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Medication Monday...Neurontin Oral (Gabapentin)

8/11/2014

 
Before we get to the medication I need to remind you...
  • that what I am providing is NOT meant in any way to replace the conversation between you, your doctor, or your pharmacist
  • please do not self-diagnose or make medical decisions about this drug without talking with qualified professionals
  • the information provided here is the reference sheet you would find at WebMD. During my journey I found this site to be helpful in providing support. All credit for this information belongs to them. I copied it right from their website and I have removed the hyper-links. Please visit their site if you would like to read further.

For this installment, I have chosen Neurontin Oral...GENERIC NAME(S): Gabapentin

Uses: 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.

**Please read this information carefully**  If you have any questions about what is provided here....talk with your doctor or pharmacist please.
Neurtontin GENERIC NAME(S): Gabapentin

NEURONTIN ORAL USES 


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 your health 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.

How to use Neurontin oral

Read the Medication Guide and, if available, the Patient Information Leaflet provided by your pharmacist before you start taking gabapentin and each time you get a refill. If you have any questions, ask your doctor or pharmacist.

Take this medication by mouth with or without food as directed by your doctor. Dosage is based on your medical condition and response to treatment. For children, the dosage is also based on weight.

If you are taking the tablets and your doctor directs you to split the tablet in half, take the other half-tablet at your next scheduled dose. Discard half tablets if not used within several days of splitting them. If you are taking the capsules, swallow them whole with plenty of water.

It is very important to follow your doctor's dosing instructions exactly. During the first few days of treatment, your doctor may gradually increase your dose so your body can adjust to the medication. To minimize side effects, take the very first dose at bedtime.

Take this medication regularly to get the most benefit from it. This drug works best when the amount of medicine in your body is kept at a constant level. Therefore, take gabapentin at evenly spaced intervals at the same time(s) each day. If you are taking this medication 3 times a day to control seizures, do not let more than 12 hours pass between doses because your seizures may increase.

Do not take this medication more often or increase your dose without consulting your doctor. Your condition will not improve any faster and the risk of serious side effects may increase.

Do not stop taking this medication without consulting your doctor. Some conditions may become worse when the drug is suddenly stopped. 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 doctor.

Tell your doctor if your condition does not improve or if it worsens.

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

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, persistent sore throat).

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

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 EffectsList gabapentin side effects by likelihood and severity.

The following side effects are associated with gabapentin:

Common side effects of gabapentin:
  • Involuntary Eye Movement Severe
  • Uncoordinated Severe
  • Blurred Vision Less Severe
  • Dizzy Less Severe
  • Drowsiness Less Severe
  • Fluid Retention in the Legs, Feet, Arms or Hands Less Severe
  • Inducing of a Relaxed Easy State Less Severe
  • Low Energy Less Severe
  • Muscle Pain Less Severe
  • Problems with Eyesight Less Severe



Infrequent side effects of gabapentin:
  • Depression Severe
  • Easily Angered or Annoyed Severe
  • High Blood Pressure Severe
  • Loss of Memory Severe
  • Mental Impairment Severe
  • Mood Changes Severe
  • Diarrhea Less Severe
  • Double Vision Less Severe
  • Dry Mouth Less Severe
  • Feel Like Throwing Up Less Severe
  • Feeling Weak Less Severe
  • Gas Less Severe
  • Incomplete or Infrequent Bowel Movements Less Severe
  • Involuntary Quivering Less Severe
  • Lazy Eye Less Severe
  • Middle Ear Infection Less Severe
  • Not Feeling Well Less Severe
  • Puffy Face from Water Retention Less Severe
  • Sluggishness Less Severe
  • Urinary Tract Infection Less Severe
  • Weight Gain Less Severe


Rare side effects of gabapentin:
  • Abnormal Liver Function Tests Severe
  • Allergic Reaction caused by a Drug Severe
  • Confused Severe
  • Decreased White Blood Cells Severe
  • Erythema Multiforme Severe
  • Feeling Anger Toward Something Severe
  • Giant Hives Severe
  • Having Thoughts of Suicide Severe
  • Hyperactive Behavior Severe
  • Increased Eosinophils in the Blood Severe
  • Large Purple or Brown Skin Blotches Severe
  • Low Amount of Sodium in the Blood Severe
  • Multiple Organ Failure Severe
  • Numbness and Tingling Severe
  • Pneumonia Severe
  • Serious Muscle Damage that may Lead to Kidney Failure Severe
  • Stevens-Johnson Syndrome Severe
  • Swollen Lymph Nodes Severe
  • Weak Reflexes Severe
  • Yellowing of Skin or Eyes from Liver Problems Severe
  • Abnormally Low Blood Pressure Less Severe
  • Anxious Less Severe
  • Cannot Empty Bladder Less Severe
  • Cannot Focus Thoughts Less Severe
  • Chronic Trouble Sleeping Less Severe
  • Cough Less Severe
  • Difficulty Speaking Less Severe
  • Enlarged Breasts Less Severe
  • Exaggerated Deep Reflexes Less Severe
  • Excessive Sweating Less Severe
  • Fever Less Severe
  • Frequent Urination Less Severe
  • Head Pain Less Severe
  • High Blood Sugar Less Severe
  • Inability to have an Erection Less Severe
  • Increase in the Product of Metabolism Found in Muscle Less Severe
  • Indigestion Less Severe
  • Inflammation of the Gums Less Severe
  • Inflammation of the Nose Less Severe
  • Irritation of the Stomach or Intestines Less Severe
  • Itching Less Severe
  • Joint Pain Less Severe
  • Loss of Appetite Less Severe
  • Numbness Less Severe
  • Pain Less Severe
  • Pink Eye Less Severe
  • Problem Behavior Less Severe
  • Rash Less Severe
  • Ringing in the Ears Less Severe
  • Sensation of Spinning or Whirling Less Severe
  • Throat Dryness Less Severe
  • Throwing Up Less Severe

NEURONTIN ORAL PRECAUTIONS 
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.

This drug may make you dizzy or drowsy or cause blurred vision. Do not drive, use machinery, or do any activity that requires alertness or clear vision until you are sure you can perform such activities safely. Limit alcoholic beverages.

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, 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.

NEURONTIN ORAL INTERACTIONS See also How to Use section.

Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor's approval.

Tell your doctor or pharmacist if you are taking other products that cause drowsiness including alcohol, antihistamines (such as cetirizine, diphenhydramine), drugs for sleep or anxiety (such as alprazolam, diazepam, zolpidem), muscle relaxants, and narcotic pain relievers (such as codeine, morphine).

Check the labels on all your medicines (such as allergy or cough-and-cold products) because they may contain ingredients that cause drowsiness. Ask your pharmacist about using those products safely.

Do not use this medication with other medications that contain gabapentin (including gabapentin enacarbil).

This medication may interfere with certain laboratory tests for urine protein. Make sure laboratory personnel and all your doctors know you use this drug

NEURONTIN ORAL OVERDOSE 
If overdose is suspected, contact a poison control center or emergency room immediately. US residents can call their local poison control center at 1-800-222-1222. Canada residents can call a provincial poison control center. Symptoms of overdose may include: severe drowsiness, slurred speech, weakness.

NOTES:

Do not share this medication with others.

MISSED DOSE:

If you miss a dose, take it as soon as you remember. If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule. Do not double the dose to catch up. If you take gabapentin 3 times a day to control seizures, do not let more than 12 hours pass between doses because your seizures may increase. Consult your doctor right away if this occurs.

STORAGE:

Store at room temperature away from light and moisture. Do not store in the bathroom. Keep all medications away from children and pets.

Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company.

MEDICAL ALERT: Your condition can cause complications in a medical emergency. For information about enrolling in MedicAlert, call 1-888-633-4298 (US) or 1-800-668-1507 (Canada).

Information last revised December 2013. Copyright(c) 2013 First Databank, Inc.

Dixie
3/23/2015 04:22:28 am

Living with chronic pain is difficult enough, checking off side effects that I'm experiencing is frightening.; but when you're relying on work comp for your care, what else can you do? Doctor's will not listen, worries expressed get waved away like their of no importance & then everyone looks at you wondering why you get depressed? Seriously? !


Comments are closed.

    Tammy...

    is living life with chronic pain...doing the best I can with everyday. 

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