Efficacy and safety of pregabalin in the management of low back pain: a comprehensive meta-analysis Article Swipe
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· 2025
· Open Access
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· DOI: https://doi.org/10.3389/fphar.2025.1659531
Introduction Low back pain (LBP) is one of the most prevalent chronic pain conditions that affects nearly 50% of the population. Its complex pathophysiology may involve both nociceptive and neuropathic mechanisms and is often resistant to standard treatment. Pregabalin has emerged as a potential alternative owing to its mechanism of action, the inhibition of excitatory neurotransmitter release. This meta-analysis aimed to evaluate the efficacy and safety of pregabalin in managing LBP. Methods A systematic review of three major databases was conducted following the PRISMA guidelines. Studies were included if they were comparative studies of pregabalin with placebo or other pain medications, focusing on adult patients with LBP. Data were extracted on efficacy outcomes including pain reduction, anxiety, depression, quality of life, quality of sleep, disability, and adverse events. Statistical analysis was performed using Review Manager 5.4.1. Results A total of 18 studies ( n = 5,000) were included. Pregabalin demonstrated significant pain reduction at 4 weeks (Standardized Mean Difference (SMD) = −0.64, 95% Confidence Interval (CI) = −1.09 to −0.20), 6 weeks (SMD = −0.72, 95% CI = −1.15 to −0.29), and 8 weeks (SMD = −0.50, 95% CI = −0.71 to −0.29) compared to control group. Pregabalin also showed a significant greater improvement in anxiety (Mean Difference (MD) = −1.38, 95% CI = −1.74 to −1.02, p < 0.00001), depression (MD = −1.40, 95% CI = −1.71 to −1.08, p < 0.00001), quality of life (SMD = 0.22, 95% CI = 0.07 to 0.37, p = 0.003) and sleep quality (SMD = −0.61, 95% CI = −0.87 to −0.36, p < 0.00001). There were no significant differences regarding disability and adverse events. Conclusion Pregabalin in the treatment of neuropathic LBP demonstrated significant improvements in pain relief, associated symptoms of anxiety and depression, and enhancements in quality of life and sleep quality. In addition, it exhibits a favorable safety profile. Nevertheless, these findings should be interpreted with caution due to the limited quality of the evidence and the inadequate reporting of pain etiology in several included studies.
Related Topics
- Type
- review
- Language
- en
- Landing Page
- https://doi.org/10.3389/fphar.2025.1659531
- https://www.frontiersin.org/journals/pharmacology/articles/10.3389/fphar.2025.1659531/pdf
- OA Status
- gold
- References
- 62
- Related Works
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- OpenAlex ID
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Raw OpenAlex JSON
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- DOI
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https://doi.org/10.3389/fphar.2025.1659531Digital Object Identifier
- Title
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Efficacy and safety of pregabalin in the management of low back pain: a comprehensive meta-analysisWork title
- Type
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reviewOpenAlex work type
- Language
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enPrimary language
- Publication year
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2025Year of publication
- Publication date
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2025-09-08Full publication date if available
- Authors
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Carlos Cordero‐García, Judith Sánchez‐Raya, Tamara L. Rodríguez‐Araya, María Dolores López‐Alarcón, Eva Trillo‐Calvo, Jerónimo Balsalobre‐Aznar, María Pérez‐PáramoList of authors in order
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https://doi.org/10.3389/fphar.2025.1659531Publisher landing page
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https://www.frontiersin.org/journals/pharmacology/articles/10.3389/fphar.2025.1659531/pdfDirect link to full text PDF
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YesWhether a free full text is available
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goldOpen access status per OpenAlex
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https://www.frontiersin.org/journals/pharmacology/articles/10.3389/fphar.2025.1659531/pdfDirect OA link when available
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0Total citation count in OpenAlex
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62Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.4 | 154 |
| abstract_inverted_index.6 | 170 |
| abstract_inverted_index.8 | 182 |
| abstract_inverted_index.= | 144, 160, 166, 173, 177, 185, 189, 209, 213, 222, 226, 237, 241, 246, 252, 256 |
| abstract_inverted_index.A | 72, 137 |
| abstract_inverted_index.a | 42, 200, 306 |
| abstract_inverted_index.n | 143 |
| abstract_inverted_index.p | 217, 230, 245, 260 |
| abstract_inverted_index.18 | 140 |
| abstract_inverted_index.CI | 176, 188, 212, 225, 240, 255 |
| abstract_inverted_index.In | 302 |
| abstract_inverted_index.as | 41 |
| abstract_inverted_index.at | 153 |
| abstract_inverted_index.be | 314 |
| abstract_inverted_index.if | 88 |
| abstract_inverted_index.in | 68, 204, 275, 284, 295, 333 |
| abstract_inverted_index.is | 5, 32 |
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| abstract_inverted_index.95% | 162, 175, 187, 211, 224, 239, 254 |
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| abstract_inverted_index.LBP | 280 |
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| abstract_inverted_index.due | 318 |
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| abstract_inverted_index.0.07 | 242 |
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| abstract_inverted_index.LBP. | 70, 106 |
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| abstract_inverted_index.they | 89 |
| abstract_inverted_index.were | 86, 90, 108, 146, 264 |
| abstract_inverted_index.with | 95, 105, 316 |
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| abstract_inverted_index.(Mean | 206 |
| abstract_inverted_index.(SMD) | 159 |
| abstract_inverted_index.0.22, | 238 |
| abstract_inverted_index.0.37, | 244 |
| abstract_inverted_index.There | 263 |
| abstract_inverted_index.adult | 103 |
| abstract_inverted_index.aimed | 59 |
| abstract_inverted_index.life, | 120 |
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| abstract_inverted_index.safety | 65, 308 |
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| abstract_inverted_index.−1.74 | 214 |
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