What is the lowest dose of Gabapentin
Can you take the lowest dose of gabapentin in the beginning and get relief? My presciption is for 300 mg and I think that is way to high for me as I only take at night as needed ( by doctors orders ) or can take up to 3x's a day but I'm opting for supplements so if I did have a really bad day is a lower dose helpful as this still new for me . I thought I'd read where some that are doing supplement have taken as low as 30 mg for relief and might take that daily but not sure .
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When I was DXed, I was handed a prescription for 300 mg. capsules, with instructions for titrating up to 900 mg./day over 3 days.
http://www.ncbi.nlm.nih.gov/pubmed/12637113 I thought this was high also, so after some discussion, the neurologist agreed to rewrite the scrip for 100 mg capsules, taken at night as needed, and I would titrate up if necessary. AFAIK, 100 mg is the smallest dose available/made. This amount was sufficient to address the burning pain I was having at the time, and I only took it a few times before learning of and starting R-Lipoic Acid (RLA). The RLA worked extremely well for me, and I haven't needed any gabapentin since (over a year). I read someplace online (can't find the link :icon_sad:) that the sooner RLA is started, the sooner and better it works. Others' results vary. Doc |
I dont want to highjack this thread, but I have a question along these lines.
Do you take Gabapentin as needed (when you hurt) or at specific intervals. I take 100 4x a day as instructed. I really dont know if it helps or not, but it seems harmless. Does it need to build up in your system or can it be taken like a pain pill? Thanks! Quote:
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http://en.wikipedia.org/wiki/Gabapentin#Withdrawal In my case, the need was occasional, and I was on the minimum dosage, so there was no place to taper down to... If you can't tell if it's helping or not (you should have within a few days) then your dose may not be high enough, or the med just isn't effective for you. In either case, let your doctor know; s/he may want to try increasing the dosage before discontinuing/tapering off. This med does work very well for some people, so I think it should be given a chance when the side effects are not intolerable, and it doesn't sound like they are. Doc |
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My DW & I help each other with these little battles, as we can view each others' situations more objectively than ourselves - our own judgment/objectivity colored by misery. Generally (but not always), if it comes down to losing a day either way, why lose it in abject misery? That's the way our doctor sees/puts it; we just have to remind ourselves/each other. Doc |
Thanks for this thread, I was given 300mg and told to titrate up to 1200 in 3 weeks so didn't take it. I tried to get him (pain clinic) to give me a smaller dose and he wouldn't do it, maybe I won't go back there.
thanks, judi |
People really vary in how their brains are wired. Different ratios of neurotransmitters, and receptors. So they tend to respond differently to drugs.
This has been a huge problem with antidepressants, which now we hear "really don't even work" ! So what works for one person many be very different for another. And some doctors do not like anyone questioning them, or making suggestions. I personally think those types of doctors are insecure, and become combative when threatened by knowledgeable patients. I never took gabapentin. Luckily for me it wasn't available when I was at my PN worst, and today, I am loathe to even consider it. In fact only Elavil was around then! I tend to bloat/edema and I don't even want to try either gabapentin or Lyrica. |
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