Gabapentin Can be used for a lot of Nerve Pain related health conditions including Cough, Hot Flashes, Alcohol Withdrawal, Anxiety 161 reviews, Bipolar Disorder, Trigeminal Neuralgia, Postherpetic Neuralgia, Migraine, Insomnia， Occipital Neuralgia， Peripheral Neuropathy，Vulvodynia, Benign Essential Tremor, Epilepsy, Fibromyalgia, Pain Relief, Diabetic Peripheral Neuropathy , Neuropathic Pain，Reflex Sympathetic Dystrophy Syndrome，Periodic Limb Movement Disorder， Spondylolisthesis， Burning Mouth Syndrome，Pudendal Neuralgia， Small Fiber Neuropathy.
Use only the brand and form of gabapentin that your doctor has prescribed. Check your medicine each time you get a refill at the pharmacy, to make sure you have received the correct form of this medication. Do not stop taking Gabapentin unless your doctor tells you to. If your treatment is stopped it should be done gradually over a minimum of 1 week. If you stop taking gabapentin suddenly or before your doctor tells you, there is an increased risk of seizures.
You can buy Neurontin at any drug store, if you have a prescription. But if you want to save your money, the best variant for you is to buy Neurontin or generic Neurontin (Gabapentin) from an online pharmacy.
We sell both gabapentin tablets and capsules.
Neurontin is a trade mark that is owned by Pfizer company.
Gabapentin is also manufactured and marketed by other pharmaceutical companies all over the world. However it can not be marketed under the brand name Neurontin, so you can find many other medicines having absolutely the same compound, effect and safety level as Neurontin, some of those medicines are: Fanatrex, Gabarone, Gralise, Nupentin. All of these medicines are called “generics of Neurontin”.
These medicines, as they are less advertised, are much cheaper than Neurontin. However they can be hardly found at local drug stores, the only option you have, if you want to save your money and receive a high quality medicine, is to buy generic
Neurontin at our online pharmacy, which guarantees you the highest quality of the medicine, and affordable price at the same time.
When Neurontin (Gabapentin) is prescribed?
Neurontin is prescribed for the treatment of the following conditions in adults and children over 3 years:
Various forms of epilepsy. Usually doctors prescribe prescribe Neurontin for patients to help them to treat your epilepsy when a current treatment is not fully controlling his/her condition. Neurontin is used as addition to the main treatment of epilepsy.
Peripheral neuropathic pain (long lasting pain caused by damaged nerves). This disease can occur and develop in various conditions: injury, diabetes, shingles, and others.
Your doctor may prescribe you Neurontin for the treatment of other diseases, if he thinks that it is a right medicine for your case.
Before you start the treatment with Neurontin
When your doctor prescribes you Neurontin, you should necessarily inform him about the following:
If you are hypersensitive to Gabapentin
If you have any allergy
If you have any chronic or acute disease
If you are on haemodialysis
If you are taking some other medicines at the moment
If you are pregnant, breastfeeding, or plan to become pregnant or breastfeed in near future
Pharmaceutical form of Neurontin (Gabapentin)
Capsules
Neurontin is supplied in a form of capsules by 100 mg, 300 mg or 400 mg of Gabapentin.
Capsules also contain lactose monohydrate, maize starch, talc, gelatin, purified water, and sodium lauryl sulphate.
Film-Coated Tablets
Neurontin is supplied in a form of film-coated tablets by 600 mg or 800 mg of Gabapentin.
Tablets of Neurontin also contain poloxamer 407 (ethylene oxide and propylene oxide), copovidone, maize starch and magnesium stearate, opadry white YS-1-18111 (hydroxypropylcellulose, talc), candelilla wax.
Oral solution
Neurontin oral solution if supplied in bottles containing 470 ml.
Dosage of Neurontin and special recommendations
For the treatment of postherpetic neuralgia in adults, the following daily dosage is prescribed: a single 300mg dose of Neurontin on Day 1, 600 mg/day on Day 2 (divided in 2 intakes), and 900 mg day on Day 3 (divided in 3 intakes). If the effect of Neurontin is insufficient, the daily dose may be gradually increased to 1800 mg (divided in 3 intakes).
Clinical studies show that the most effective and optimal daily dosage is 1800 mg daily, doses exceeding this amount do not show improvement of the effect achieved by the daily dose of 1800 mg.
For the treatment of epilepsy, Neurontin is used in different doses for children over 3 years and for adults, the daily dose of Neurontin for adults and children over 12 years is: from 900 to 1800 mg/day taken in divided doses (three times a day), using 300 or 400 mg capsules, or 600 or 800 mg tablets. The starting dose is 300 mg three times a day.
If necessary, the daily dose may be increased using 300 or 400 mg capsules, or 600 or 800 mg tablets three times a day up to 1800 mg/day. The interval between the previous dose and increased dose should be no less than 12 hours.
For the treatment of epilepsy in children under 12 years the following dosage is prescribed: the starting dose should range from 10–15 mg/kg/day, the dose should be divided in 3 doses. In order to find the correct dose, it is recommended to increase the dose gradually in 3 days.
The optimal dose of Neurontin in patients of 5 years and older is 25–35 mg/kg/day, the maximum dose is 40mg of Neurontin taken in 3 intakes. Neurontin in children can be administered as the oral solution, capsule, or tablet, or using combinations of these formulations.
Patients with diabetes and acute renal failure should take reduced doses of Neurontin.
Neurontin is a medication that is available these days for the purpose of treating problems in relation to epilepsy. It is an anticonvulsant medication that helps you in controlling seizure symptoms. In case when you need to buy this medication, you can do that online. But you should be cautious when you buy it.
Buy this from a reputed online pharmacy store. When you take generic Neurontin there will be a cost benefit as available to you. But make sure you know that how you should take this medication and all the precautions that you need to take.
When you are on Gabapentin or Neurontin you should wear an ID card having personal info and your physicians contact number. In case of any serious complication in an emergency there can be some help that can be demanded.
Gabapentin Usage
You should use Gabapentin exactly as per your doctors advice. You should report him in case when you have some allergic reactions like hives, skin rashes and breathing problems. You should also tell your doctor if there are any side effects.
Patients having heart diseases, liver diseases and kidney diseases should be very much cautious when this medication is used. It should be taken only with doctors instructions and also there should be some amount of special medical attention that will be needed.
It is important to note that Gabapentin may give you suicidal thoughts and this can happen and you should therefore be in touch with your doctor when this medication is going on.
If you feel that the problems have worsened and there is depression, agitation, anxiety and seizures you must immediately tell your doctor about this. He may have to change the dose or at least change the medication.
It is up to the care givers to give extra attention to patients going through this phase and who are on Generic Neurontin.
It is still not known that whether this medication can be taken safely by pregnant women or not. But still, it is vital that you tell the doctor about pregnancy and plans to become pregnant so that he can guide you over the issue.
This medication can get into the blood and via that into the breast milk. Thus females who are nursing mothers should avoid generic Neurontin or Neurontin.
You should ask your doctor about all the instructions that are required to be followed when he tells you to buy this medication. You should ask about all the doubts that you have. You must also read the instruction list that comes with the medication.
It is also important to note that some doctors prescribe other medications also along with Neurontin so as to get effective treatment for the problem. It is vital to know that this epilepsy medication is not apt for children below3 years of age. The combination drugs with Neurontin are apt for children who are above 12 years of age.
If you are aware of the mentioned precautions you can take safe steps for treatment.
This medication may create a few risks for patients who are already suffering from problems like kidney, liver or heart problems. Thus if you have any such problems or you are tasking any medication in relation to these disorders then you should tell this to your doctor in advance.
You should be very specific about the scheduled appointments. Make sure that you check your doctor regularly and this is something for your safety.
If after starting the medication you feel that the problems have worsened then in that case you should be quite cautious. You should tell about this to the doctor and he will take the required action that may be needed.
Not many people are aware of the medical condition that is known as Diabetic Neuropathy however more and more people are being diagnosed with having it, and if you have been recently diagnosed with Diabetic Neuropathy then you will need to start to take drug to help manage and control that condition.
The best drug you can take is the fast acting Gabapentin and one of the main reasons why many people who do have Diabetic Neuropathy will take that drug is that it is not only fast acting as mentioned but it is also a very low cost drug to purchase too.
Please do spend some time researching more information on Diabetic Neuropathy for when you do you will find that the very best course of action will be first to get that condition diagnosed by a Doctor and then the best treatment available will be by you then taking Gabapentin regularly to control that condition.
You will also be best advised to also spend a few minutes watching the following video that is going to explain to you more about Diabetic Neuropathy including the Types, Symptoms, Prevention and Treatment of Diabetic Neuropathy which you will certainly find very informative and educational too.
Also please do be aware that we do have a range of other articles and guides dotted around this website that will also give you additional information on a range of similar medical conditions that you may be suffering from or experiencing, so please do spend as much time as you like looking around our website as all of that information is free to access.
We also update our website continually with other related news stories and articles so do consider bookmarking this website and checking back regularly too.
If you do want to take Gabapentin to treat diabetic neuropathy then please do be aware there can be some side effects, and before you make a purchase of Gabapentin you will be best advised to find out what the side effect of Gabapentin when taking it to treat diabetic neuropathy, and if at any time you start to experience any of those side effects then please seek the advice of a Doctor or a medical professional.
There are going to be plenty of places online that you can buy Gabapentin, however when you make the very wise decision of using us as your official suppler of Gabapentin you are guaranteed of having the very lowest prices available to you and also as an approved stockist you will of course always be guaranteed of receiving genuine Gabapentin too.
To place an order right away simply click onto any of the order now links displayed on this site.
Gabapentin in the treatment of painful diabetic neuropathy: a placebo controlled, double blind, crossover trial [1]
Painful neuropathy is a common and disabling problem in patients with longstanding diabetes mellitus. Tricyclic antidepressant drugs and other chronic analgesics have been beneficial in some patients,1 but no agent successfully relieves pain in most patients and adverse effects often preclude their use in high doses.
Anecdotal reports suggest that gabapentin ameliorates pain associated with neuropathy and other neurological conditions with few side effects. We conducted a randomised, double blind, placebo controlled trial to study the effect of low dose gabapentin in patients with painful diabetic neuropathy.
We recruited 40 patients with painful diabetic neuropathy who had (1) diabetes for at least 6 months on a stable dosage of insulin or oral hypoglycaemic agent, (2) distal symmetric sensorimotor neuropathy as shown by impaired pin prick, temperature, or vibration sensation in both feet and absent or reduced ankle reflexes, and (3) daily neuropathic pain in the acral extremities, of at least moderate severity, for over 3 months that interfered with daily activity or sleep. Excluded were those with diabetes and chronic renal insufficiency, painful diabetic plexopathy, or lumbosacral polyradiculopathy, peripheral vascular disease, another painful condition, or other cause for neuropathy. Patients were randomly assigned to gabapentin (300 mg capsules) or placebo for 6 weeks (phase I) followed by a 3 week washout period and then crossover (phase II).
The dose of gabapentin or placebo was increased by one capsule every 3 days to a stable dosage of one capsule three times daily (900 mg/day) that was maintained throughout the remainder of the treatment period. The low dosage of gabapentin was chosen to minimise adverse effects that might compromise blinding. Treatment with stable dosages of non-steroidal anti-inflammatory agents or narcotics were permitted during the trial but patients discontinued all other chronic analgesic medications 3 weeks before study entry.
At the beginning and end of each treatment period, patients rated their level of pain over the preceding 24 hours on a 10 cm visual anologue pain scale (VAS), ranging from 0 (“no pain”) to 10 (“worst pain ever”). Present pain intensity (PPI, “rate how much pain you have at this moment,” using a similar 0–10 scale) and the McGill pain questionnaire (MPQ) were recorded at the initial and final visits of each treatment period.
At the end of each treatment period patients provided a global assessment of pain relief: none, mild, moderate, or excellent, as compared with the level of pain preceding each treatment period. The global assessment of pain relief was dichotomised (none/mild vmoderate/excellent) for purposes of analysis. The protocol was approved by the Institutional Review Board at St Elizabeth’s Medical Center and all patients gave written informed consent.
There were 31 men and nine women, with an average age of 62 years (SD 10.9 years, range 43–82 years). All but one had adult onset diabetes mellitus, with a mean duration of 14 years (SD 9.9 years, range 6 months-40 years). Ten had neuropathic pain limited to the feet, 19 had pain in the feet and legs, and 11 had pain in the feet, legs, and hands. The mean duration of neuropathic pain was 4 years (SD 3.5 years, range 4 months-15 years). Twenty five had previously used narcotics or other chronic analgesics to manage their pain.
Nineteen patients were randomised to the active drug and 21 to placebo during the first treatment period. The mean reduction in the MPQ score was 8.9 points with gabapentin compared with 2.2 points with placebo (p=0.03, two sample t test). There were no differences in the mean change of the VAS or PPI scores between gabapentin and placebo (table).
Fourteen patients reported moderate or excellent pain relief with gabapentin only, six with placebo only, and three with both; 17 reported none or mild relief after both treatments (p=0.11, McNemar’s test). There were no serious adverse events. Adverse effects were significantly more common with gabapentin (12 patients) compared with placebo (four patients, p<0.001, McNemar’s test). The most common side effects of gabapentin were drowsiness (six patients), fatigue (four), and imbalance (three). All adverse effects resolved promptly after discontinuation of the drug.
Comparison of mean change in pain scales between gabapentin and placebo
Anecdotal reports suggest that gabapentin has beneficial effects in patients with various painful neurological conditions, including HIV neuropathy,2 postherpetic neuralgia,2 and reflex sympathetic dystrophy.3 The mechanism of action of gabapentin in ameliorating pain is unknown, but animal studies suggest that its pain modulating properties may be linked to the release of the neurotransmitter GABA in spinal cord pathways that modify pain perception.
There was statistical improvement in only one of four end points, the MPQ score, with gabapentin compared with placebo. The MPQ is a valid, consistent, and reliable measure of subjective pain experience, and usually correlates with other measures of pain intensity, including the VAS and PPI scales.4 We designed the study to have an 80% power to detect a 20% reduction in pain scores, reflecting a modest but clinically important improvement.
The mean change of the VAS and PPI scales and the patient’s global assessment of pain relief were not significantly different from placebo. We used a crossover design because of its statistical efficiency, but the MPQ and VAS scores did not return to baseline after crossover in patients who received gabapentin in phase I (the washout period was inadequate); therefore, we may have underestimated improvement with gabapentin in the VAS scale that may have been detected using a parallel group design.
Furthermore, a limitation of our study was that quantitative measures (for example, nerve conduction studies, quantitative sensory thresholds) were not used to further characterise the type of neuropathy. Because of the heterogeneous nature of neuropathic pain in our study patients, we may not have identified a subset of patients who improved with gabapentin. Alternatively, the dosage of gabapentin may have been too low to induce analgesia in patients with painful diabetic neuropathy, although similar regimens have been reported to be effective in patients with other painful conditions.
The results of this study suggest that gabapentin is probably ineffective or only minimally effective for the treatment of painful diabetic neuropathy at a dosage of 900 mg/day.
Gabapentin may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away:
drowsiness
tiredness or weakness
dizziness
headache
uncontrollable shaking of a part of your body
double or blurred vision
unsteadiness
anxiety
memory problems
strange or unusual thoughts
unwanted eye movements
nausea
vomiting
heartburn
diarrhea
dry mouth
constipation
increased appetite
weight gain
swelling of the hands, feet, ankles, or lower legs
back or joint pain
fever
runny nose, sneezing, cough, sore throat, or flu-like symptoms
ear pain
red, itchy eyes (sometimes with swelling or discharge)
Side effects that you should report to your prescriber or health care professional as soon as possible:
difficulty breathing or tightening of the throat
swelling of lips or tongue
rash
worsening of mood, thoughts or actions of suicide or dying
fever
hyperactivity
hostile or aggressive behavior
mood changes or changes in behavior
difficulty concentrating
Side effects that usually do not require medical attention (report to your prescriber or health care professional if they continue or are bothersome):
constipation
difficulty walking or controlling muscle movements
dizziness, drowsiness
dry mouth
back pain, joint aches and pains
indigestion, gas or heartburn
loss of appetite
nausea
pain, burning or tingling in the hands or feet
restlessness
sexual difficulty (impotence)
skin itching
slurred speech
sore gums
tremor
weight gain
Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.
Check with your doctor immediately if any of the following side effects occur:
More common
Clumsiness or unsteadiness
continuous, uncontrolled, back-and-forth, or rolling eye movements
More common in children
Aggressive behavior or other behavior problems
anxiety
concentration problems and change in school performance
crying
depression
false sense of well-being
hyperactivity or increase in body movements
rapidly changing moods
reacting too quickly, too emotional, or overreacting
restlessness
suspiciousness or distrust
Less common
Black, tarry stools
chest pain
chills
cough
depression, irritability, or other mood or mental changes
fever
loss of memory
pain or swelling in the arms or legs
painful or difficult urination
shortness of breath
sore throat
sores, ulcers, or white spots on the lips or in the mouth
swollen glands
unusual bleeding or bruising
unusual tiredness or weakness
Incidence not known
Abdominal or stomach pain
blistering, peeling, or loosening of the skin
clay-colored stools
coma
confusion
convulsions
dark urine
decreased urine output
diarrhea
dizziness
fast or irregular heartbeat
headache
increased thirst
itching or skin rash
joint pain
large, hive-like swelling on the face, eyelids, lips, tongue, throat, hands, legs, feet, or sex organs
loss of appetite
muscle ache or pain
nausea
red skin lesions, often with a purple center
red, irritated eyes
unpleasant breath odor
vomiting of blood
yellow eyes or skin
Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:
More common
Blurred vision
cold or flu-like symptoms
delusions
dementia
hoarseness
lack or loss of strength
lower back or side pain
swelling of the hands, feet, or lower legs
trembling or shaking
Less common or rare
Accidental injury
appetite increased
back pain
bloated or full feeling
body aches or pain
burning, dry, or itching eyes
change in vision
change in walking and balance
clumsiness or unsteadiness
congestion
constipation
cough producing mucus
decrease in sexual desire or ability
difficulty with breathing
dryness of the mouth or throat
earache
excess air or gas in the stomach or intestines
excessive tearing
eye discharge
feeling faint, dizzy, or lightheadedness
feeling of warmth or heat
flushed, dry skin
flushing or redness of the skin, especially on the face and neck
frequent urination
fruit-like breath odor
impaired vision
incoordination
increased hunger
increased sensitivity to pain
increased sensitivity to touch
increased thirst
indigestion
noise in the ears
pain, redness, rash, swelling, or bleeding where the skin is rubbed off
passing gas
redness or swelling in the ear
redness, pain, swelling of the eye, eyelid, or inner lining of the eyelid
runny nose
sneezing
sweating
tender, swollen glands in the neck
tightness in the chest
tingling in the hands and feet
trouble sleeping
trouble swallowing
trouble thinking
twitching
unexplained weight loss
voice changes
vomiting
weakness or loss of strength
weight gain
Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.
We do not suggest you to take Fioricet or Gabapentin for a long time, you need go to your local health professional to treat your pain without prescription. We think exercising is the best way to relieve your pain. Exercising is a very good methods. Exercising can enhance your immune system and increase your muscle strength and make your nerve strong.
You can also take some nutrition from food.
We do not suggest you to take Fioricet or Gabapentin for a long time, you need go to your local health professional to treat your pain without prescription. We think exercising is the best way to relieve your pain. Exercising is a very good methods. Exercising can enhance your immune system and increase your muscle strength and make your nerve strong.
