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Traumatic Brain Injury and Post Concussion Syndrome For traumatic brain injury (TBI) and post concussion syndrome (PCS). |
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#1 | ||
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Thanks for the quick reply. I was a little hesitant about starting this medication but I do feel there is some benefit. Do you know what kind of dangers are associated with taking the supplements at the same time as the gabapentin dose? It baffles me (even though it shouldn't at this point) that my neuro failed to mention this and the local pharmacist didn't even know the mechanism of action.
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#2 | ||
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Legendary
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It decreased absorption. The interaction checker says to just have a 2 hour separation between gabapentin and magnesium. No big deal. The risk is not getting enough gabapentin if it is taken to prevent seizures.
Rather than deal with 2 hours, I just take them at different times of the day. |
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#3 | ||
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I was also prescribed gabapentin for constant headaches at the suggestion of a PT who likened my pain receptors to motion sensing lights that were tuned to turning on at ants as opposed to people. I haven't taken it yet, as I had just finished being prescribed a bunch of muscle relaxers and prednizone that didn't help, and am kind of sick of medication. Any insight into whether gabapentin might help? I've heard that it's a medication doctors often try to treat a number of things, but you often need to take it at very high doses.
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26 year-old PhD student in evolutionary biology, slipped on ice in Feb 2014 while clipping my fingernails and walking to save time (dumbest reason for PCS ever?). Initially just had headaches and didn't feel quite right, but a minor head bump 5 days later started a downward spiral of anxiety, depression, insomnia and fatigue. Had trouble concentrating on reading/looking at screens April 2014 - did exertion test, passed, started exercising and doing more, but didn't feel much better. May 2014 - Went on backpacking trip OK'd by doctor, trip itself went fine, but felt worse a few days after getting back, more difficulty concentrating, worse headaches. June 2014 - Bumped head on ceiling walking slowly down stairs, no immediate symptoms, but caused worsening headahces, more difficulty concentrating and looking at screens. Have not felt as good as I did before this since this bump. December 2014 - after feeling relatively better I went xc skiing and fell but didn't hit my head (something my psychologist who specializes in brain injuries told me he hoped would happen so I saw it was OK), felt worse Feb 2015 - back in grad school, light teaching load and some research, nowhere close to operating at my full capacity. Still have constant headaches, difficulty reading/looking at screens, mild anxiety and depression, and just not feeling like my normal sharp self. Trying, but struggling, to believe that I'll get back to my old self, or at least get close. |
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#4 | ||
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Legendary
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Gabapentin works at low doses such as 300 to 600 mgs. High doses are 1200 to 3600 mgs. I was on 1200 mgs for a few years.
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#5 | ||
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Junior Member
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This drug is fantastic for a range of conditions. It's a great anticonvulsant. It's also very useful for chronic pain conditions:
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4146212/ http://www.ncbi.nlm.nih.gov/pubmed/15564948 http://www.researchgate.net/post/Whi...h_chronic_pain I'm on Pregabalin which is the 2nd generation version: http://www.ncbi.nlm.nih.gov/pubmed/23374941 http://www.ncbi.nlm.nih.gov/pubmed/22879908 http://www.ncbi.nlm.nih.gov/pubmed/19539427 http://www.ncbi.nlm.nih.gov/pubmed/20056767 The pregabalin stops my hypnic jerking while trying to get to sleep: https://en.wikipedia.org/wiki/Hypnic_jerk Both show similar results, at least in chronic pain: http://www.nps.org.au/publications/h...013/pregabalin As with all drugs, both Gabapentin and Pregabalin can have side effects: http://www.drugs.com/answers/gabapen...hy-674995.html If you get bad side effects with one I would suggest trying the other. If you take them when you wake up, the cognitive side effects are going to be worse. My doctor has me take the pregabalin before bed and it makes falling off to sleep so easy. |
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#6 | ||
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I'm prescribed 300mg 3 times a day. The neurologist explained that it would help with my headaches at the original concussion site and perhaps aid in my anxiety and OCD symptoms. I originally tried taking it at night but it disrupted my sleep. I know that is a paradoxical effect.
That is why I take it during the day as well as at night. My brain seems to be getting used to it and it no longer disrupts my sleep as far as I can tell. I'm hesitant to dose 900 mg all at once, since I am rather sensitive to medications at this point. I've noticed some adverse effects but overall it seems to be helping. Perhaps, pregabalin would be better suited for me, but my neurologist is not very flexible. |
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#7 | ||
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Mark, have you ever had to discontinue your use of Gabapentin. I've been reading online and a lot of users report some terrible withdrawal symptoms similar to benzodiazapine withdrawal.
Any experience with the tapering or withdrawal of gabapentin? I'm currently taking your dose of 600 mg/night before bed. |
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