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

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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. Ihab Ibrahim
1,120 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. Jack Hinkle
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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.

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. Jack Hinkle
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Living with Neuropathy (Checklist)

Exercise
Once
Manage pain
Once
Try gait and balance training
Once
Take medications as directed
Once
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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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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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Living with Neuropathy (Checklist)

Monitor blood sugar levels
Once
Wear loose-fitting shoes
Once
Abstain from alcohol
Once
Stop smoking
Once
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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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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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Living with Neuropathy (Checklist)

Treat with a rehabilitation professional who can coordinate your care.
4x year
If you are having difficulty with handling things, treat with an OT.
monthly
If you are having trouble walking or balancing, treat with a PT.
monthly
If you are having trouble with pain, see your doctor; avoid opioids.
4x year

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
420 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. Jack Hinkle
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