Neurontin (gabapentin) is in the class of drugs called anticonvulsants because they are used to treat seizures (epilepsy) and herpes zoster (shingles). Gabapentin is related to the brain chemical gamma aminobutyric acid (GABA) but exactly how it works is unknown.
Gabapentin can be taken with or without food at doses specifically directed by your physician. Individual doses vary greatly between individuals. Usually Neurontin is taken two to three times daily. Neurontin is currently not approved under the age of 12 years old. If discontinued, gabapentin should be gradually withdrawn (usually over one week) as directed by the doctor.
The effective dose of Neurontin is 900 to 1800 mg/day and given in divided doses (three times a day). The starting dose is 300 mg once Day 1, 300 mg twice Day 2 and 300 mg three times Day 3. If necessary, the dose may be increased up to 1800 mg/day.
Gabapentin appears to be relatively safe and has not been shown to interact with other drugs except for it's potential of added sedation. Gabapentin should not be taken within 2 hours of Maalox. Gabapentin may interfere with the reading of N- Multistix in detecting urine protein.
If you miss a dose, take it as soon as remembered if it is within an hour or so. If you do not remember until later, skip the missed dose and resume your usual dosing schedule. Do not "double-up" the dose to catch up.
Before taking Neurontin, tell your doctor if you are allergic to gabapentin, or any other drugs.
Tell your doctor what prescription and nonprescription medications you are taking.
There are no adequate and well-controlled studies in pregnant women. Neurontin should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus.
Gabapentin is secreted into human milk following oral administration. Because the effect on the nursing infant is unknown, Neurontin should be used in women who are nursing only if the benefits clearly outweigh the risks.
Tell your doctor if you are pregnant, plan to become pregnant, or are breast-feeding. If you become pregnant while taking Neurontin, call your doctor.
If you are having surgery, including dental surgery, tell the doctor or dentist that you are taking Neurontin.
Neurontin may make you drowsy. Do not drive a car or operate machinery until you know how Neurontin affects you.
Alcohol can add to the drowsiness caused by Neurontin.
Possible side effects
When you first begin taking Neurontin you may experience some side effects such as drowsiness, dizziness, and fatigue. Consult your doctor if you experience any of these, as the dose may have to be adjusted.
If the epilepsy is not controlled, it is very important not to perform any potentially hazardous tasks, such as driving a car or operating dangerous machines. If the epilepsy is controlled, it is important to refrain from potentially dangerous tasks until the individual is sure this medication does not affect the mental alertness or physical coordination.
Avoid alcoholic drinks while taking Neurontin
If overdose of Neurontin is suspected, contact your local poison control center or emergency room immediately.
Keep Neurontin in a tightly closed container and out of reach of children. Store Neurontin at room temperature and away from excess heat and moisture (not in the bathroom).
Gabapentin is known to be substantially excreted by the kidney, and the risk of toxic reactions to Neurontin may be greater in patients with impaired renal function.
The above information is intended to supplement, not substitute for, the expertise and judgment of your physician, or other healthcare professional. It should not be construed to indicate that use of Neurontin is safe, appropriate, or effective for you.
Consult your health care professional before you