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Amantadine + pregabalin is a combination of two small molecule drugs used together, primarily investigated for the management of chronic and neuropathic pain. Amantadine is an antiviral and antiparkinsonian agent that also exhibits analgesic properties, likely through increasing dopamine release and antagonism of N-methyl-D-aspartate (NMDA) receptors. Pregabalin is an anticonvulsant and analgesic that binds to the alpha-2-delta subunit of voltage-gated calcium channels in the central nervous system, reducing neurotransmitter release and neuronal excitability. The combination aims to target multiple pain pathways—amantadine modulating dopaminergic transmission and NMDA receptor activity, while pregabalin inhibits excitatory neurotransmission via calcium channel blockade—to provide enhanced pain relief in conditions such as post-surgical pain or chronic neuropathic states[2][4][6][8].
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