In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For gabapentin, the following should be considered:
Allergies
Tell your doctor if you have ever had any unusual or allergic reaction to gabapentin or any other medicines. Also tell your health care professional if you have any other types of allergies such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.
Pediatric
Appropriate studies performed to date have not demonstrated pediatric-specific problems that would limit the usefulness of gabapentin for treating partial seizures in children. However, safety and efficacy have not been established in children younger than 3 years of age.
Appropriate studies have not been performed on the relationship of age to the effects of gabapentin for treating postherpetic neuralgia in children. Safety and efficacy have not been established.
Geriatric
Appropriate studies performed to date have not demonstrated geriatric-specific problems that would limit the usefulness of gabapentin in the elderly. However, elderly patients are more likely to have unwanted effects (eg, problems with balance or walking, swelling in the feet or legs) and age-related kidney problems, which may require caution and an adjustment in the dose for patients receiving gabapentin.
Pregnancy
| PREGNANCY CATEGORY | EXPLANATION | |
|---|---|---|
| All Trimesters | C | Animal studies have shown an adverse effect and there are no adequate studies in pregnant women OR no animal studies have been conducted and there are no adequate studies in pregnant women. |
Breast Feeding
There are no adequate studies in women for determining infant risk when using this medication during breastfeeding. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding.
Interactions with Medicines
Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking gabapentin, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.
Using gabapentin with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.
- Ketorolac
- Orlistat
Using gabapentin with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.
- Aluminum Carbonate, Basic
- Aluminum Hydroxide
- Aluminum Phosphate
- Dihydroxyaluminum Aminoacetate
- Dihydroxyaluminum Sodium Carbonate
- Ginkgo
- Magaldrate
- Magnesium Carbonate
- Magnesium Hydroxide
- Magnesium Oxide
- Magnesium Trisilicate
- Morphine
- Morphine Sulfate Liposome
Interactions with Food/Tobacco/Alcohol
Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco.
Other Medical Problems
The presence of other medical problems may affect the use of gabapentin. Make sure you tell your doctor if you have any other medical problems, especially:
- Depression, history of or
- Mood or mental changes, history of—Use with caution. May make these conditions worse.
- Kidney disease—Use with caution. The effects may be increased because of slower removal of the medicine from the body.
I also have ADHD, although I haven’t found a med that works for me yet for that. I am however on 1200mg of gabapentin, and it has changed my life for the better in immeasurable ways. I definitely still experience many fibro symptoms, but I’ve barely had a day where I could get out of bed in the past number of months, when previously it was more than once a week, often an entire week. My balance issues are a little worse, but I use forearm crutches to help with that.
I would way rather be able to get out of bed and wobble than be in such excruciating pain that I can’t even think. I haven’t had any cognitive side effects from gabapentin, although I hear a lot of people do have those. I’ve heard that that happens at the lower doses even.
I’m ‘lucky’ I guess in that I barely can sleep and have been operating without much since I was like 7, so gabapentin in no way was gonna be able to make me sleepy or unable to think anymore than my brain fog from fibro and ADHD already cause.
Anyway, I saw that most folks here have bad experiences so I wanted to toss in a good one 🙂