Abstract
Pregabalin is similar in structure to gamma-aminobutyric acid. It is used for neuropathic pain, generalized anxiety disorders and as an adjunct therapy for partial seizures. Tachycardia is a rare side-effect. A 92-year-old patient with a history of paroxystic fibrillation was hospitalised for zoster. She developed a sinusal tachycardia followed by atrial fibrillation and congestive heart failure 15 h after a first dose of pregabalin. The imputation was considered as plausible. Even though the mechanism remains unclear, pregabalin might induce tachycardia in predisposed old patients.
MeSH terms
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Aged, 80 and over
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Amines / therapeutic use
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Analgesics / adverse effects*
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Analgesics / therapeutic use
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Atrial Fibrillation / chemically induced*
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Cyclohexanecarboxylic Acids / therapeutic use
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Female
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Gabapentin
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Heart Failure / chemically induced
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Herpes Zoster / drug therapy
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Humans
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Neuritis / drug therapy
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Pregabalin
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Tachycardia, Paroxysmal / chemically induced*
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gamma-Aminobutyric Acid / adverse effects
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gamma-Aminobutyric Acid / analogs & derivatives*
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gamma-Aminobutyric Acid / therapeutic use
Substances
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Amines
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Analgesics
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Cyclohexanecarboxylic Acids
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Pregabalin
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gamma-Aminobutyric Acid
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Gabapentin