Quote:
Originally Posted by SylvieM
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The problem is that our brains are the "most complicated things we know of in the universe, " as they say on PBS! Therefore, drugs designed to address neurological issues can have unexpected and sometimes antithetical effects. (For example, this med designed for seizures, was only later determined to be efficacious for neurological pain).
I'm glad you, Patrick, and so many people here, have a good response to gabapentin for pain... However, the makers of Neurontin were sued because of suicides that occurred among users who had never before been depressed. There is now a black box warning for this possible outcome.
My best guess is that my severe PN....whIch I noted, began with the acute onset of dysautonomic symptoms, followed a hypertensive and anaphylactic (!) crisis with antidepressant medication. I think it was a variant of serotonin syndrome. ...but I'll never know. I'm left hypersensitive to most medication....and I often have antithetical responses. It makes treatment really difficult.
So, as Elaine noted, gabapentin has an incredibly long list of side effects....most might be rare, but they are listed for a reason. I'm glad she warned Carrie not to abruptly terminate this med.....but it still might be the reason for her panic attacks.
We just unfortunately have a disease of our very poorly understood and highly complex organ...our brain...which is why treatment is often frustratingly indirect and dicey.
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I am not saying I have a good reaction to Gabapentin or that i recommend it. I am merely pointing out that it is a very unpredictable drug. There are some good side effects, but by and large they are not worth it in my opinion. i think it is one of the least effective treatments for neuropathy out there. The people I know who do say it works for the neuropathy pain are almost always taking it in conjunction with another drug(s). For me, the only thing i see in it is as a sleep aid at this point. I would not recommend it to people with neuropathy. I would sooner recommend supplementation, most notably, B12, B1, R-Lipoic Acid, Magnesium and Vitamin D. B1 and R-Lipoic Acid actually give pain relief and all of the above supplements feed essential nutritional needs for nerve repair.
I agree that getting off the drug can likely cause panic attacks. For the same reason that it alleviates them I would think withdrawal could aggravate the panic attacks. The drug scrambles the brain signals, it is extremely likely.
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Diagnosis: Idiopathic Small Fiber Neuropathy (Statin Induced)
• R-Lipoic Acid: 100mg - 300mg Daily
• Acetyl-L Carnitine: 1500mg Daily
• Vitamin B12: 1000 mcg Daily
• Magnesium 500mg Daily
• Grape Seed Extract 200mg Daily
• Benfotiamine 300mg daily