Just started Gabapentin. Any thoughts on dosages?

Discuss different Pain Management Options; Medication options including side effects and Worldwide variances in names etc.
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puffsplus
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Joined: Mon Oct 15, 2018 11:10 pm

Just started Gabapentin. Any thoughts on dosages?

Post by puffsplus »

My practitioner started me on 300 mg/day, which is very low. Based on what I've read online the regular neuropathy dose is more like 1800 mg/day. Anyone else here tried Neurontin? If you did, what dosages were you on?
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Violet M
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Re: Just started Gabapentin. Any thoughts on dosages?

Post by Violet M »

I got up to 900 mg a day but it was giving me too many side effects and providing very little benefit. I have heard others report on the forum of getting up to 3600 mg a day but from what I understand, for pain control at least 1800 is recommended. You just don't know until you try it if it will work for you. It really helps some people.

Violet
PNE since 2002. Started from weightlifting. PNE surgery from Dr. Bautrant, Oct 2004. Pain now is usually a 0 and I can sit for hours on certain chairs. No longer take medication for PNE. Can work full time and do "The Firm" exercise program. 99% cured from PGAD. PNE surgery was right for me but it might not be for you. Do your research.
janetm2
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Re: Just started Gabapentin. Any thoughts on dosages?

Post by janetm2 »

Years ago I was on 1800 but that didn't really help. I just restarted a few months ago and at 2700 it is helping. My current doctor said that was the highest he felt he would be comfortable with me taking.
Good luck
Janet
2007-08 pelvic muscles spasms treated by EGS. 6/27/10 sat too long on hard chair- spasms, EGS not work Botox help, cortisone shots in coccyx help, still pain, PT found PNE & sent me to Dr Marvel nerve blocks & MRN, TG left surgery 5/9/11. I have chronic bunion pain surgery at age 21. TG gave me back enough sitting to keep my job & join in some social activities. I wish the best to everyone! 2019 luck with orthotics from pedorthist & great PT allowing me to get off oxycodone.
April
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Re: Just started Gabapentin. Any thoughts on dosages?

Post by April »

I take 300 mg twice a day (morning and evening). I think it helps, because when I started on 300 mg 18 months ago, I noticed a slight decline in pain, so then I requested an increase to 600 mg (actually, back then it was comparable does of Gralise, extended release version of gabapentin, but now I'm on gabapentin). It's hard to know for sure if it is helping, though. Also, I'm learning about many of the problematic side effects of it on a gabapentin awareness fb group, so I am thinking about trying to go off of it soon.

April
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Violet M
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Re: Just started Gabapentin. Any thoughts on dosages?

Post by Violet M »

April, you are probably already aware that if you go off gabapentin you need to wean off slowly.

https://www.ncbi.nlm.nih.gov/pubmed/15898970

Violet
PNE since 2002. Started from weightlifting. PNE surgery from Dr. Bautrant, Oct 2004. Pain now is usually a 0 and I can sit for hours on certain chairs. No longer take medication for PNE. Can work full time and do "The Firm" exercise program. 99% cured from PGAD. PNE surgery was right for me but it might not be for you. Do your research.
April
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Joined: Fri Jun 19, 2015 9:59 am

Re: Just started Gabapentin. Any thoughts on dosages?

Post by April »

Thank you, Violet! I did know that, but I didn't know about that article. I haven't started the reduction yet. I might wait until after surgery, and whenever I do it, I will go slow. This gabapentin awareness fb group I'm on has a weaning off plan that I might follow, but I'll look over this article too in case it has more info on that.

April
puffsplus
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Re: Just started Gabapentin. Any thoughts on dosages?

Post by puffsplus »

Violet -- how slowly is slowly?
April
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Joined: Fri Jun 19, 2015 9:59 am

Re: Just started Gabapentin. Any thoughts on dosages?

Post by April »

The site I've been reading recommends a ten percent reduction at each step down. But, what's not clear to me is how long one should be at each step (e.g., a week, two weeks). I downloaded a water titration calculator (in an Excel file) from the site, so it looks like people mix the capsules in water and reduce it that way (so it can be very gradual) since one couldn't get pills at each of these increments. If you want more information on this, send me a pm.

April
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