What is the recommended dose of Lyrica (pregabalin) for an adult patient with moderate to severe Restless Legs Syndrome (RLS)? | Rounds What is the recommended dose of Lyrica (pregabalin) for an adult patient with moderate to severe Restless Legs Syndrome (RLS)? | Rounds
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What is the recommended dose of Lyrica (pregabalin) for an adult patient with moderate to severe Restless Legs Syndrome (RLS)?

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Pregabalin Dosing for Moderate-to-Severe Restless Legs Syndrome in Adults

Pregabalin is recommended for adults with RLS (Strong recommendation, moderate certainty of evidence). [1]

Clinical trials in adults with moderate-to-severe idiopathic RLS have evaluated pregabalin doses from 50 mg/day to 450 mg/day. [2]

Typical Target Dose Used in Efficacy Trials

A commonly used studied target dose is 300 mg/day. [2]

Dosing Schedule

In a pregabalin RLS dose-response trial, 300 mg/day was administered as a single daily dose 1–3 hours before bedtime. [3]

Dose Individualization and Dose Escalation

Pregabalin dose escalation has been studied across the trial dose range (50 mg/day, 100 mg/day, 150 mg/day, 300 mg/day, and 450 mg/day), supporting titration toward efficacy and tolerability within that range. [2]

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