“Gabapentin”  is an anti-seizure medicine mainly preferred for  management of peripheral neuropathic pains, partial-onset seizures and postherpetic neuralgia. It is an effective medicine for shingles, restless leg syndrome, Neuropathic neck pain, back pain. Gabapentin is also used off-label to treat neuropathic pain, fibromyalgia, bipolar disorder, postmenopausal hot flashes, essential tremors, anxiety, migraines resistant depressant and mood disorders, irritable bowel syndrome (IBS), etc.

Is Gabapentin Available Throughout The USA?

As per FDA gabapentin is not a controlled substance but in some states it is a schedule V controlled drug. The states include Alabama, Kentucky, Michigan, North Dakota, Tennessee, Ohio, West Virginia. The reason behind declaring it as a controlled substance is the misuse and rise in addiction of it. There was a sudden increase and abusal of Gabapentin.

To ensure safety, you must purchase Gabapentin through a legitimate telehealth company. Otherwise, you risk buying Gabapentin illegally and potentially counterfeit or dangerous ingredients.

How You Can Buy Gabapentin Online?

Thanks to telehealth medicine, prescriptions may now be purchased online more easily and quickly than ever before. Anticonvulsants medication, like Gabapentin and its generic version, can be purchased through various online platforms.

Buying Gabapentin online is a straightforward process which has provided an ease to order gabapentin online. A telehealth specialist will assess your health and issue an electronic prescription. The medicine will then be delivered to you in discreet packaging as per your choice of privacy, buying gabapentin over the counter is not preferable as it is not an otc.

While each online service is significantly different, although now a days the user interface lets the user to purchase easily, some sites also needs a confidential health examination and consultation with a virtual expert or physician before the drug is sent to you. Incase of any grievance or complaints the customer service will help you to solve.

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How Gabapentin Works To Relieve Pain?

As an anticonvulsant in drug class the working mechanism lets the gabapentin to effectively relieve pain. The mechanism of action is closely connected with the working of neurotransmitters. Gabapentin has no effect on GABA neurotransmitter binding, uptake, or degradation, however studies show that gabapentin alters the signals between the nerves and changes the way the brain perceives. In medical terms it binds to the α2δ subunit of voltage-activated calcium channels. Hence it also helps sometimes in migraines.

(Goa, K.L., Sorkin, E.M. Gabapentin. Drugs 46, 409–427 (1993)

How Does Gabapentin Help With Nerve Pain?

FDA also approved Gabapentin to treat nerve pain (neuropathic pain) resulting from the herpes virus and shingles. You can use Gabapentin in treating nerve pain known as neuralgia (it happens when there is damage to the nerve). Gabapentin(Neurontin) alters electrical signals in the damaged nerves and it changes the way brain perceive pain. It Works on the neurotransmitters.

It also helps in curing diabetic neuropathy caused by nerve damage in the feet. Severe and chronic pains can be healed with the help of Gabapentin. (Rose, M.A. and Kam, P.C.A., 2002. Gabapentin)

Precautions To Be Followed When Taking Gabapentin

Having precaution information can guide you through the use of gabapentin with care and also help to avoid the unwanted effects of it.

Read the instructions on the package carefully.

  • Take the medication exactly as prescribed by the doctor. 
  • You can take Neurontin with or without food. If you have a sensitive stomach, consider having it with food.
  • Consume the liquid medicine only with a measuring tool, and avoid using a kitchen spoon. 
  • Do not stop the drug abruptly. 
  • Do not perform activities that will require a lot of energy.
  • Do not consume antacid 2 hours before you take Gabapentin
  • Avoid consuming alcoholic beverages.
  • Consult a doctor before taking Gabapentin if you are Prone Kidney problems Having Depression, Facing Liver issues, Suffering from a heart disease
  • Gabapentin In Pregnancy​: If you are pregnant or planning to be a mother, talk to your doctor about the effects of consuming Gabapentin. At the moment, there is no study that confirms a negative impact on a fetus.
  • Monitor yourself closely after consuming Gabapentin. Your doctor may change your medicine if any negative impact is seen
  • Gabapentin And Breastfeeding​: As per the journal of lactation, Gabapentin is passed on to the infant via breastfeeding. It is hence important that the child is monitored closely by a physician.

Forms And Strengths Of Gabapentin​

Forms

Strengths

Tablet

600mg,800mg

Capsule

100mg, 200mg, 250mg

Liquid

250mg

Dosages Of Gabapentin​

Dosage (Usual)

Adult (18-64 years)

Initial Dose

Day1- 300mg

Day2- 600mg (300mg per dose)

Day3- 900mg (300mg per dose) (3 times)

 

Max Dose- 600mg per dose (1800mg per day)

Child (0-17 years)

Children should not be given Gabapentin

Senior citizen (65+)

Dosage will be prescribed as per the doctor’s observation.

Dosage (Partial On-set Of Seizures)

Adult (18-64 years)

Initial Dose

900mg (300mg per dose)

 

Max dose- 2400mg- 3600mg per day

Child (12-17 years)

Initial Dose

900mg (300mg per dose)

 

Continuity Of Dose

900mg – 1800mg (divided into 3 times a day)

 

Max Dose

2400mg- 3600mg per day

Child (3-11 years)

Initial Dose

10mg-15mg per day

Child (0-2 years)

There is no dosage recommended

Senior Citizen (65+)

Dosage will be prescribed as per doctors observation

What If You Miss A Dose Of Gabapentin?​

Do not worry about the Gabapentin’s missed dose. Please take it as soon as you remember. If the second dose is close to 2 hours leave it. Do not consume two doses at one time to fill in for the missed dose. It can indirectly aid in addiction.

Side Effects Of Gabapentin​

Common side effects that will affect you are as follows:

Common side effects that will affect you are as follows:

  • Dizziness, sleepy
  • Weakness in your body
  • Vomiting
  • Blurred vision
  • Dry mouth
  • Severe side effects that will affect you are as follows:
  • Breathlessness
  • Constipation
  • Throat and tongue getting swollen
  • Skin reactions (Rashes)
  • Severe weakness
  • Jaundice
  • Hair Loss
  • Constipation

Serious Side Effect Of Gabapentin

Gabapentin has the probability of some serious side effect

  • Suicidal thoughts, self harming mindset
  • High temperature
  • Swollen Glands
  • Severe Tiredness
  • Weakness
  • Long lasting Stomach pain
  • Hallucinations
  • Anaphylaxis

Gabapentin Addiction

Gabapentin is not addictive until you use it for months. Do not consume the medicine unnecessarily.Addiction is caused mainly by two reasons involuntary dependency and abuse of it. Gabapentin addiction happens with people who are under influence of other addictive elements and also gabapentin presents them with a euphoric effect hence the addiction takes place. (Mersfelder, T.L. and Nichols, W.H., 2016)

Signs of Gabapentin Addiction

Below are the gabapentin addiction signs that can help to identify

  • Tremors
  • Drowsiness
  • Coordination problems
  • Suicidal thoughts/behaviors
  • Depression
  • Difficulty speaking
  • Anxiety
  • Changes in mood
  • Dizziness
  • Forgetfulness

Gabapentin Overdose

You may feel adverse effects after overdosing on Gabapentin, double vision, drowsiness, diarrhea, and fatigue. Get emergency help to be safe, overdose can intensify the side effects.  (Middleton, O., 2011).

What Is The Half Life Of Gabapentin?

Half life refers to the time when the constituent of the medicine is metabolized 50 percent. Through half we can get to know how long gabapentin stays in the system.
The half-life of gabapentin medicine is approximately 5-7 hours, depending on the dose. It takes around 48 hours to get out Gabapentin entirely from the body.

Gabapentin Storage Information

  • Storage

Gabapentin should be stored in a place between 20 to 25 degrees Celsius. Do not keep the medicine in moist areas such as the bathroom. Keep it away from children.

How To Carry Gabapentin While Traveling?

Whenever you are traveling with your medication, you should be aware of the things mentioned below:

  • Medications should be kept in the hand luggage/ carry bag.
  • Medicine would not be affected by the X-rays in an airport.
  • Carry your prescription and the medicine box to show at the security check.
  • Try not to keep the medicine in extremely cold or hot weather.
  • Do not expose the medication to the sun or keep the drug in the car’s glove.

Conclusion​

Anticonvulsant medicine like gabapentin is useful to relieve neuropathic pain.

You can use Gabapentin with other medications for treating pains and seizures. It is also used for neuropathic pain. You will feel the changes within a few days.  Addiction of gabapentin is voluntary and involuntary. There are cases of abuse of gabapentin.

Initially it has  effects, such as anxiety and breathlessness. There is also a possibility of depression and suicidal thoughts. Avoid driving while you are taking Gabapentin. Gabapentin is a prescribed medicine, and it is not available OTC.

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