Does Pregabalin cause excessive drowsiness in the elderly?

Question

Hello doctor,

I am 78 years old. I am diagnosed with a skin allergy and infection. A medical check-up has already been completed. Is it appropriate for a doctor to prescribe 75 milligrams of Pregabalin three times a day for a 78-year-old patient? The side effect observed is excessive sleepiness. I am also taking Loratadine and Celecoxib. What should I do to manage this?

Kindly advise.

Answer 1

Hello,

Welcome to icliniq.com.

I have read your query and understand your concern.

I am really sorry you are dealing with this, especially with how uncomfortable and tiring skin allergies and infections can be at your age. Pregabalin at 75 mg three times a day is a dose that doctors sometimes use for nerve-related pain or severe itching, but in someone who is 78, it can indeed cause significant sleepiness, dizziness, and even increase the risk of falls. That side effect you are noticing is quite common and important to take seriously.

Given your age and the strong drowsiness you are experiencing, it would be wise to follow up with your doctor soon and let them know exactly how sleepy it’s making you feel. Sometimes the dose can be reduced, adjusted to fewer times per day, or taken more at night to minimize daytime sedation.

Also, since you are taking Loratadine and Celecoxib alongside it, your doctor may want to review the combination to make sure everything is balanced and safe for you. If the sleepiness feels overwhelming or if you notice confusion, unsteadiness, or difficulty staying awake, do not wait; seek medical advice promptly.

In the meantime, try to avoid activities that require alertness, like walking without support, if you feel unsteady, to reduce the risk of falling.

I hope you are satisfied with my answer. For further queries, you can consult me at iCliniq.

Thank you.