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Old 05-06-2015, 10:03 AM #1
twitchwitch twitchwitch is offline
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Originally Posted by Ragtop262 View Post
Oooooh, yes, Gabapentin withdrawal is not much fun. I was taking it for something other than PN several years ago and decided to go off because it wasn't doing anything for me.

Just like anything else, you have to go as slow as possible. I was taking 400 mg capsules 4 times/day. I went down to 3/day for a week, then 2/day for a week, then 1/day for a week. It wasn't fun, but not too bad up to that point. But when I tried to cut out that last dose per day, I felt so wired up - shaky, couldn't concentrate, etc.

I'm not necessarily recommending this, but what I did was to carefully open the capsules, dump them on a creased sheet of paper, remove some of the powder, pour the rest back into the capsule, and put the capsule back together with the new lower dose.

It does take a steady hand, and I kind of felt like some kind of a drug dealer - but it allowed me to continue tapering the dosage down a little at a time.

I know others have done it by putting the powder into a glass of water or juice, etc. But I found that Gabapentin is extraordinarily bitter, and the taste is very hard to cover up.

Hope that helps - Slow and steady is the way to go. Best of luck
I thought about breaking the capsules rather than sit for 2 hours in my neuros office just to get an updated RX which would give me the 100mg dosages. So instead of it all, I just stopped.

May I ask what kinds of symptoms you had when you stopped it, since you mentioned "it is not fun"? And how long did you have the withdrawal symptoms?
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Old 05-06-2015, 04:27 PM #2
Ragtop262 Ragtop262 is offline
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May I ask what kinds of symptoms you had when you stopped it, since you mentioned "it is not fun"? And how long did you have the withdrawal symptoms?
My symptoms were more mental than physical. Anxiety, agitation, couldn't concentrate, couldn't sit still.......... Of course, everyone is different, so you might experience something completely different.
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Old 05-06-2015, 09:44 PM #3
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Yes, I read that pain or seizures would come back. The thing with my pain is that it's not the same type of pain that I had before starting the gaba....so I wondered about that. And I also read that besides the returning pain, the symptoms are more mental....but I have anxiety and panic disorder anyway so that's something I wouldn't be able to tell.

Thanks everyone for your feedback! I really appreciate this forum and all of you!
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Old 05-07-2015, 03:11 AM #4
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I just wanted to post that just this morning I had to carry my laptop bag on one shoulder and a bag of groceries on the other (I chose my left since it was lighter). Soon after, that ONE SINGLE area of deep burning pain that I had back before the gabapentine came back. Ouch! Unfortunately, I had a long walk, so I had to manage somehow. But guess what that means - back on Gaba this morning.
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Old 05-07-2015, 06:16 AM #5
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Default When I titrated down from my maximum gabapentin dose--

--which at one point had reached 2700/mg day (and yes, I had many of the common side effects in the ramping up process, though many of these, other than the weight gain/bloating, were fairly short-lived), I did it VERY slowly, in the hope of avoiding the uptick in symptoms that happens with almost all symptom-dampening drugs due to the body's upregulation processes in response to drugs.

In the case of gabapentin, which works by reducing the neural firing rate of the central nervous system (it was originally developed as an anti-seizure med), the body naturally upregulates the neural firing rate in response, so titrating down too quickly brings that upregulating process to the fore before the body can recompensate, and one gets "withdrawl sysmptoms". (This is not unique to gabapentin; it happens with most drugs.)

In my case, I did get a supply of 300 and 100mg pills from my doctors, who I had told I was going to try to titrate down VERY slowly. I dropped the dosage, on average, 100mg per WEEK, subtracting it from individual dosages in a round-robin manner. Yes, it did take nearly half a year for me to get off completely, but I managed to avoid most of the upregulation compensation rebound symptoms.
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