Gabapentin is a prescription medication, commonly known by brand names like Neurontin . It is used primarily to treat neuropathic pain and it manages certain types of seizures. Pregabalin is a prescription medication acting as an analgesic, and anxiolytic. It treats nerve damage and generalized anxiety disorder by calming overactive nerves. It is a controlled substance due to potential misuse risks.Pregabalin is generally considered superior to Gabapentin for treating neuropathic pain. It offers faster acting, more potent pain relief with a more predictable dose-response and fewer side effects. Gabapentin is often used as a first-line option due to lower cost.