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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can The Bowel Problems Caused Due To Gabapentin Intake Be Managed?

Hi, my dr. Started me on Gabapentin to help control my migraines. I have been on it for 4 weeks now. I have IBS and have been having severe constipation since taking it. I take 100 mg twice a day. My concern is that my sensation to evacuate my bowels isn t there any more. I am due to see a neurologist next week but should I see someone before then?
Wed, 4 Sep 2019
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Internal Medicine Specialist,  's  Response
Hello,

Gabapentin can cause constipation as side effects. The prophylactic treatment of migraine includes also sodium valproate, topiramate, amitriptyline, nortriptyline, flunarizine, etc.

In case IBS-predominant constipation (IBS-C) is troublesome, switch over to alternative prophylactic drug for migraine may be tried.

Lubiprostone is a new class of compounds for treatment of chronic constipation with IBS.

You may seek the opinion of Gastroenterologist prior to Neurologist appointment.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Tushar Kanti Biswas, Internal Medicine Specialist
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How Can The Bowel Problems Caused Due To Gabapentin Intake Be Managed?

Hello, Gabapentin can cause constipation as side effects. The prophylactic treatment of migraine includes also sodium valproate, topiramate, amitriptyline, nortriptyline, flunarizine, etc. In case IBS-predominant constipation (IBS-C) is troublesome, switch over to alternative prophylactic drug for migraine may be tried. Lubiprostone is a new class of compounds for treatment of chronic constipation with IBS. You may seek the opinion of Gastroenterologist prior to Neurologist appointment. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Tushar Kanti Biswas, Internal Medicine Specialist