Question: I am on
gabapentin, three 100 mg capsules at bedtime. I have
depression and anxiety, no
chronic pain issues. I am also on 15 mg Lexapro,
Wellbutrin XL 150 mg, taken once daily in the morning, and also have .5 mg
Klonopin, which I use PRN, and
Trazodone 50mg , also PRN (for sleep). My
psychiatrist prescribed gabapentin because I was concerned about addiction issues. (I have no history of addiction, I'm just a worrywart). I have been on the gabapentin for around 6 to 9 months. It does work well for the anxiety and sleep, but I have come to realize that I have gaining weight since I started on it. Not much, around 4 to 5 pounds, but I don't want to gain any more. I have also built up a lot of fat on my abdomen. I spoke to my psych about doing a very gradual taper, and asked him to prescribe liquid gab so I could estimate more accurately the amount I was taking, but he refused, saying that he had never heard of it. I had already asked my Walgreens pharmacist about liquid, and he said, yes, they did carry it. My doctor said, have them call me. As I was about out of the drug, I had him write me a new prescription for the usual 100 mg capsules, and not to follow up on the liquid issue, as there was not time. My doctor suggested that I break open one of the capsules, dump out some of the powder, put that capsule back together, then take that capsule with two 100 mg, and gradually dump out more powder until I am able to taper down to 200 mg, and use the same procedure to keep tapering down. I had previously twice tried tapering down to 2 capsules nightly, but both times, I had insomnia and woke up with a lot of anxiety, which even a dose of Klonopin (I usually take half a pill, as the full amount puts me to sleep, plus I work and can't take it in the daytime) did not help much. I only felt better when I went back on the 300 mg nightly. Is there a way to measure the powder in a capsule more accurately? I am considering finding another psychiatrist because of this issue, though I like my doctor otherwise.