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Suggest Treatment For Side Effects Of Gabapentin

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Posted on Tue, 21 Mar 2017
Question: After 2 1/2 years of no seizures on 600mg gabapentin three times a day. My neurologist in resased y gabapentin to 2400 mg per day. I've been on clonazepam 2mg tid for 10 years fr the epilepsy and sevee anxiety. I now can barely type or write, have horrible memory and ataxia, plus haven't slept more than 4 hours in 4 days. I have lab work, Ct of my head and neuro check up. So is the extra gabapentin be causing these symptoms. Oh and nausea and vomiting too - thank you
doctor
Answered by Dr. Dr. Erion Spaho (1 hour later)
Brief Answer:
Probably gabapentin adverse effects.

Detailed Answer:
Hello and thanks for using HCM.

I have read your question and understand your concerns.

2400 mg/daily of gabapentin is the maximal normal dose, and the answer to your question is yes, symptoms you describe are most likely caused by gabapentin as adverse effects.

Gabapentin also may aggravate depression too.

In my opinion, since you didn't had seizures on previous dosage of gabapentin, you should discuss with your Neurologist about getting back to that dose regimen.

Also, other possibilities of antiseizure drugs use such levetiracetam (Keppra), should be considered.

Hope you found the answer helpful.

Let me know if I can assist you further.

Take care.
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Dr. Erion Spaho (1 hour later)
I'm alergic to keppta too. I tried Fycompa samples for a couple months which was great by after insurance my copay was 400 and I can't afford that Any other suggestions?
doctor
Answered by Dr. Dr. Erion Spaho (21 minutes later)
Brief Answer:
Valproate, topiramate.

Detailed Answer:
Welcome back.

One suggestion I mentioned before; getting back to previous doses of gabapentin since you didn't had any seizures in that dosage regimen.

Other possible antiseizure drugs that may be used if you continue to experience side effects from gabapentin may be valproate, topiramate, etc.

Hope this helps.

Kind regards.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Answered by
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Dr. Dr. Erion Spaho

Neurologist, Surgical

Practicing since :2004

Answered : 4493 Questions

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Suggest Treatment For Side Effects Of Gabapentin

Brief Answer: Probably gabapentin adverse effects. Detailed Answer: Hello and thanks for using HCM. I have read your question and understand your concerns. 2400 mg/daily of gabapentin is the maximal normal dose, and the answer to your question is yes, symptoms you describe are most likely caused by gabapentin as adverse effects. Gabapentin also may aggravate depression too. In my opinion, since you didn't had seizures on previous dosage of gabapentin, you should discuss with your Neurologist about getting back to that dose regimen. Also, other possibilities of antiseizure drugs use such levetiracetam (Keppra), should be considered. Hope you found the answer helpful. Let me know if I can assist you further. Take care.