Praxis Medical Insights

Est. 2024 • Clinical Guidelines Distilled

Made possible by volunteer editors from the University of Calgary & University of Alberta

Last Updated: 8/23/2025

Pregabalin Use in Hospitalized Dialysis Patients

Safety Concerns and Management

  • Pregabalin use in dialysis patients is associated with a potential for drug interactions with other CNS depressants commonly used in hospitalized patients, and hospitalized patients may be particularly vulnerable due to acute illness affecting drug metabolism and concomitant medications that may interact with pregabalin 1
  • Regular medication review by clinical pharmacists can reduce hospitalization rates in dialysis patients, and thorough medication reconciliation should be performed to identify potential drug interactions with pregabalin 1

Non-Pharmacological Alternatives

  • Music therapy has shown benefits for anxiety and pain perception in dialysis patients, and physical activity appropriate to patient ability and cognitive behavioral therapy may also be considered as alternative non-pharmacological approaches for pain management 3
  • Non-pharmacological alternatives for symptom management should not be overlooked, and options such as music therapy, physical activity, and cognitive behavioral therapy can be considered 3