Overview:
Gabapentin oral pills include different warnings. Call your doctor if you start having more seizures or a different kind of seizure while taking this medication.
Drowsiness warnings:
Gabapentin can slow your thinking and motor skills and cause drowsiness and nausea. It is not known how long these effects last.
Depression Warning:
Using this drug increases your chance of suicidal ideas and behavior. Speak to your doctor if you feel depressed or detect any changes in your mood or behavior.
Also talk to your doctor if you are having thoughts of harming yourself, including suicide.
DRES’s warning/Multiorgan hypersensitivity:
This medicine can cause multiorgan hypersensitivity. This is also known as a drug reaction with eosinophilia and systemic symptoms (DRESS).
This syndrome can be life-threatening. Call your doctor straight away in the event you have symptoms such as a rash, a fever, or swollen lymph nodes.
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Allergy Warning:
Gabapentin can result in a severe allergic reaction. Symptoms can include:
- Trouble breathing
- Swelling of your tongue or neck
- Hives
- rash
Do not take this drug again in the event that you’ve ever had an allergic reaction to it before. Taking it another time after any allergic reaction to it might be fatal (cause death).
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Alcohol Interaction Warning:
Avoid drinking alcohol while taking gabapentin. Gabapentin may lead to sleepiness, and drinking alcohol can make you even more sleepy.
Alcohol can make you more inclined to feel dizzy and have difficulty concentrating.
Warnings for Individuals with certain health conditions:
For people with epilepsy: Do not stop taking gabapentin suddenly. Doing this can raise your risk of experiencing a condition called status epilepticus.
This is a medical emergency during which short or long seizures occur for 30 minutes or longer.
Gabapentin can cause difficulties in children aged 3–12 years who have epilepsy.
It increases the risk of thought issues as well as behavioral difficulties, like being hyper and behaving hostile or nervous.
For people with kidney problems: Your body procedures this medication more slowly than usual. This may cause the drug to increase to harmful levels in the body.
Speak to your doctor about whether this medication is safe for you.
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Warnings for Additional Groups:
For pregnant women: The use of gabapentin has not yet been studied in humans during pregnancy.
Research in animals has revealed adverse consequences to the fetus once the mother takes the drug.
However, animal studies do not always predict how humans would respond.
Talk with your doctor if you are pregnant or planning to become pregnant.
This medication should only be utilized if the possible benefit justifies the potential risk to the embryo.
Call your doctor if you become pregnant while taking this drug.
If your doctor prescribes gabapentin for you while you are pregnant, then inquire about the NAAED Pregnancy Registry.
This registry tracks the effects of anti-seizure drugs. Information is available at aedpregnancyregistry.org.
For women that are breastfeeding: Gabapentin can pass into breast milk and cause serious side effects in a breastfeeding child.
Tell your doctor if you’re breastfeeding or if you are taking Gabapentin oral pills.
Gabapentin Oral Pills Precautions:
You need to decide together in the event that you should stop taking this drug or stop breastfeeding.
For seniors: Kidney function may diminish with age. You might process this drug more slowly than younger people.
Your physician may start you on a diminished dose so that a lot of this drug does not build up within your body.
Too much medication in your body may be harmful.
For children: Gabapentin has not been studied in children for the management of postherpetic neuralgia. It shouldn’t be utilized in people younger than 18 years.
This drug shouldn’t be used as a treatment for partial seizures in children younger than 3 years.
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Suicide Prevention:
If you think somebody is at immediate risk of self-harm or hurting another person:
- Call 911 or the regional emergency number.
- Stay with the person until help arrives.
- Remove any guns, knives, medications, or other items that might cause harm.
- Listen, but do not judge, assert, sabotage, or yell.
If you or someone you know is contemplating suicide, get support from a crisis or suicide prevention hotline. Try the National Suicide Prevention Lifeline at 800-273-8255.
Take As Directed:
Gabapentin oral pill is utilized for long-term or short-term therapy. The length of therapy depends on what condition it is being used to treat.
It includes serious risks if you do not take it as prescribed.
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Should you stop taking it abruptly or not take it at all:
For Infection: This can raise your risk of status epilepticus, which is a health emergency. With this illness, long or short seizures occur for half an hour or more.
If your doctor decides to lower your dose or have you stop taking gabapentin, they’ll do this slowly.
Your dosage will probably be lowered or your therapy stopped over the course of a minimum of one week.
If you miss doses or don’t take it on the program: Your medicine may not work as well or might stop working entirely.
For this medication to work nicely, a specific amount has to be on your body at any respect times.
Should you take too much: You might have dangerous levels of the medication in your system.
Symptoms of an overdose of the drug can include:
- Tiredness
- slurred speech
- Freestanding stools
- Double vision
If you think you’ve taken a lot of this medication, call your physician or local poison control center.
If your symptoms are severe, call 911 or proceed to the closest emergency room right away.
What to do if you miss a dose: If you forget to take your dose, take it when you remember.
If you recall just a couple of hours ahead of the time for another dose, then only take 1 dose.
Never attempt to catch up by taking two capsules at once. This could result in dangerous side effects.
How to tell if the drug is working: You ought to possess fewer seizures. Or you ought to have less nerve-wracking pain.
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Important considerations for Carrying Gabapentin:
Keep these considerations in mind if your doctor prescribes a gabapentin oral capsule for you.
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General:
Gabapentin oral pills and capsules can be taken with or without food. Taking them with meals can help reduce upset stomachs.
Storage:
- Store gabapentin at room temperature between 68°F and 77°F (20°C and 25°C).
- Do not store this medicine in moist or damp areas, like bathrooms.
Refills:
A prescription for this medication is refillable. You should not need a new prescription for this medicine to be refilled.
Your health care provider will write the number of refills authorized in your own prescription.
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When traveling with your drugs:
- Always carry your medication with you, such as in your carry-on bag.
- Don’t be concerned about airport X-ray machines. They can’t damage your medication.
- You might have to show airport staff the pharmacy tag for your medication. Make sure you carry with you one of the prescription-labeled boxes your medication came in.
- Don’t place this medication in your vehicle’s glove compartment or leave it in the car. Be sure to avoid doing so when the weather is very hot or really cold.
Clinical monitoring:
Your physician will monitor your kidney function.
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Insurance:
Most insurance businesses require prior authorization for gabapentin.
This means your health care provider will need to get approval from your insurance company prior to your insurance company will cover the prescription.
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Are there any alternatives?
There are other drugs available to care for your problem. Some may be better suited to you than others.
Talk to your physician about other drug choices that may work for you.
Disclaimer: Healthline has made every effort to make sure all information is factually correct, comprehensive, and up-to-date.
But this guide should not be utilized as a substitute for your own knowledge and experience as a licensed health care practitioner.
You must always consult your physician or other health care practitioner before taking any medicine.
The absence of warnings or other advice for a given drug does not imply that the drug or drug combination is safe, effective, or appropriate for all patients or all specific uses.
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What’s postherpetic neuralgia?
Postherpetic neuralgia is a debilitating condition that affects your skin and nerves. It is a complication of herpes zoster, commonly referred to as shingles.
Shingles is a painful, blistering skin rash brought on by reactivation of this varicella-zoster virus.
People usually contract this virus in childhood or adolescence as chickenpox. The virus may remain dormant in the human body’s nerve cells after childhood and reactivate decades later.
Once the pain caused by shingles does not go away after the blisters and rash clear up, the condition is called postherpetic neuralgia.
Postherpetic neuralgia is the most frequent shingles complication. It occurs when a shingles outbreak damages the nerves.
The damaged nerves can not send messages from the skin to the mind, and the messages become confused. This causes chronic, severe pain which may last for months.
Based on a 2017 review, about 20% of people who get shingles also create postherpetic neuralgia. Additionally, this problem is more likely to occur in people over the age of 50.
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What are the symptoms of postherpetic neuralgia?
Shingles generally cause a painful, blistering rash. Postherpetic neuralgia is a complication that only happens in those who have already had shingles.
Common signs and symptoms of postherpetic neuralgia include:
- Severe pain that continues for more than 1 to 3 weeks at the Exact Same area that the shingles happened, even after the rash goes away
- Burning sensation over the skin, even in the slightest pressure
- Sensitivity to touch or temperature changes
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What are the risk factors for postherpetic neuralgia?
Age is a significant risk factor for getting both shingles and postherpetic neuralgia.
Risk begins to increase at age 50 and increases exponentially the older you are getting.
People who have acute pain and severe rash during shingles have a higher risk of developing postherpetic neuralgia.
People with reduced resistance due to conditions like HIV or Hodgkin’s lymphoma have an increased risk of developing shingles.
The danger of shingles will be 20 to 100 higher in this category.
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How is postherpetic neuralgia diagnosed and treated?
Most of the time, your physician is able to make a diagnosis of postherpetic neuralgia based on how long you have experienced pain after shingles. Tests are unnecessary in confirming a diagnosis.
Treatment for postherpetic neuralgia aims to manage and reduce the pain until the condition goes away.
Pain therapy may include the following treatments.
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Analgesics:
Pain relievers are also called analgesics.
- Capsaicin lotion, an pain relief extracted from hot chile peppers
- lidocaine patches, a numbing medication
- OTC medications, such as acetaminophen (Tylenol) or ibuprofen (Advil)
- stronger prescription drugs, such as codeine, hydrocodone, or oxycodone
Tricyclic antidepressants:
Doctors often prescribe tricyclic antidepressants to treat depression, but these medicines are also effective in treating pain caused by postherpetic neuralgia.
Tricyclic antidepressants may have unwanted effects, such as dry mouth and blurred vision. They don’t act as quickly as other types of pain relievers.
Commonly used tricyclic antidepressants to treat postherpetic neuralgia include:
- desipramine (Norpramin)
- amitriptyline (Elavil)
- nortriptyline (Pamelor)
- imipramine (Tofranil)
Anticonvulsants:
Anticonvulsants are usually prescribed to treat seizures, but physicians can prescribe them to treat postherpetic neuralgia pain as well. Commonly used anticonvulsants contain:
- gabapentin (Neurontin)
- phenytoin (Dilantin)
- pregabalin (Lyrica)
- carbamazepine (Tegretol)
How does postherpetic neuralgia be avoided?
Two dosages of a herpes zoster vaccine named Shingrix reduce the chance of shingles by greater than 90 percent.
The vaccine protects against postherpetic neuralgia.
The Centers for Disease Control and Prevention (CDC)Trusted Source recommends healthy people ages 50 and up get the Shingrix vaccine.
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Outlook:
Postherpetic neuralgia is treatable and preventable. Most instances disappear in 1 to 2 months. In rare cases, it may last longer than a year.
If you are older than 50, it’s prudent to get vaccinated against shingles and postherpetic neuralgia.
If you do develop postherpetic neuralgia, you have many treatment options to handle the pain. Talk to your doctor to obtain the best remedy for you.
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