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At a glance

Gabapentin is an antiepileptic medicine used for neuropathic pain and seizures.

Indications
  • Neuropathic Pain
  • Adjunctive therapy in partial seizure and secondary generalized seizure
Pharmacology

Gabapentin is an anti-convulsant. It is a structural analog of gamma-amino-butyric-acid (GABA). All pharmacological actions following administration of Gabapentin are due to the activity of parent compound. Gabapentin binds with the alpha-2-delta subunit of voltage gated L-type Calcium channel, and inhibits branched chain amino acid transferase and probably inhibits neurotransmitter release of excitatory amino acid.

Dosage

Neuropathic Pain:

  • Day 1: 300 mg single dose
  • Day 2: 300 mg twice daily
  • Day 3: 300 mg three times daily
  • Titrate up as needed to 1800 mg/day (divided TID)

Epilepsy (12+ years):

  • Effective dose: 900-1800 mg/day (3 divided doses)
  • Starting dose: 300 mg three times daily

Children (3-12 years):

  • Starting dose: 10-15 mg/kg/day (3 divided doses)

Renal Impairment: Dose reduction required.

* Use as directed by the registered physician

Side effects

Common Side Effects:

  • Fatigue
  • Dizziness
  • Ataxia
  • Weight gain
  • Peripheral edema
  • Dry mouth
  • Somnolence
  • Nausea
  • Vomiting
  • Fever
  • Nystagmus
Use in pregnancy

Use in Pregnancy: May be unsafe during pregnancy. Animal studies have shown harmful effects. Your doctor will weigh the benefits and risks.

Pregnancy Category: C — always consult a doctor before taking during pregnancy.

Precautions & warnings

Precautions:

  • Take only as prescribed.
  • Do not drive or operate machinery until you know how this medicine affects you.
  • Dose reduction needed in renal impairment.
  • Do not take antacids 2 hours before or after taking Gabapentin (reduces absorption).
Overdose effects

Overdose: Overdose may cause drowsiness, dizziness, ataxia. Gastric lavage and supportive care.

Storage conditions

Storage: Store below 25°C, away from light and moisture. Keep out of reach of children.

Gabapentin — see the full informationPharmacology, precautions, pregnancy, overdose and the rest on the generic page
⚠️ This information is for educational purposes only — not a substitute for medical advice. Consult a registered physician before taking any medicine.