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Doctor insights on: Long Term Use Of Gabapentin For Relief Of Peripheral Neuropathy

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Dr. Michio Abe
Board Certified, Internal Medicine
20 years in practice
4M people helped
1

1
Is long term use of gabapentin for relief of peripheral neuropathy a good idea?

Is long term use of gabapentin for relief of peripheral neuropathy a good idea?

Gabapentin: In general, Gabapentin is well tolerated and used safely long term. But as with any other medications, it has potential side effects such as mood disturbances, dizziness, fatigue, leg swelling, low white cell count, low platelet count, and renal failure. In rats, pancreatic cancer is reported. It should be used with caution in chronic kidney disease and should not be stopped suddenly. ...Read more

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Dr. Umesh Patel
Board Certified
36 years in practice
410K people helped
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Dr. Ihab Ibrahim
1,198 doctors shared insights

Nerve Damage (Definition)

A complete nerve transection will leave an area totally numb. The distribution of the numbers depends upon where the nerve was cut. A partial nerve injury may leave the area tingly or incompletely numb. Finally even if the nerve is not cut the swelling and bruising to the tea can affect the nerve as well. Usually we consider sharp penetrating injuries as likely having nerve lacerations when sensation is lost. A hand surgeon can examine the hand and pinpoint the site or extent of nerve injury and recommend ...Read more


Dr. Bennett Machanic
Board Certified, Neurology
46 years in practice
47M people helped
2

2
What is a good med for peripheral neuropathy? I can't take Gabapentin.

What is a good med for peripheral neuropathy?  I can't take Gabapentin.

Not major problem: Many choices including Lyrica (which may be tolerated better than gabapentin, but also consider Horizant and Gralise). Might try Cymbalta, Savella, amitryptyline, but may benefit from lamotrigine, levetiracetam, other tricyclics or even SSNRI's. But maybe find etiology of neuropathy and treat cause directly. ...Read more

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Dr. Umesh Patel
Board Certified
36 years in practice
410K people helped
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Dr. Hatem Nour
Board Certified, Psychiatry
22 years in practice
64K people helped
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What is the average dosage of gabapentin for peripheral neuropathy?

What is the average dosage of gabapentin for peripheral neuropathy?

Varies : Usually 600 mg three times a day. More or less, depends on tolerance to side effects. ...Read more

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Dr. Ronald Krauser
Board Certified, Rheumatology
46 years in practice
65M people helped
4

4
Does gabapentin prevent peripheral neuropathy from getting worse?

Not exactly: Gabapentin can help control the symptoms of a peripheral neuropathy but it is less likely to really alter the ultimate course. ...Read more

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Dr. Umesh Patel
Board Certified
36 years in practice
410K people helped
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Dr. Jack Rubin, M.d.
Board Certified, Nephrology and Dialysis
42 years in practice
4M people helped
5

5
I take gabapentin 300 mg twice a day for severe bilateral peripheral neuropathy pain. Is 900 mg a day safe for kidneys? I'm stage 3, PKD patient.

Increase Gabapentin?: Gabapentin (g) toxicity in patients with chronic kidney disease (ckd) is under recognized. Patients with ckd often receive inappropriately high g dosage for their kidney function, occasioning overt toxicity; advanced age and comorbidity predispose ckd patients to toxicity. I would ask your nephrologist's (c) opinion before increasing the dose, as the n knows you the best. ...Read more

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Dr. Jerold Kreisman
Board Certified, Psychiatry
42 years in practice
26K people helped
6

6
Was prescribed Neurontin 1200 mg a day. Does it help releive peripheral neuropathy symptoms and how long does it take to have an effect ?

Helps relieve sympto: This is average dose. Neurontin (gabapentin) helps peripheral neuropathy. If partially helpful, and without side effects, consider increasing dose. If not helping, consider change to different medicine. ...Read more

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Dr. Linda Callaghan
Board Certified, Addiction Medicine
47 years in practice
1M people helped
7

7
Can I take cymbalta and gabapenten together for sudden onset peripheral neuropathy of the feet. What is the usual dose that cymbalta startsvto be effe?

Go to your PCP: It would be best to start one medication at a time to see your response. Every individual response to Cymbalta is different but you can start at 30 mg. Once you've established the dose for Cymbalta and your neuropathy is still troublesome, you can add Gabapentin. It is best to have your doctor monitor your medication. ...Read more

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Dr. William Singer
Board Certified, Pediatric Neurology
45 years in practice
5M people helped
9

9
I have been taking Neurontin for peripheral neuropathy because i was told it will stop nerve damage from progressing. Is that true ?

I have been taking Neurontin for peripheral  neuropathy because i was told it will stop nerve damage from progressing.  Is that true ?

Neurontin: Neurontin is commonly used to treat nerve pain in peripheral neuropathy. It does not stop the progression of the damage. That requires understanding the cause of the pain and treating that cause. ...Read more

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Dr. Jeffrey Kahn
Board Certified, Podiatry
38 years in practice
266K people helped
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Gabapentin (Definition)

Also called neurontin, is an anticonvulsant medication used to treat seizure, also for post-herpetic neuralgia & other neuropathic pains, as well as restless leg syndrome. It works by lowering excitation ...Read more


Dr. Adam Lewis
447 doctors shared insights

Peripheral Neuropathy (Definition)

Peripheral neuropathy is a generic medical term for dysfunction of the nerves that carry information to and from the central nervous system (the ...Read more


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Dr. Umesh Patel
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36 years in practice
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