Pregabalin Alcohol

Kissel, Ramsden, and other researchers at Pfizer and Chirotech jointly published a novel chiral synthesis of pregabalin (2) in 2003 based on asymmetric hydrogenation (Burk et al., 2001, 2003). Their synthesis started with the condensation of isobutyralde-hyde with acrylonitrile under Baylis-Hillman conditions to give allylic alcohol 65. This alcohol was activated as the carbonate 66 and subjected to palladium-catalyzed car-bonylation conditions to give cyanoester 67. The ester 67 was hydrolyzed and converted to... 

There appears to be no pharmacokinetic interaction between pregabalin and carbamazepine, gabapentin, lamotrigine, phenobarbital, phenytoin, topiramate, valproate, alcohol, lorazepam, or oxycodone. However, the impairment of cognitive and gross motor function caused by oxycodone was additive with pregabalin, and pregabalin may potentiate the effects of alcohol and lorazepam. 

The manufacturer notes that there was no clinically relevant pharmacokinetic interaction between pregabalin and lorazepam or alcohol, and that concurrent use caused no clinically important effect on respiration. However, they note that pregabalin may potentiate the effects of lorazepam and alcohol. ... 

Fertility A young man complained of a severe delayed ejaculation secondary to pregabalin [263 ]. He denied using other medications, alcohol, or substances of abuse, and urological evaluation and blood sexual hormonal profile were within the reference ranges. Pregabalin was gradually withdrawn, with complete restoration of his sexuality. 

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