Gabapentin: nerve pain, side effects and misuse risk

Gabapentin: nerve pain, side effects and misuse risk

This is a prescription medicine. Only take it if it has been prescribed for you after a medical assessment, and follow your doctor’s and pharmacist’s instructions.

Gabapentin (Neurontin) is used for nerve pain after shingles (postherpetic neuralgia) and for some types of seizures. It’s also often used off-label for other nerve pain.

How it’s taken

The dose starts low and is increased over days to weeks to limit side effects, usually split into 3 doses a day. Lower doses are needed with kidney problems.

Side effects

  • Dizziness and drowsiness
  • Unsteadiness, falls in older adults
  • Swelling of hands and feet
  • Blurred vision
  • Weight gain

Serious warnings

  • Breathing problems when combined with opioids, sedatives or alcohol, or in people with lung disease
  • Mood changes or suicidal thoughts: seek urgent medical help; use emergency services if there is immediate danger
  • Can be misused; tell your doctor about any history of substance use
  • Rare severe allergic reactions

Stopping

Don’t stop suddenly, especially if used for seizures; your doctor will taper over at least a week.

Frequently asked questions

Is gabapentin a painkiller?

It calms overactive nerves rather than acting like typical pain relievers.

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    Source and further reading

    MedlinePlus patient medicine information. This overview does not list every warning or interaction; read the leaflet supplied with your medicine.

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