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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Long Do Gabapentin Side Effects Take To Get Cured?

Hi I ve been taking 600 mg of gabapentin since May for degenerative disc disease. I wish I would have asked my doctor to start at the lowest dose and go up because now, after reading about the side effects I would really like to ask her to lower the dose and see what happens or the other drug that she mentioned and see if that one has less side effects. I get very dizzy and have mild, but frequent headaches from the gabapentin. So how long is it going to take to lower the dose to say 300 or 400 mg? I hope not too long.
Mon, 8 Sep 2014
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Internal Medicine Specialist 's  Response
Hi,

Thank you for your query. I can understand your concerns.






Dizziness & headache can be caused by gabapentin-however incidence not known .
Gabapentin - to start with a single 300 mg dose on day 1, 600 mg on day 2 (divided twice daily), and 900 mg on day 3 (divided 3 times daily). Subsequently, to titrate the dose upward as needed for pain relief to a daily dose of 1800 mg (divided 3 times daily).
To lower the dose medication gradually over minimum of 1 wk.
Gabapentin is withdrawn gradually to avoid the possibility of increasing seizure frequency, as it is essentially an antiepileptic drug. Gabapentin can be used for neuralgic pain (as in your case).



Regards

Dr. T.K. Biswas M.D.
Mumbai
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How Long Do Gabapentin Side Effects Take To Get Cured?

Hi, Thank you for your query. I can understand your concerns. Dizziness & headache can be caused by gabapentin-however incidence not known . Gabapentin - to start with a single 300 mg dose on day 1, 600 mg on day 2 (divided twice daily), and 900 mg on day 3 (divided 3 times daily). Subsequently, to titrate the dose upward as needed for pain relief to a daily dose of 1800 mg (divided 3 times daily). To lower the dose medication gradually over minimum of 1 wk. Gabapentin is withdrawn gradually to avoid the possibility of increasing seizure frequency, as it is essentially an antiepileptic drug. Gabapentin can be used for neuralgic pain (as in your case). Regards Dr. T.K. Biswas M.D. Mumbai