Pregabalin and Prochlorperazine interaction

Pregabalin and Prochlorperazine: both prescribing labels flag this combination with the strongest language, such as a contraindication, a boxed warning, or an instruction to avoid it.

Major

Do not combine without a prescriber's guidance. The label language below is the strongest FDA uses.

What the FDA labels say

From the Pregabalin (Lyrica CR) label · effective 2026-03-12

Major

• Respiratory Depression : May occur with LYRICA when used with concomitant CNS depressants or in the setting of underlying respiratory impairment.

Warnings and precautionsby drug classView label on DailyMed
Major

Respiratory Depression There is evidence from case reports, human studies, and animal studies associating pregabalin with serious, life-threatening, or fatal respiratory depression when co-administered with central nervous system (CNS) depressants, including opioids, or in the setting of underlying respiratory impairment.

Warnings and precautionsby drug classView label on DailyMed
Major

The management of respiratory depression may include close observation, supportive measures, and reduction or withdrawal of CNS depressants (including LYRICA CR).

Warnings and precautionsby drug classView label on DailyMed
Major

There is more limited evidence from case reports, animal studies, and human studies associating pregabalin with serious respiratory depression, without co-administered CNS depressants or without underlying respiratory impairment.

Warnings and precautionsby drug classView label on DailyMed
Moderate

When the decision is made to co-prescribe LYRICA CR with another CNS depressant, particularly an opioid, or to prescribe LYRICA CR to patients with underlying respiratory impairment, monitor patients for symptoms of respiratory depression and sedation, and consider initiating LYRICA CR at a low dose.

Warnings and precautionsby drug classView label on DailyMed

From the Prochlorperazine (PROCHLORPERAZINE MALEATE) label · effective 2025-07-09

Moderate

Phenothiazines may lower the convulsive threshold; dosage adjustments of anticonvulsants may be necessary.

Precautionsby drug classView label on DailyMed
Minor

Potentiation of anticonvulsant effects does not occur.

Precautionsby drug classView label on DailyMed

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Not medical advice. Interaction Checker quotes FDA label text and NIH fact sheets. Whether an interaction matters for you depends on doses, timing, kidney and liver function, and other conditions. Confirm with a pharmacist or prescriber.