Can Gabapentin make neuropathy pain worse?

Posted by cwallen9 @cwallen9, Apr 16, 2019

I started getting peripheral neuropathy pain about nine months ago in my feet and hands right after I received a cervical steroid injection. I started taking gabapentin about 7 months ago. I have gradually increased my dose from 100 mg a day to 1500 mg. I can't say that it has decreased my pain at all. In fact, my pain has gotten steadily worse. I was just wondering if it is possible that gabapentin can sometimes make neuropathy pain worse. My EMG and biopsy results are negative for short fiber neuropathy so far.

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I agree. Gabapentin does nothing but make me dizzy. A fall risk. I take Tramadol
100mg at bedtime ,With relief.

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When I had pain in my back my doctor switched me from gabapentin to pregabalin. It may work better because I only have to take it twice a day instead of three. I often was late on the middle dose.
It has helped the peripheral neuropathy in my feet caused by chemo. I'm 82.

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Profile picture for raebaby @raebaby

When I had pain in my back my doctor switched me from gabapentin to pregabalin. It may work better because I only have to take it twice a day instead of three. I often was late on the middle dose.
It has helped the peripheral neuropathy in my feet caused by chemo. I'm 82.

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Pregabalin is my miracle drug. Take one about “dark thirty” ( it’s such a mystery that my pain can tell time). I take another about 9:30 and lately I have not had a lot of nighttime spasms. I have a very rare disease called arachnoiditis. Without a doubt, there are people on this site who have it and have no idea. I have yet to find a doctor in Louisiana who has even heard of it. I was diagnosed at Duke. Currently there is no cure and no real treatment plan.

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Profile picture for raebaby @raebaby

When I had pain in my back my doctor switched me from gabapentin to pregabalin. It may work better because I only have to take it twice a day instead of three. I often was late on the middle dose.
It has helped the peripheral neuropathy in my feet caused by chemo. I'm 82.

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Thank you raebaby. I'll ck with my neuro to see if that's an option. I'm happy you have found some relief.

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Profile picture for marilynstubbs @marilynstubbs

Pregabalin is my miracle drug. Take one about “dark thirty” ( it’s such a mystery that my pain can tell time). I take another about 9:30 and lately I have not had a lot of nighttime spasms. I have a very rare disease called arachnoiditis. Without a doubt, there are people on this site who have it and have no idea. I have yet to find a doctor in Louisiana who has even heard of it. I was diagnosed at Duke. Currently there is no cure and no real treatment plan.

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Very Interesting. I miss my old ability to bounce around and sprint after a runaway grocery cart!

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Steroid injections can often cause arachnoiditis. Look it up. If you want to talk, let me know.

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Has anyone tried acupuncture for peripheral neuropathy? I have been getting acupuncture treatments for my shingles aftermath…postherpetic neuralgia and I’ve noticed a significant decrease in the tingling in my toes.
As a aside…I was on Gabapentin for my shingles and was not a fan. My blood pressure was off the charts! My vision was also very blurry. Got switched to Lyrica and my BP is back to normal (110/68) and my vision has vastly improved.

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Profile picture for catbeth57 @catbeth57

I agree. Gabapentin does nothing but make me dizzy. A fall risk. I take Tramadol
100mg at bedtime ,With relief.

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Dizziness is a possible side-effect of both gabapentin and small fiber neuropathy. That means that gabapentin can amplify dizziness for SFN patients, right? I certainly feel like it does.

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I don't experience dizziness with SFN, but I lose my balance frequently. It comes from out of nowhere & no indicator that it's going to happen. Very odd.

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Profile picture for marilynstubbs @marilynstubbs

Steroid injections can often cause arachnoiditis. Look it up. If you want to talk, let me know.

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I've had numerous steroid injections for arthritis. I was not aware of this. I've been on oral steroids for years for MG, down to 2-4 mg daily. Struggling to get below that dose.

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