Gabapentin (also known under the brand names Horizant, Gralise, and Neurontin) is an anticonvulsant medication used to treat epilepsy, nerve damage, and other nerve pain conditions, like restless legs syndrome and nerve pain caused by herpes zoster (shingles).

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It is also prescribed for off-label use for a number of conditions. One of its brand-name manufacturers, Pfizer, has promoted its off-label use for migraines and fibromyalgia, and others have discussed its use in treating anxiety.It is unknown exactly how gabapentin works. It is believed that it affects electrical activity in the brain and alters the activity of brain neurotransmitters (chemical messengers) to create a soothing and calming effect on nerves.

Neurontin may be used alone or along with other medications to treat epileptic seizures in adults and children who are 12 years of age or older.

Children who are between 3 and 12 years old may be prescribed Neurontin to treat partial seizures, along with other medications.

Taking Neurontin may cause you to have thoughts about suicide, or mood changes like anxiety, depression, or hyperactivity (mental or physical). You should tell your doctor immediately if you have any of these conditions, or if your seizures worsen.

You should not stop taking Neurontin for seizures or epilepsy without talking to your doctor, even if you think you are better. Stopping this medication suddenly may cause you to have further seizures. Tell your doctor if you want to stop taking Neurontin and he or she will gradually taper you off of this medication

You should have a medical ID card or wear a medical ID bracelet to let others know that you are taking Neurontin. Be sure to let any doctor or dentist know that you are taking Neurontin.

Neurontin is in pregnancy category C, which means that we do not know if Neurontin will harm an unborn baby. Neurontin can pass into breast milk, so you should not breast-feed while taking Neurontin.

How Does Gabapentin Work?

Gabapentin is a medicine that may be used for the treatment of certain seizure disorders or nerve pain.

Experts aren’t sure exactly how gabapentin works, but research has shown that gabapentin binds strongly to a specific site (called the alpha2-delta site) on voltage-gated calcium channels. This action is thought to be the mechanism for its nerve-pain relieving and anti-seizure properties.

Gabapentin enacarbil (brand name Horizant) is a prodrug of gabapentin which has been designed to overcome the limitations of gabapentin, such as poor absorption and a short duration of action. Gabapentin enacarbil is effective for restless legs syndrome (RLS) and postherpetic neuralgia (nerve pain that occurs following Shingles).

Gabapentin belongs to the group of medicines known as anticonvulsants.

Does gabapentin help nerve pain?

Gabapentin can help relieve nerve pain in some people with postherpetic neuralgia (nerve pain after shingles) and peripheral diabetic neuropathy (nerve pain in the feet in people with diabetes). A Cochrane review reported that 3 to 4 patients out of every 10 with either of these conditions experienced at least a 50% reduction in pain intensity when prescribed gabapentin at dosages of 1800mg-3600 mg/day (gabapentin encarbil: 1200mg-3600 mg/day). This compared with only 1 or 2 out of every 10 given a placebo (an inactive treatment). People who had an improvement in pain relief with gabapentin are also expected to experience an improvement in sleep, fatigue, and in their mood.

This same Cochrane review reported that over half of those treated with gabapentin did not experience any worthwhile pain relief, but did experience side effects.

What type of nerve pain is gabapentin approved to treat?

Gabapentin is approved to treat nerve pain (neuralgia) that results from nerve damage. Gabapentin may be used to treat:

Nerve pain caused by a herpes zoster viral infection, also known as shingles. This pain is called post-herpetic neuralgia (PHN), and it can be severe and chronic
Nerve pain as a result of diabetic neuropathy, which happens when nerves in the feet damaged by diabetes cause chronic burning pain.

How does gabapentin work in nerve pain?

The exact way that gabapentin works to relieve pain is not known. It may change the way the body senses and reacts to pain. Gabapentin is used to manage long-term (chronic) pain, not to be taken for pain as needed. Chronic pain can interfere with sleep and work, and lead to depression.

How quickly does gabapentin work?

Studies show that pain relief may start within one week and reach a maximum effect in about 4 weeks. It can take this long because gabapentin is usually started at a low dose and gradually increased over time until it works.

For treating neuralgia, gabapentin is often started at 300 mg per day and gradually raised by 300 mg per day. One 2017 review of 37 studies found that pain relief usually occurs at a dose of 1,200 mg or more.

The same review compared gabapentin to an inactive medicine (placebo) in almost 6,000 adults with chronic pain from PHN or diabetic neuropathy. Study participants were given either gabapentin or a placebo for 4 to at least 12 weeks. The results showed that 30-40% of people taking gabapentin were able to reduce their pain by half or more, compared to 10-20% of people taking the placebo.

Although some people may get significant relief, others may have side effects without relief of pain. More than half of people taking gabapentin did not get significant relief and had side effects from the drug.

According to the review, about 60% of people taking gabapentin had side effects, including:

Dizziness
Sleepiness
Water retention (edema)
Clumsiness while walking (ataxia)

It does not typically make pain worse: In trials comparing gabapentin side effects to placebo side effects, only 1% of people reported increased pain, and this was the same for gabapentin and placebo.

Once you find the dose that relieves neuralgia for you, it is important not to stop taking it suddenly. Stopping suddenly can lead to withdrawal symptoms such as:

Anxiety
Insomnia
Nausea
Pain
Sweating

Warnings and Precautions for Gabapentin

It’s also important to be aware of precautions and warnings around taking this medication. Before taking gabapentin, tell your doctor or pharmacist if you are allergic to it; or to gabapentin enacarbil; or if you have any other allergies.

This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details. Before using this medication, tell your doctor or pharmacist your medical history, especially of: kidney disease, mental/mood problems (such as depression, thoughts of suicide), use/abuse of drugs/alcohol, breathing problems.

Gabapentin may make you dizzy or drowsy or blur your vision. Alcohol or marijuana (cannabis) can make you more dizzy or drowsy. Do not drive, use machinery, or do anything that needs alertness or clear vision until you can do it safely. Limit alcoholic beverages.

Talk to your doctor if you are using marijuana (cannabis). Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products).

Older adults may be more sensitive to the side effects of this drug, especially swelling of the hands/ankles/feet, slow/shallow breathing, dizziness, or loss of coordination. Dizziness and loss of coordination can increase the risk of falling.

Children may be more sensitive to the side effects of this drug, especially mental/mood/behavior changes (such as hostility, problems concentrating, restlessness).

During pregnancy, this medication should be used only when clearly needed. Discuss the risks and benefits with your doctor. Gabapentin passes into breast milk. Consult your doctor before breast-feeding.

How should I take Gabapentin?

Take gabapentin by mouth. Swallow the capsules with a drink of water. If gabapentin upsets your stomach, take it with food or milk. Take your doses at regular intervals. Do not take your medicine more often than the dose.

It’s important to read the Medication Guide and, if available, the Patient Information Leaflet provided by your pharmacist, before you begin taking gabapentin and each time you get a refill. If you have any questions, ask your clinician or pharmacist.

Take gabapentin by mouth, either with or without food as directed by your licensed medical professional. Your dosage is based on your medical condition, as well as your response to treatment. In children, the dosage is also based on their weight.

If you are taking the tablet form of gabapentin and your licensed medical professional directs you to split the tablet in half, take the other half-tablet at your next scheduled dose. Be sure to discard remaining half-tablets if you haven’t used them within 28 days of splitting them. If you are taking the capsules, always swallow them whole with plenty of water. It is very important to follow your licensed medical professional’s dosing instructions exactly.

During the first few days taking gabapentin, your licensed medical professional may gradually increase your dose so that your body can adjust to the medication. To minimize the occurrence of side effects, take the very first dose at bedtime. To get the most benefit, take this medication regularly.

Gabapentin will work best when the amount of medication in your body is kept at a constant level. Therefore, take gabapentin at evenly spaced intervals at the same time(s) every day as prescribed. If taking this medication three times per day to control seizures, do not let more than 12 hours pass between doses, or you may increase the risk of having a seizure. Do not increase your dose or take this medication more frequently without consulting your licensed medical professional. Your risk of serious side effects can increase, and your condition will not improve any faster. Do not stop taking this medication without consulting your licensed medical professional. Some conditions can become worse when gabapentin is stopped suddenly.

If you wish to stop taking gabapentin, your dose may need to be gradually decreased. Antacids containing aluminum or magnesium may interfere with the absorption of this medication. Therefore, if you are also taking an antacid, it is best to take gabapentin at least 2 hours after taking the antacid.

Different forms of gabapentin (such as immediate-release, sustained-release, enacarbil sustained-release) are absorbed in the body differently. Do not switch from one form to the other without consulting your licensed medical professional. Tell your licensed medical professional if your condition does not improve or if it worsens.

Contact your pediatrician or health care professional regarding the use of this medicine in children. Needs Special care.

What should I tell my health care provider before I buy gabapentin online?

They need to know if you have any of these conditions:

- - depression
  - kidney disease
  - suicidal thoughts, plans, or attempt; a previous suicide attempt by you or a family member
  - an unusual or allergic reaction to gabapentin, other medicines, foods, dyes, or preservatives
  - pregnant or trying to get pregnant

Gabapentin is also manufactured and marketed by other pharmaceutical companies all over the world. However it can not be marketed under the brand name Neurontin, so you can find many other medicines having absolutely the same compound, effect, and safety level as Neurontin, some of those medicines are Fanatrex, Gabarone, Gralise, Nupentin. All of these medicines are called “generics of Neurontin”.

Gabapentin, as they are less advertised, are much cheaper than Neurontin. However they can be hardly found at local drug stores, the only option you have, if you want to save your money and receive a high-quality medicine, is to buy gabapentin online at our online pharmacy, which guarantees you the highest quality of the medicine, and affordable price at the same time.

In recent years, gabapentin use has risen significantly. A 2012 report indicated a 150 percent increase in gabapentin prescriptions over a five years.

Neurontin Description and Dosing

Neurontin is available in capsules, tablets and oral solution.

In the U.S. Neurontin is offered in the following dosages:

100 mg capsules, which are white hard gelatin capsules printed with “PD” on one side and “Neurontin/100 mg” on the other side.

300 mg capsules, which are yellow hard gelatin capsules printed with “PD” on one side and “Neurontin/300 mg” on the other side.

400 mg capsules, which are orange hard gelatin capsules printed with “PD” on one side and “Neurontin/400 mg” on the other side.

600 mg tablets, which are white elliptical film-coated scored tablets debossed with “NT” and “16” on one side.

800 mg tablets which are white elliptical film-coated scored tablets debossed with “NT” and “26” on one side.

Oral solution 250 mg/5 mL which is clear colorless to slightly yellow.

Dosing of Neurontin is individualized based on individual patient needs. Your doctor will tell you what the appropriate dose of Neurontin is for you.

All people taking Neurontin should consult their doctor for specific dosing pertaining to them. Do not attempt to alter or change your dose without your physician’s consent.

If you suspect that you have overdosed with Neurontin you should seek emergency help immediately.

Ingredients in Gabapentin

The main ingredient in Neurontin is gabapentin. Other inactive ingredients include:

Capsules- lactose, cornstarch, and talc. The 100 mg capsule shell contains gelatin and titanium dioxide. The 300 mg capsule shell contains gelatin, titanium dioxide, and yellow iron oxide. The 400 mg capsule shell contains gelatin, red iron oxide, titanium dioxide, and yellow iron oxide. The imprinting ink contains FD&C Blue No. 2 and titanium dioxide.

Tablets-poloxamer 407, copolyvidonum, cornstarch, magnesium stearate, hydroxypropyl cellulose, talc, candelilla wax, and purified water.

Oral solution-glycerin, xylitol, purified water, and artificial cool strawberry anise flavor.

Gabapentin Concerns

Approved by the U.S. Food and Drug Administration (FDA) in 1993, gabapentin has been considered safe and non-habit-forming for years by the medical community. However, new trends and research indicate that many individuals are now using and abusing this widely available drug recreationally or to increase the high of other drugs, particularly opioids.

Because of these rising trends in gabapentin use, the drug is facing new regulations and classification. As of February 2019, two states — Michigan and Kentucky — have classified gabapentin as a Schedule V controlled substance. Kentucky reclassified the drug after an interview with 33 residents who admitted to using it to get high. Kentucky authorities also report that gabapentin is present in approximately a third of drug overdose deaths in the state.

With new regulations and a new awareness of gabapentin abuse in the medical community, it’s not as easy as it once was to get a prescription for the drug, particularly for those with a history of drug abuse or those seeking to obtain gabapentin for off-label use. For these reasons, there is considerable demand for gabapentin on the street market.

Gabapentin appears to be involved with the GABA neurotransmitter, but does not seem to affect the receptors manipulated by common drugs of abuse such as opioids and benzodiazepines. Due to this, it’s not commonly thought of as a drug of abuse and is not on the list of controlled substances in the United States. However, it has properties that are similar to many commonly abused intoxicants and has been known to produce withdrawal symptoms and psychoactive effects.

Gabapentin Common side effects

The more common side effects of gabapentin include:

- - abnormal eye movements that are continuous, uncontrolled, back-and-forth, or rolling
  - clumsiness or unsteadiness
  - constipation
  - diarrhea
  - difficulty speaking
  - drowsiness or tiredness
  - dry mouth
  - nausea
  - vomiting

Gabapentin Serious side effects

Gabapentin may also cause some serious side effects. These side effects are uncommon. However, they may be more common in people who have psychiatric disorders. They include:

- - violent behavior, aggressiveness, or anger
  - anxiousness or restlessness
  - anxiety that is new or worse
  - depression that is new or worse
  - irritability that is new or worse
  - mania
  - panic attacks
  - suicidal thoughts or behavior
  - insomnia (trouble sleeping)

Call your doctor right away if you have any of these symptoms.

Allergic reaction

Gabapentin may cause serious or life-threatening allergic reactions. However, this is very rare. These symptoms may be the first signs of a serious reaction:

- skin rash
- hives
- difficulty breathing
- fever
- gland swelling that does not go away
- swelling of your face, lip, throat, or tongue
- yellowing of your skin or the whites of your eyes
- unusual bruising or bleeding
- severe tiredness or weakness
- unexpected muscle pain

Call your doctor right away if you have any of these symptoms. If you think your symptoms are life-threatening, call 911.

Gabapentin Overdose

Prescription drug overdose deaths have been on the rise for many years. According to the National Institute on Drug Abuse, the number in the US alone rose above 25,000 in the year 2014 alone.

Gabapentin overdose is rather similar in nature to an overdose of an opioid like heroin or Vicodin. The key difference is that, unlike with opioids, there is no antidote to gabapentin that can instantly block the substance from affecting the brain. Doctors will do what they can to treat the immediately life-threatening symptoms, but permanent damage to the brain or body is possible even if intervention occurs early.

Overdose is most likely to occur when mixing gabapentin with other intoxicants, especially opioids and/or alcohol. The fact that gabapentin can be and is being mixed with heroin by illegal distributors is alarming for this reason. Heroin users typically have no way of knowing what is in the substance they purchase on the streets, which is one of the reasons that heroin overdose deaths are so common.

Common signs of gabapentin overdose include:

- - Dizziness
  - Tremors
  - Slurred speech
  - Ataxia (loss of control of body movements)
  - Double vision
  - Rapid heartbeat
  - High or low blood pressure
  - Diarrhea
  - Depression of the respiratory system
  - Abnormally slow heart rate

Especially with ingestion with opioids, the biggest threat to a gabapentin overdose victim is a lack of oxygen to the brain. The depression of the central nervous system results in slowed breathing, or even a cessation of breathing altogether. If the brain isn’t getting enough oxygen, rapid cell death will soon occur, which can quickly lead to brain damage. The first treatment for this kind of overdose will be to make sure the airway is clear and that the patient is breathing.

Additionally, to help the body get rid of the excessive level of the drug, the individual may be treated with activated charcoal. This substance absorbs intoxicants like gabapentin and opioids, and the charcoal then passes out of the body naturally. Stomach pumping is not usually required for gabapentin alone. High or low blood pressure will then need to be treated until it reverts back to a normal level.

Once the overdose symptoms are under control, the afflicted individual should consider substance addiction treatment. Taking so much prescribed Neurontin can be a sign of addiction, as it indicates that more is being taken than is recommended. At the same time, mixing substances to increase the high of one or more drugs is a sign that substance abuse is present, and treatment is needed.

Gabapentin Abuse

gabapentin has been very popular and widely used as an adjuvant, an add-on drug that boosts the effects of other drugs, especially to help control partial seizures in adults. However, in the quarter century since its initial approval, off-label uses have exploded. It’s been prescribed to treat multiple physical conditions with neurological origins, from restless leg syndrome to nerve pain to acute and post-herpetic pain associated with shingles. It’s also prescribed for multiple psychiatric conditions, such as anxiety disorder, bipolar disorder, attention deficit disorder, and is even prescribed, somewhat ironically, in addiction treatment to reduce cravings and withdrawal symptoms.

Like almost all FDA-approved medications, when prescribed responsibly and taken as prescribed, gabapentin can offer great relief to those with these conditions. However, we all know that we live in a world in which not every patient takes medications as prescribed.

Gabapentin Detail Prescription Information

Why is this medication prescribed?

Gabapentin capsules, tablets, and oral solution are used along with other medications to help control certain types of seizures in people who have epilepsy. Gabapentin capsules, tablets, and oral solution are also used to relieve the pain of postherpetic neuralgia (PHN; the burning, stabbing pain or aches that may last for months or years after an attack of shingles). Gabapentin extended-release tablets (Horizant) are used to treat restless legs syndrome (RLS; a condition that causes discomfort in the legs and a strong urge to move the legs, especially at night and when sitting or lying down). Gabapentin is in a class of medications called anticonvulsants. Gabapentin treats seizures by decreasing abnormal excitement in the brain. Gabapentin relieves the pain of PHN by changing the way the body senses pain. It is not known exactly how gabapentin works to treat restless legs syndrome.

How should this medicine be used?

Gabapentin comes as a capsule, a tablet, an extended-release (long-acting) tablet, and an oral solution (liquid) to take by mouth. Gabapentin capsules, tablets, and oral solution are usually taken with a full glass of water (8 ounces [240 milliliters]), with or without food, three times a day.

These medications should be taken at evenly spaced times throughout the day and night; no more than 12 hours should pass between doses. The extended-release tablet (Horizant) is taken with food once daily at about 5 PM. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take gabapentin exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor.

Gabapentin extended-release tablets cannot be substituted for another type of gabapentin product. Be sure that you receive only the type of gabapentin that was prescribed by your doctor. Ask your pharmacist if you have any questions about the type of gabapentin you were given.

Swallow the extended-release tablets whole; do not cut, chew, or crush them.

If your doctor tells you to take one-half of a regular tablet as part of your dose, carefully split the tablet along the score mark. Use the other half-tablet as part of your next dose. Properly dispose of any half-tablets that you have not used within several days of breaking them.

If you are taking gabapentin to control seizures or PHN, your doctor will probably start you on a low dose of gabapentin and gradually increase your dose as needed to treat your condition. If you are taking gabapentin to treat PHN, tell your doctor if your symptoms do not improve during your treatment.

Gabapentin may help to control your condition but will not cure it. Continue to take gabapentin even if you feel well. Do not stop taking gabapentin without talking to your doctor, even if you experience side effects such as unusual changes in behavior or mood. If you suddenly stop taking gabapentin tablets, capsules, or oral solution, you may experience withdrawal symptoms such as anxiety, difficulty falling asleep or staying asleep, nausea, pain, and sweating. If you are taking gabapentin to treat seizures and you suddenly stop taking the medication, you may experience seizures more often. Your doctor may decrease your dose gradually over at least a week.

Your doctor or pharmacist will give you the manufacturer’s patient information sheet (Medication Guide) when you begin treatment with gabapentin and each time you refill your prescription. Read the information carefully and ask your doctor or pharmacist if you have any questions. You can also visit the Food and Drug Administration (FDA) website (http://www.fda.gov/Drugs) or the manufacturer’s website to obtain the Medication Guide.

Other uses for this medicine

Gabapentin is also sometimes used to relieve the pain of diabetic neuropathy (numbness or tingling due to nerve damage in people who have diabetes), and to treat and prevent hot flashes (sudden strong feelings of heat and sweating) in women who are being treated for breast cancer or who have experienced menopause (”change of life”, the end of monthly menstrual periods). Talk to your doctor about the risks of using this medication for your condition.

This medication may be prescribed for other uses; ask your doctor or pharmacist for more information.

What special precautions should I follow?

Before taking gabapentin,

tell your doctor and pharmacist if you are allergic to gabapentin, any other medications, or any of the inactive ingredients in the type of gabapentin you plan to take. Ask your pharmacist for a list of the inactive ingredients.
you should know that gabapentin is available in different forms that may be prescribed for different uses. Ask your doctor to be sure that you are not taking more than one product that contains gabapentin.
tell your doctor and pharmacist what prescription and nonprescription medications, vitamins, nutritional supplements, and herbal products you are taking or plan to take. Be sure to mention any of the following: antidepressants; antihistamines; medications for anxiety; medications that make you feel dizzy or drowsy; medications for mental illness; naproxen (Aleve, Anaprox, Naprosyn, others); opioid (narcotic) medications for pain such as hydrocodone (in Hydrocet, in Vicodin, others), morphine (Avinza, Kadian, MSIR, others), or oxycodone OxyContin, in Percocet, in Roxicet, others); sedatives; medications for seizures; sleeping pills, and tranquilizers. Your doctor may need to change the doses of your medications or monitor you carefully for side effects.
if you are taking antacids such as Maalox or Mylanta, take them at least 2 hours before you take gabapentin tablets, capsules, or solution.
tell your doctor if you have or have ever had lung or kidney disease. If you will be taking the extended-release tablets, also tell your doctor if you need to sleep during the day and stay awake at night.
tell your doctor if you are pregnant, plan to become pregnant, or are breast-feeding. If you become pregnant while taking gabapentin, call your doctor.
if you are having surgery, including dental surgery, tell the doctor or dentist that you are taking gabapentin.
you should know that this medication may make you drowsy or dizzy, may slow your thinking, and may cause loss of coordination. Do not drive a car or operate machinery until you know how this medication affects you, and your doctor agrees that it is safe for you to begin these activities.
if you are giving gabapentin to your child, you should know that your child’s behavior and mental abilities may change while he or she is taking gabapentin. Your child may have sudden changes in mood, become hostile or hyperactive, have difficulty concentrating or paying attention, or be drowsy or clumsy. Have your child avoid activities that could be dangerous, such as riding a bicycle, until you know how gabapentin affects him or her.
remember that alcohol can add to the drowsiness caused by this medication.
you should know that your mental health may change in unexpected ways and you may become suicidal (thinking about harming or killing yourself or planning or trying to do so) while you are taking gabapentin for the treatment of epilepsy, mental illness, or other conditions. A small number of adults and children 5 years of age and older (about 1 in 500 people) who took anticonvulsants such as gabapentin to treat various conditions during clinical studies became suicidal during their treatment. Some of these people developed suicidal thoughts and behavior as early as one week after they started taking the medication. There is a risk that you may experience changes in your mental health if you take an anticonvulsant medication such as gabapentin, but there may also be a risk that you will experience changes in your mental health if your condition is not treated. You and your doctor will decide whether the risks of taking an anticonvulsant medication are greater than the risks of not taking the medication. You, your family, or your caregiver should call your doctor right away if you experience any of the following symptoms: panic attacks; agitation or restlessness; new or worsening irritability, anxiety, or depression; acting on dangerous impulses; difficulty falling or staying asleep; aggressive, angry, or violent behavior; mania (frenzied, abnormally excited mood); talking or thinking about wanting to hurt yourself or end your life; withdrawing from friends and family; preoccupation with death and dying; giving away prized possessions; or any other unusual changes in behavior or mood. Be sure that your family or caregiver knows which symptoms may be serious so they can call the doctor if you are unable to seek treatment on your own.

What special dietary instructions should I follow?

Unless your doctor tells you otherwise, continue your normal diet.

What should I do if I forget a dose?

If you forget to take gabapentin capsules, tablets, or oral solution, take the missed dose as soon as you remember it. However, if it is almost time for the next dose or if you forget to take gabapentin extended-release tablets, skip the missed dose and continue your regular dosing schedule. Do not take a double dose to make up for a missed one.

What side effects can this medication cause?

Gabapentin may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away:

drowsiness
tiredness or weakness
dizziness
headache
uncontrollable shaking of a part of your body
double or blurred vision
unsteadiness
anxiety
memory problems
strange or unusual thoughts
unwanted eye movements
nausea
vomiting
heartburn
diarrhea
dry mouth
constipation
increased appetite
weight gain
swelling of the hands, feet, ankles, or lower legs
back or joint pain
fever
runny nose, sneezing, cough, sore throat, or flu-like symptoms
ear pain
red, itchy eyes (sometimes with swelling or discharge)

Some side effects may be serious. If you experience any of the following symptoms, call your doctor immediately:

rash
itching
swelling of the face, throat, tongue, lips, or eyes
hoarseness
difficulty swallowing or breathing
seizures
difficulty breathing; bluish-tinged skin, lips, or fingernails; confusion; or extreme sleepiness

Gabapentin may cause other side effects. Call your doctor if you have any unusual problems while taking this medication.

If you experience a serious side effect, you or your doctor may send a report to the Food and Drug Administration’s (FDA) MedWatch Adverse Event Reporting program online (http://www.fda.gov/Safety/MedWatch) or by phone (1-800-332-1088).

What should I know about storage and disposal of this medication?

Keep this medication in the container it came in, tightly closed, and out of reach of children. Store the tablets, extended-release tablets, and capsules at room temperature, away from excess heat and moisture (not in the bathroom). Store the oral solution in the refrigerator.

It is important to keep all medication out of sight and reach of children as many containers (such as weekly pill minders and those for eye drops, creams, patches, and inhalers) are not child-resistant and young children can open them easily. To protect young children from poisoning, always lock safety caps and immediately place the medication in a safe location – one that is up and away and out of their sight and reach. http://www.upandaway.org

Unneeded medications should be disposed of in special ways to ensure that pets, children, and other people cannot consume them. However, you should not flush this medication down the toilet. Instead, the best way to dispose of your medication is through a medicine take-back program. Talk to your pharmacist or contact your local garbage/recycling department to learn about take-back programs in your community. See the FDA’s Safe Disposal of Medicines website (http://goo.gl/c4Rm4p) for more information if you do not have access to a take-back program.

In case of emergency/overdose

In case of overdose, call the poison control helpline at 1-800-222-1222. Information is also available online at https://www.poisonhelp.org/help. If the victim has collapsed, had a seizure, has trouble breathing, or can’t be awakened, immediately call emergency services at 911.

Symptoms of overdose may include the following:

double vision
slurred speech
drowsiness
diarrhea

What other information should I know?

Keep all appointments with your doctor.

Before having any laboratory test, tell your doctor and the laboratory personnel that you are taking gabapentin.

If you use a dipstick to test your urine for protein, ask your doctor which product you should use while taking this medication.

Do not let anyone else take your medication. Ask your pharmacist any questions you have about refilling your prescription.

It is important for you to keep a written list of all of the prescription and nonprescription (over-the-counter) medicines you are taking, as well as any products such as vitamins, minerals, or other dietary supplements. You should bring this list with you each time you visit a doctor or if you are admitted to a hospital. It is also important information to carry with you in case of emergencies.

Brand names

Gralise^®

Horizant^®

Neurontin^®

Last Revised – 05/15/2020

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