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Neurontin (gabapentin) was originally an anticonvulsant medication but now sees use in several areas:
The medication is typically used long-term and is generally well-tolerated, with most side effects being mild and transient. Children between 3 and 12 years of age are somewhat more likely to experience mood-altering side effects. It is also safe for use in elderly patients, provided there is no significant renal impairment.
Neurontin as an Anticonvulsant
The medication may be used as a preventive treatment for epilepsy. Treatment is similar in all cases:
It may take several weeks for Neurontin to start producing a noticeable reduction in seizure frequency. The medication is not effective for everyone; if improvements are not noticed after several weeks of use, speak with a doctor about alternative therapies.
When Neurontin has been used long-term patients should be gradually tapered off if treatment ends, taking progressively lower doses over the course of several weeks. If other anticonvulsant medications are added or removed during treatment with Neurontin, this should also be done gradually to ensure no serious adverse reactions develop.
Neurontin for Pain Relief
Neurontin is only effective in certain types of pain; i.e., neuropathic pain, or pain caused by damage to the somatosensory system. The most commonly treated conditions are:
Treatment is similar in most cases, though duration of treatment may vary widely:
Some patients notice pain relief right away; others may need to take Neurontin for several weeks before significant, lasting effects are experienced. Additional pain management measures may be utilized in the interim.
Neurontin sees increasing use as an off-label treatment, including:
Treatment for the above conditions can vary widely, and use of Neurontin in many of them is controversial. There are no standard dosage & administration guidelines; patients will need to find a doctor or organization familiar with using the product for a particular affliction.
As mentioned above, most side effects are mild and stop occurring as the body adjusts to treatment. The most common side effects include:
There is some association with anticonvulsant use and depression or suicidal thoughts, though this is disputed by many drug developers. Younger patients under 24 in particular should be alert for, or monitored for, symptoms of increasing depression.
The medication should be used with caution in patients who have liver or kidney problems. Since it may cause drowsiness and mild confusion, patients should not attempt to perform complex tasks until the effects are known. The effects on unborn or nursing babies are unclear; parents should discuss possible risks with a trusted doctor before use.
No current Rx required
Medicines have benefits and some have risks. Always read the label and use only as directed. If symptoms persist or you have side effects see your health professional.
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