Includes indications, interactions, and side effects for Neurontin. Herpes-related seizures and nerve pain are treated with Neurontin (gabapentin), a medication.
Other names for this medication:
Gabapentin, Gralise
Similar Products:
Depakote, Phenytoin, Carbamazepine, Dilantin, Divalproex, Tegretol
Without first consulting your doctor, never alter your Neurontin dosage. Without first consulting your healthcare provider, avoid drinking alcohol and other drugs that cause drowsiness or vertigo while taking Neurontin. Prior to understanding how Neurontin affects you, refrain from operating machinery or engaging in other risky activities. Half tablets should be thrown away if they are not used within a few days of breaking. If taking capsules, always swallow them whole with plenty of water. If a tablet is broken in half, the remaining half should be taken with your next dose. If you take an antacid containing aluminum and magnesium, such as Maalox, Mylanta, Gelusil, Gaviscon, or Di-Gel, you should wait at least 2 hours before taking your next dose of Neurontin. If you take too much Neurontin, call your healthcare provider or your local Poison Control Center right away. With or without food, Neurontin can be taken. Neurontin may impair your ability to think and move. Take Neurontin exactly as prescribed. Your sleepiness or vertigo may get worse if you take Neurontin along with alcohol or other medications that make you feel sleepy or lightheaded. How much Neurontin to take will be specified by your doctor.
Additional benefit of using doses greater than 1800 mg/day was not shown. It is unknown whether the medication is effective in children younger than three years old. Neurontin is advised for use as an supplemental therapy for patients with epilepsy who are 3 years of age or older. The dosage can be increased if required to three times daily up to 1800 mg/day. Kidney Dysfunction: Dosing is also based on the functional status of your kidneys. Patients over the age of 12 should take Neurontin in divided doses (three times daily) at a daily dose of between 900 and 1800 mg. Pediatric Patients Ages 3–12: The starting dose should be between 10-15 mg/kg/day in 3 divided doses, and the dose can be gradually increased over a period of about 3 days. Postherpetic Neuralgia: In adults with postherpetic neuralgia, Neurontin therapy may be initiated with a single 300-mg dose on Day 1, 600 mg/day on Day 2 (divided twice daily), and 900 mg/day on Day 3 (divided three times daily). Stopping Neurontin: If Neurontin is stopped and/or a different anticonvulsant medication is added to the therapy, this should be done gradually over a minimum of 1 week. If more medication is required, it can be given up to three times daily at a dose of 1800 mg to relieve pain. 40 mg/kg/day, administered in divided doses (three times a day), is the effective dose for pediatric patients between the ages of 3 and 4 years. The effective dose of Neurontin in patients 5 years of age and older is 25–35 mg/kg/day and given in divided doses (three times a day). In the three times daily schedule, the maximum interval between doses shouldn't be more than 12 hours. Doses shouldn't be spaced apart more than 12 hours at the most. 300 mg three times per day is the recommended starting dose.
Taking two doses at once is not advised. Take the medicine as soon as you can, but skip the missed dose if it is almost time for your next dose.
Dial your local Poison Control Center or your healthcare provider immediately if you take too much Neurontin.
Speak with your pharmacy or the neighborhood waste removal service. Unless specifically instructed to do so, avoid flushing or pouring medications down the drain. Pets and children should not have access to any medications. Properly discard this product when it is expired or no longer needed. Keep chilled.
A small percentage of people who take anticonvulsants for any condition (such as seizures, bipolar disorder, or pain) may experience depression, suicidal thoughts or attempts, or other mental or mood issues. A very serious allergic reaction to this drug is rare. It's possible to experience fatigue, loss of coordination, drowsiness, blurred or double vision, unusual eye movements, or shaking (tremor). If you experience any very serious side effects, such as shallow or slow breathing, seek immediate medical attention. But if you experience any serious allergic reaction symptoms, such as fever, swollen lymph nodes, rash, itching or swelling (especially of the face, tongue, or throat), extreme dizziness, or difficulty breathing, seek medical attention right away. Tell your doctor or pharmacist right away if any of these effects last longer than expected or get worse. If you notice other effects not listed above, contact your doctor or pharmacist. In Canada - Call your doctor for medical advice about side effects. Call your doctor in the US for medical advice regarding side effects. The side effects of this medication are generally not severe in users. You should keep in mind that your doctor prescribed this medication because she or he thought it would benefit you more than it would harm you. Swelling of the hands, ankles, or feet are some unlikely but serious side effects that need to be reported right away to your doctor. Tell your doctor right away if you or your family/caregiver notice any unusual/sudden changes in your mood, thoughts, or behavior including signs of depression, suicidal thoughts/attempts, thoughts about harming yourself. The side effects listed here are not all possible side effects. FDA side effects can be reported by phone at 1-800-FDA-1088 or online at www.fda.gov/medwatch. Contact Health Canada at 1-866-234-2345 to report side effects.
Orlistat is a drug that could interact with this one. To use those products safely, consult your pharmacist. All of your medications, including allergy and cold/cough remedies, should have their labels read carefully because they may contain drowsiness-inducing ingredients. Do not start, stop, or change the dosage of any medicines without your doctor's approval. Do not combine this medication with other drugs containing gabapentin, such as gabapentin enacarbil. Drug interactions could alter how your medications function or raise the possibility of serious negative side effects. Keep a list of everything you use, including herbal products, prescription and over-the-counter medications, and give it to your doctor and pharmacist. Make sure all of your doctors and the lab staff are aware that you use this medication. View the How to Use section as well. Inform your doctor or pharmacist if you use any other medications, including opioid painkillers (such as codeine, hydrocodone), alcohol, cannabis (marijuana), sedatives (such as zolpidem, lorazepam, or alprazolam), muscle relaxants (such as carisoprodol, cyclobenzaprine), or antihistamines (such as cetirizine, diphenhydramine). When this medication is combined with other drugs that can also make you drowsy or have breathing issues, the risk of serious side effects (like slow/shallow breathing, severe drowsiness/dizziness) may increase. Not all possible drug interactions are listed in this document. This medication may interfere with certain laboratory tests for urine protein.
You might feel more groggy or faint if you drink alcohol or use marijuana (cannabis). Inform your surgeon or dentist of everything you use, including prescription, over-the-counter, and herbal products. Inform your doctor or pharmacist if you have any allergies before taking gabapentin, including those to it, gabapentin enacarbil, or other substances. Inform your doctor or pharmacist about all of your medical conditions before taking this medication, especially kidney disease, mental/mood issues (such as depression, suicidal thoughts), drug/alcohol use/abuse, and breathing issues (such as COPD). Children may be more susceptible to this medication's side effects, especially changes in mental/mood/behavior (such as hostility, difficulty concentrating, restlessness). Before breastfeeding, talk to your doctor. With your doctor, go over the advantages and disadvantages. Loss of coordination and dizziness can make falling more likely. Do not drive, use machinery, or do anything that needs alertness or clear vision until you can do it safely. This medication should only be taken during pregnancy if absolutely necessary. In the breast milk, gabapentin is excreted. Limit alcoholic beverages. The adverse effects of this medication, particularly swelling of the hands, feet, ankles, or breathing that is shallow or slow, dizziness, or loss of coordination, may be more noticeable in older adults. If you use cannabis (marijuana), speak with your doctor. For more information, consult your pharmacist. This drug may make you dizzy or drowsy or blur your vision. Inactive ingredients in this product could result in allergic reactions or other issues.
How long does it take to work?
It can take several weeks for gabapentin to reach its full effect, but this depends on the condition being treated and your individual response to the drug.
What are side effects of Neurontin?
Drowsiness, dizziness, loss of coordination, tiredness, blurred/double vision, unusual eye movements, or shaking (tremor) may occur. If any of these effects persist or worsen, tell your doctor or pharmacist promptly.
Is Neurontin a good painkiller?
Yes, gabapentin is used for treating epilepsy by 'calming down nerves'. Research has shown that gabapentin by a 'similar process' is also effective in helping to relieve certain types of pain.
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The good news is that there are several alternative treatments and therapies that many patients have used to find relief that can minimize the use of medications. 2 Kinds of Drugs Used to Treat Neuropathy The drugs to treat neuropathy fall into 2 classifications: antidepressants and anti-seizure medications, though it is not totally clear why they work for nerve pain. Elayne Goldstein, a 68-year-old retired teacher from Philadelphia, developed numbness and pain “like a knife was slicing my foot” after a knee replacement 2 years ago.
If you are taking this medication three times a day, do not go more than 12 hours between doses. Because of this, it’s very important to consistently take the pill at the same time every day. While gabapentin can be a powerful medication in helping you to feel better, it does come with many side effects and has the potential to become addictive. For children, the dosage is also based on weight. Take the medication exactly as directed, and keep an open dialogue with your doctor as you progress with treatment.
The medications, known generically as gabapentin and pregabalin, are among the most prescribed in the U.S. While the nerve drugs are not FDA-approved for conventional muscle and joint pain, doctors frequently prescribe them for those uses and others, including treatment of migraines and psychiatric conditions. While drugmakers are required to report problems to the FDA, it's voluntary for doctors and patients. U.S. health regulators are warning that popular nervous system medications can cause dangerous breathing problems when combined with opioids and certain other drugs.
No allergic reactions have been reported except for a few instances of rash. People with hard to control seizures may need doses of up to 4800 mg. daily to achieve control. Flatulence (gas), diarrhea and myoclonic jerks may occur at high doses. It does not interact with other antiepileptic drugs or other drugs (such as oral contraceptives) which are metabolized (processed) through the liver. Neurontin (New-RON-tin) is approved in the U.S. as add-on therapy for partial seizures with or without secondary generalization (spread to become a grand mal seizure).
You should know: The answer above provides general health information that is not intended to replace medical advice or treatment recommendations from a qualified healthcare professional. Gabapentin or Neurontin is usually used to treat seizures, neuropathic pain and other types of pain but like other drugs its uses have been steadily expanding. So while Gabapentin does not appear to be used as a muscle relaxer per se much it could have muscle relaxing effects. It can also be effective in assisting deep sleep which again suggests it could have relaxant effects. Gabapentin is now also used to treat pain and muscle spasticity in multiple sclerosis which suggests it could have muscle relaxing effects.