risk of dependence for a wide range of people, not only those with a history of substance use.

If you have been taking pregabalin for some time and find that you need more of it to get the same effect, or that stopping it feels impossible, you may be experiencing dependence. This is the first sign to reach out for help from your GP or a rehab service.

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Signs of pregabalin addiction

Addiction to pregabalin can be hard to recognise as the signs aren’t always obvious.

You may be experiencing pregabalin addiction if:

  • You’re taking higher doses than prescribed
  • You’re taking it for longer than intended
  • You’ve tried to cut down and found you can’t
  • You find yourself waiting for when you can take it again 
  • You continue taking it even though you know it’s causing you harm

If you’re experiencing two or more of these signs you may have developed an addiction to pregabalin.  

Two or three signs indicate a mild dependence. Four or five signs indicate moderate dependence. Six or more signs indicate severe dependence.

Effects of pregabalin misuse

Pregabalin affects the central nervous system. When it’s taken in higher doses than prescribed, its effects on the brain and body increase.

You may experience:

  • Feelings of elation
  • Increased energy
  • A sense of detachment that feels calming

These effects can make the drug feel rewarding and make you want to continue taking it.However taking too much pregabalin is dangerous and can cause overdose. In some cases this can lead to death. According to the Office for National Statistics, pregabalin was mentioned in 617 drug poisoning deaths across England and Wales in 2024.

Risks of combining pregabalin with other substances

Combining pregabalin with alcohol or other depressant medications is dangerous. 

Pregabalin is a central nervous system (CNS) depressant. Taking it alongside other CNS depressant compounds can increase its effects, and that combination can be life-threatening.

Alcohol is a CNS depressant. So are opioids, benzodiazepines, and some other prescription medications. When you take pregabalin with any of these, your breathing can slow to a dangerous level.

If you’re using pregabalin alongside anything else, tell your doctor.

Pregabalin withdrawal symptoms

Stopping pregabalin suddenly isn’t safe. Your brain has adapted to the drug, and removing it suddenly can trigger a severe withdrawal reaction.

Pregabalin should always be reduced gradually and never stopped suddenly. In a residential setting, that process is monitored closely by medical staff who can respond if withdrawal symptoms become hard to manage.

Pregabalin withdrawal can cause physical and mental symptoms. These include:

  • Shaking
  • Sweating 
  • Nausea
  • Heart palpitations
  • Dizziness
  • Headaches
  • Anxiety or panic attacks
  • Irritability
  • Difficulty sleeping 

In more serious cases, withdrawal can cause seizures.

If you’re also using alcohol, heroin, or cannabis alongside pregabalin, withdrawal can be more challenging. Memory difficulties, intense anxiety, and panic can all be heightened when several substances are withdrawn together. This is why medically supervised withdrawal is recommended.

How to come off pregabalin safely

Pregabalin should never be stopped suddenly. It’s important that you get support from your GP or rehab clinic to stop taking the drug. They can help you to reduce the dose safely and monitor your progress.

Inpatient rehab clinics provide additional support to help you through pregabalin withdrawal. Depending on the clinic you choose, this can include medical support while you detox. You will also have staff on hand 24 hours a day to help you manage the physical and mental effects of withdrawal, and to develop longer term coping strategies. For people who are worried about coping alone, or who want to build a sustainable recovery, inpatient treatment can help.

Castle Craig residential centre

Contact Castle Craig Residential Pregabalin Rehab

Castle Craig, located in the countryside of West Linton, Edinburgh, United Kingdom, EH46 7DH, offers the perfect environment for recovery. Surrounded by natural beauty and tranquillity, our historic setting provides a calming retreat for individuals seeking help with prescription drug addiction. Our peaceful location encourages a healing atmosphere, away from the stresses of daily life.

 

When to seek help

You don’t need to be at a crisis point to reach out for support. If you’re taking pregabalin without a prescription, or in doses higher than prescribed, that’s enough reason to speak to someone. If you were prescribed pregabalin and feel it’s taken hold in a way you didn’t expect, it’s also important to speak to someone for help.

A good starting point is your GP. They can assess your current use, talk through your options, and refer you to a specialist rehab service. If you’d prefer to speak to someone who specialises in pregabalin addiction, our team at Castle Craig is on hand to discuss your options.

For prescription drug addiction support, including pregabalin, you can find more information on our prescription drug addiction page.

Pregabalin addiction treatment at Castle Craig

Treatment for pregabalin addiction is different for every person. The right approach depends on your history with pregabalin and whether you are using other substances. Your medical history and health, wellbeing and normal environment also matter.

At Castle Craig, we offer residential treatment, supervised by our medical team, at our hospital in Scotland. Our clinical team carries out a full assessment before treatment begins. Your plan is built around what you need.

Our rehab support includes:

  • 24-hour medical and nursing support
  • Medically managed pregabalin detox
  • Treatment for co-occurring conditions such as anxiety, depression or trauma
  • One-to-one and group therapy
  • Aftercare support for your ongoing recovery

Our programmes are designed to support you from initial detox to long-term recovery.

Contact us

If you’re concerned about pregabalin addiction or you want to understand what treatment at Castle Craig involves, please call our team. We’re available to answer your questions, with no obligation and no pressure.

Find Us

Castle Craig, Edinburgh, United Kingdom, EH46 7DH

01721 546 263

Castle Craig,
West Linton, Edinburgh, United Kingdom, EH46 7DH

Frequently asked questions

  • Can you become addicted to pregabalin if it has been prescribed to you?

    Yes. Addiction can develop when pregabalin is taken as prescribed, at the recommended dose, over a period of time. This is a known risk of the medication. If you’re concerned that you might be addicted to a prescribed medication, speaking to your GP is the right first step.

  • Why is pregabalin a controlled substance in the UK?

    Pregabalin was reclassified as a controlled drug in the UK following evidence of misuse and deaths linked to it. There are now tighter rules about how pregabalin is prescribed and how it is dispensed (given out) at pharmacies.

  • Can pregabalin cause seizures?

    Yes, pregabalin can cause seizures. This can happen during withdrawal, particularly if this process isn’t done gradually. Pregabalin should always be reduced gradually and never stopped suddenly. Your GP or a specialist rehab clinic can help you to reduce your dose safely.

  • Can I stop taking pregabalin on my own?

    Stopping pregabalin suddenly isn’t safe. The dose needs to be reduced gradually, with appropriate medical supervision. Trying to stop alone carries real risk. This is especially true if you’ve been taking it for a long time or in high doses. Please speak to your GP or contact our team before making any changes to how you’re taking pregabalin.

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