Product image of Krelin (Pregabalin) supplied by GNH India

Krelin

Active Ingredient:
Pregabalin
Origin:
EU

Krelin (Pregabalin)

Pregabalin, the active ingredient in Krelin, is a gabapentinoid presented as an oral tablet for oral use. It is prescribed for neuropathic pain, epilepsy, generalized anxiety disorder and fibromyalgia in adult patients.

GNH India supplies Krelin as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Venifar Ltd

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Indications & Clinical Uses

Pregabalin is used to manage conditions that involve abnormal neuronal excitability and pain signalling.

  • Neuropathic pain: reduces pain intensity and improves functional ability.
  • Partial seizures (epilepsy): decreases seizure frequency as adjunct therapy.
  • Generalized anxiety disorder: alleviates anxiety symptoms and improves daily functioning.
  • Fibromyalgia: lessens widespread musculoskeletal pain and associated fatigue.

How It Works

  • Pregabalin binds selectively to the α2δ subunit of voltage‑gated calcium channels in the central nervous system. This binding reduces calcium influx into presynaptic neurons, thereby decreasing the release of excitatory neurotransmitters such as glutamate, norepinephrine, and substance P. The overall effect is a dampening of neuronal hyper‑excitability that underlies pain, seizures, and anxiety.

Side Effects

Pregabalin may cause a range of adverse reactions, which are categorized by frequency and severity.

Common Side Effects

  • Dizziness: sensation of light‑headedness or unsteadiness.
  • Somnolence: increased sleepiness or fatigue.
  • Peripheral edema: swelling of the lower extremities.
  • Weight gain: gradual increase in body weight.

Serious or Rare Side Effects

  • Angioedema: rapid swelling of face, lips, tongue, or throat.
  • Severe rash or Stevens‑Johnson syndrome: skin eruptions requiring urgent care.
  • Suicidal thoughts or behavior: emergence of depressive or suicidal ideation.
  • Respiratory depression: slowed breathing, especially with CNS depressants.
  • Blood dyscrasias: rare blood cell abnormalities such as agranulocytosis.
  • Hypersensitivity reactions: anaphylaxis or severe allergic response.

Precautions & Warnings

Pregabalin requires careful assessment and monitoring to ensure safe use.

  • Renal function assessment: dose adjustment may be needed in impaired kidneys.
  • Mood monitoring: watch for depression, anxiety worsening, or suicidal thoughts.
  • Discontinuation caution: avoid abrupt cessation to prevent withdrawal symptoms.
  • Elderly use: start at low dose and titrate slowly due to increased sensitivity.
  • Store below 25°C: keep in the original packaging, protect from moisture and direct sunlight.

Avoid Interactions

Pregabalin can interact with several drug classes, necessitating vigilance.

Major Interactions (Avoid)

  • ACE inhibitors or ARBs: increased risk of angioedema.
  • Opioids or other CNS depressants: additive sedation and respiratory depression.
  • Alcohol: potentiates central nervous system depression.

Moderate Interactions (Monitor Closely)

  • NSAIDs: may enhance renal impairment, especially in patients with pre‑existing kidney disease.
  • Diuretics: concurrent use can affect renal clearance of pregabalin.
  • Oral contraceptives: possible reduction in contraceptive efficacy, requiring additional contraceptive measures.

Frequently Asked Questions

Krelin, containing pregabalin, is indicated for the treatment of neuropathic pain, partial seizures associated with epilepsy, generalized anxiety disorder, and fibromyalgia. These conditions share a common mechanism of neuronal hyper‑excitability, which pregabalin helps to modulate.

Pregabalin binds to the α2δ subunit of voltage‑gated calcium channels in the central nervous system. This reduces calcium entry into nerve terminals, limiting the release of excitatory neurotransmitters such as glutamate and norepinephrine, thereby decreasing neuronal over‑activity that contributes to pain, seizures, and anxiety.

The specific dose of Krelin is determined by the prescribing clinician based on the patient’s condition, severity, renal function, and response to therapy. Dosage may be adjusted over time, and patients should follow the prescriber’s instructions without self‑adjusting the amount.

Pregabalin is classified as a pregnancy category C medication, meaning risk cannot be ruled out. It should only be used if the potential benefit justifies the potential risk to the fetus. Breastfeeding is not recommended unless the benefit to the mother outweighs possible infant exposure, and a healthcare professional should be consulted.

To place an order, submit an enquiry on the Krelin product page at gnhindia.com, specifying the required quantity. GNH India works with hospitals, pharmacies, and procurement teams worldwide, confirming trade or institutional credentials before providing pricing, availability, shipping details, and any necessary import documentation.

Krelin (pregabalin) belongs to the gabapentinoid class, offering a different mechanism from tricyclic antidepressants or opioids. It is generally well‑tolerated and does not carry the same risk of dependence as opioids, but it may cause dizziness or edema. Choice of therapy depends on individual patient factors, efficacy, tolerability, and comorbid conditions.

Krelin tablets should be stored at temperatures below 25 °C, in their original packaging, protected from moisture and direct sunlight. Do not store in bathrooms or near heat sources, and keep out of reach of children.

Krelin is taken orally, usually with or without food, as directed by the prescriber. Tablets should be swallowed whole with a glass of water. The dosing schedule (once, twice, or thrice daily) is individualized based on therapeutic response and tolerability.

Serious risks include angioedema (rapid swelling of the face, lips, tongue, or throat), severe skin reactions such as Stevens‑Johnson syndrome, suicidal thoughts or behavior, and respiratory depression when combined with other central nervous system depressants. Patients should seek immediate medical attention if any of these symptoms occur.

Krelin is contraindicated in patients with known hypersensitivity to pregabalin or any of the tablet’s excipients. Caution is advised for individuals with severe renal impairment, uncontrolled heart failure, or those taking medications that may cause dangerous additive CNS depression.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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