Author: neurontingabapentin

Gabapentin Side Effects

Drowsiness, dizziness, loss of coordination, tiredness, blurred/double vision, unusualeye movements, or shaking (tremor) may occur. If any of these effects persist or worsen, tell your doctor or pharmacist promptly.

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Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.

Tell your doctor right away if any of these unlikely but serious side effects occur: swelling of the hands/ankles/feet, signs of infection (such as fever, cough, persistentsore throat).

A small number of people who take anticonvulsants for any condition (such as seizures, bipolar disorder, pain) may experience depression, suicidalthoughts/attempts, or other mental/mood problems. 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.

Get medical help right away if you have any serious side effects, including: unusual fever, swollen glands, yellowing skin/eyes, unusual tiredness, dark urine, signs ofkidney problems (such as change in the amount of urine), chest pain.

A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: rash,itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.

This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.

In the US –

Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.

In Canada – Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.

Side Effects

Drug information provided by: IBM Micromedex

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur:

More common

  1. Clumsiness or unsteadiness
  2. continuous, uncontrolled, back-and-forth, or rolling eye movements

More common in children

  1. Aggressive behavior or other behavior problems
  2. anxiety
  3. concentration problems and change in school performance
  4. crying
  5. depression
  6. false sense of well-being
  7. hyperactivity or increase in body movements
  8. rapidly changing moods
  9. reacting too quickly, too emotional, or overreacting
  10. restlessness
  11. suspiciousness or distrust

Less common

  1. Black, tarry stools
  2. chest pain
  3. chills
  4. cough
  5. depression, irritability, or other mood or mental changes
  6. fever
  7. loss of memory
  8. pain or swelling in the arms or legs
  9. painful or difficult urination
  10. sore throat
  11. sores, ulcers, or white spots on the lips or in the mouth
  12. swollen glands
  13. unusual bleeding or bruising
  14. unusual tiredness or weakness

Incidence not known

  1. Abdominal or stomach pain
  2. blistering, peeling, or loosening of the skin
  3. clay-colored stools
  4. coma
  5. confusion
  6. convulsions
  7. dark urine
  8. decreased urine output
  9. diarrhea
  10. difficult or troubled breathing
  11. dizziness
  12. fast or irregular heartbeat
  13. headache
  14. increased thirst
  15. irregular, fast or slow, or shallow breathing
  16. itching or skin rash
  17. joint pain
  18. large, hive-like swelling on the face, eyelids, lips, tongue, throat, hands, legs, feet, or sex organs
  19. loss of appetite
  20. muscle ache or pain
  21. nausea
  22. pale or blue lips, fingernails, or skin
  23. red skin lesions, often with a purple center
  24. red, irritated eyes
  25. unpleasant breath odor
  26. vomiting of blood
  27. yellow eyes or skin

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

More common

  1. Blurred vision
  2. cold or flu-like symptoms
  3. delusions
  4. dementia
  5. hoarseness
  6. lack or loss of strength
  7. lower back or side pain
  8. swelling of the hands, feet, or lower legs
  9. trembling or shaking

Less common or rare

  1. Accidental injury
  2. appetite increased
  3. back pain
  4. bloated or full feeling
  5. body aches or pain
  6. burning, dry, or itching eyes
  7. change in vision
  8. change in walking and balance
  9. clumsiness or unsteadiness
  10. congestion
  11. constipation
  12. cough producing mucus
  13. decrease in sexual desire or ability
  14. dryness of the mouth or throat
  15. earache
  16. excess air or gas in the stomach or intestines
  17. excessive tearing
  18. eye discharge
  19. feeling faint, dizzy, or lightheadedness
  20. feeling of warmth or heat
  21. flushed, dry skin
  22. flushing or redness of the skin, especially on the face and neck
  23. frequent urination
  24. fruit-like breath odor
  25. impaired vision
  26. incoordination
  27. increased hunger
  28. increased sensitivity to pain
  29. increased sensitivity to touch
  30. increased thirst
  31. indigestion
  32. noise in the ears
  33. pain, redness, rash, swelling, or bleeding where the skin is rubbed off
  34. passing gas
  35. redness or swelling in the ear
  36. redness, pain, swelling of the eye, eyelid, or inner lining of the eyelid
  37. runny nose
  38. sneezing
  39. sweating
  40. tender, swollen glands in the neck
  41. tightness in the chest
  42. tingling in the hands and feet
  43. trouble sleeping
  44. trouble swallowing
  45. trouble thinking
  46. twitching
  47. unexplained weight loss
  48. voice changes
  49. vomiting
  50. weakness or loss of strength
  51. weight gain

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

Gabapentin can be used to treat more than 30 diseases

Gabapentin is used with other medications to prevent and control seizures. It is also used to relieve nerve pain following shingles (a painful rash due to herpes zoster infection) in adults. Gabapentin is known as an anticonvulsant or antiepileptic drug.

OTHER USES: This section contains uses of this drug that are not listed in the approved professional labeling for the drug but that may be prescribed by yourhealth care professional. Use this drug for a condition that is listed in this section only if it has been so prescribed by your health care professional.

Gabapentin may also be used to treat other nerve pain conditions (such as diabetic neuropathy, peripheral neuropathy, trigeminal neuralgia) and restless legs syndrome.

Gabapentin can also be used to treat following health conditions:

  • Alcohol Withdrawal
  • Anxiety
  • Benign Essential Tremor
  • Bipolar Disorder
  • Burning Mouth Syndrome
  • Cluster-Tic Syndrome
  • Cough
  • Diabetic Peripheral Neuropathy
  • Epilepsy
  • Erythromelalgia
  • Fibromyalgia
  • Hiccups
  • Hot Flashes
  • Hyperhidrosis
  • Insomnia
  • Lhermitte’s Sign
  • Migraine
  • Nausea/Vomiting, Chemotherapy Induced
  • Neuropathic Pain
  • Occipital Neuralgia
  • Pain
  • Periodic Limb Movement Disorder
  • Peripheral Neuropathy
  • Postherpetic Neuralgia
  • Postmenopausal Symptoms
  • Pruritus
  • Pudendal Neuralgia
  • Reflex Sympathetic Dystrophy Syndrome
  • Restless Legs Syndrome
  • Small Fiber Neuropathy
  • Spondylolisthesis
  • Syringomyelia
  • Transverse Myelitis
  • Trigeminal Neuralgia
  • Vulvodynia

Gabapentin for Fibromyalgia

The symptoms of fibromyalgia include widespread pain and tenderness along with other problems, including depression,difficulty sleeping, fatigue, and irritability. The symptoms can interfere with a person’s life at work and at home.

Because there is not a single, specific cause of fibromyalgia and the symptoms can vary from patient to patient, choosing an effective treatment can be challenging.  Experts say the best, overall strategy includes medications and nondrug therapies, such as exercise, counseling, and stress relief.

The medications used to treat fibromyalgia include antidepressants (amitriptyline, nortriptyline, fluoxetine, paroxetine, duloxetine, milnacipran), a few anti-seizure medications (gabapentin, pregabalin), and a muscle relaxant (cyclobenzaprine).

But studies show that the benefits of these medications are generally small. There is no clear evidence that one drug is better than another, and all of them probably lose their benefit over time.

Each drug differs in the risks it poses to you. All antidepressants should be used with caution in those with a history of suicide attempt or who are at risk of suicide, especially in people 25 years old or younger. Amitriptyline, cyclobenzaprine, gabapentin, and pregabalin all cause increased sedation and should be used with caution in the elderly.

Taking into account the evidence of their effectiveness and safety as well as their price, we have chosen three Consumer Reports Best Buy Drugs as initial options to consider if you and your doctor have decided that a medication is appropriate for your fibromyalgia symptoms:

  • Generic amitriptyline
  • Generic gabapentin
  • Generic paroxetine-IR (immediate release)

Gabapentin enhances slow-wave sleep in patients with primary insomnia

Polysomnographic study revealed increased sleep efficiency and slow-wave sleep, decreased wake after sleep onset, and spontaneous arousal index after gabapentin treatment.

The biochemical blood test revealed decreased prolactin levels in the morning after treatment. Electroencephalographic power spectral analysis showed increased delta-2 and theta power in sleep stage 1 and decreased sigma activity power in sleep stages N2 and N3 after gabapentin treatment.

Heart rate variability analyses also showed a significant increase in normalized high frequency percentage in sleep stages N2 and N3 and low frequency-high frequency ratio in sleep stage N2 after treatment. In addition, neuropsychological tests revealed the elevation of visual motor processing speed after gabapentin treatment.

CONCLUSIONS:

Gabapentin enhances slow-wave sleep in patients with primary insomnia. It also improves sleep quality by elevating sleep efficiency and decreasing spontaneous arousal. The results suggest that gabapentin may be beneficial in the treatment of primary insomnia.

What is Migraine ?

Migraine is a very common, but very particular, type of headache. Most people who have migraine experience repeated attacks of headaches that occur over many years. The typical migraine headache is throbbing or pulsating, and often is associated with nausea and changes in vision. While many migraine headaches are severe, not all severe headaches are migraines, and some episodes can be quite mild.

Up to 20% of people in the United States will experience migraine headaches at some point in life. In about half of those, migraine headaches first appear during childhood or adolescence. Two-thirds of people who get migraines are women, probably because of the influence of hormones. Migraines also tend to run in families.

Despite years of research, scientists do not know exactly why migraines occur. The pain of migraines is associated with swelling in blood vessels and irritation of nerves that surround the brain. But most experts don’t think that this is the direct cause of migraines.

The brain doesn’t have pain receptors. But it processes pain signals from other parts of the body. It’s the pain processing networks, or centers, in the brain that are overly reactive or dysfunctional in migraine.

The brain chemical serotonin may play an important role in this process as it does in other conditions, including depression and eating disorders.

migraine5Some people with migraine have very frequent headaches, sometimes every day. This form of migraine, called chronic migraine, is difficult to treat. The newest treatment is Botox (onabotulinumtoxinA). The doctor gives multiple injections around the head and neck once every 12 weeks. It is approved for people that experience migraine headaches more than 14 days per month.

Some people can prevent migraines by avoiding triggers. Others have prevented migraines successfully through relaxation techniques, acupuncture, or exercise. However, these therapies alone don’t work for everyone. Some people also need treatment with medication to reduce the number of migraines they have. The drugs used to prevent migraines are different from drugs that to treat migraines once a migraine starts. Drugs that prevent migraines, such as gabapentin, must be taken daily.

Results from some clinical trials have shown a modest benefit from the use of gabapentin for migraine prevention. However, the American Academy of Neurology (AAN), the organization that provides guidance for the use of drugs to prevent migraines, has stated that there is not enough evidence at this time to support the use of gabapentin for migraine prevention. Healthcare professionals can choose to prescribe gabapentin when other prevention therapies have not worked, however.