Advances in Therapy

, Volume 31, Issue 1, pp 1–29

Pharmacoeconomic Outcomes for Pregabalin: A Systematic Review in Neuropathic Pain, Generalized Anxiety Disorder, and Epilepsy from a Spanish Perspective

  • Josep Darbà
  • Lisette Kaskens
  • Concepción Pérez
  • Enrique Álvarez
  • Ruth Navarro-Artieda
  • Antoni Sicras-Mainar

DOI: 10.1007/s12325-013-0088-2

Cite this article as:
Darbà, J., Kaskens, L., Pérez, C. et al. Adv Ther (2014) 31: 1. doi:10.1007/s12325-013-0088-2



Pregabalin is an anticonvulsant approved in Europe for the treatment of neuropathic pain, as an adjunct therapy for epileptic seizures, and recently for generalized anxiety disorder. The aim of this study was to conduct a systematic review to evaluate the cost-effectiveness of pregabalin associated with the treatment of its labeled indications from a societal perspective in Spain.


Data from the MEDLINE database were searched using algorithms to identify relevant economic evaluations published in English or Spanish on pregabalin for the management of neuropathic pain, generalized anxiety disorder (GAD), and epilepsy in Spanish patients over the last 10 years.


In total, 52 potentially relevant abstracts were identified from the MEDLINE database. Twenty manuscripts met the inclusion criteria. The majority of the selected papers (14/20) evaluated pregabalin for neuropathic pain from a societal perspective in Spain (5 economic models of pregabalin vs. gabapentin, 4 economic analyses of pregabalin in comparison with usual care, 4 economic evaluations comparing pregabalin monotherapy with add-on strategies, and one that evaluated different times of initiating pregabalin therapy). Five studies analyzed the use of pregabalin in Spain for the management of GAD (one cost-effectiveness model that compared pregabalin with venlafaxine, 2 secondary analyses in benzodiazepine-refractory patients, and 2 studies evaluating pregabalin vs. usual care in patients refractory to standard regimens). The last manuscript described a cost-effectiveness model that compared pregabalin versus levetiracetam use for the treatment of refractory partial epilepsy.


The majority of published evidence supports the possibility that pregabalin could be a cost-effective and/or cost-saving alternative for the treatment of refractory epilepsy, GAD, and neuropathic pain, in both treatment-naïve patients and in those who have demonstrated inadequate response or intolerance to previous therapy.


Cost-effectiveness analysisDirect costsEconomic evaluationEpilepsyGeneralized anxiety disorderIndirect/productivity costsNeuropathic painPregabalinSpainUsual care

Supplementary material

12325_2013_88_MOESM1_ESM.pdf (200 kb)
Supplementary material 1 (PDF 199 kb)

Copyright information

© Springer Healthcare 2014

Authors and Affiliations

  • Josep Darbà
    • 1
  • Lisette Kaskens
    • 2
  • Concepción Pérez
    • 3
  • Enrique Álvarez
    • 4
  • Ruth Navarro-Artieda
    • 5
  • Antoni Sicras-Mainar
    • 6
  1. 1.Department of EconomicsUniversidad de BarcelonaBarcelonaSpain
  2. 2.BCN Health Economics and Outcomes ResearchBarcelonaSpain
  3. 3.Pain ClinicHospital Universitario La PrincesaMadridSpain
  4. 4.Department of PsychiatryHospital de la Santa Creu i San PauBarcelonaSpain
  5. 5.Medical Information DepartmentHospital Germans Trias i PujolBadalona (Barcelona)Spain
  6. 6.Directorate of PlanningBadalona Serveis Assistencials SABadalona (Barcelona)Spain