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.

Interested in more discussions like this? Go to the Neuropathy Support Group.

@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.

Jump to this post

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

REPLY
@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.

Jump to this post

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

REPLY

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

REPLY

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.

REPLY
@catbeth57

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

Jump to this post

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.

REPLY

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.

REPLY
@marilynstubbs

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

Jump to this post

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.

REPLY
@catbeth57

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

Jump to this post

Catbeth57
Tramadol doesn't touch my pain. I've had it in the past for other issues.
Thank you though!

REPLY

I sorry for your pain from that meds. GABAPENTIN was started in the 1990’s and was made for pain. What type of pain? Legs, feet, or different body, but for me, I use that med, 3-times-a-day to anti-seizure on my TBI - a bicycle accident 12 yrs ago.

Cweelen9, you started to 100 mg then up to 1500 mg and lose the ability of that med for pain It never, ever was not my pain. Two years ago, from falling down in my garage, hit my 2 rear-ends and sent deep-pain under my rear-ends & my back of each bottom legs. I started this med, that anyone could buy the 100s like Walmart, but I used the 400s of pain-helping. Another 3-6 mths didn’t help me of my bottom of my body; pain, deep pain is there. Yes, I lost my balance that’s still moves to me of falling on my tight knee-down.

Over 2 mths ago, my doctor gave me a choice of fixing, or not, pain from my rear-ends down:
1) No help anti-pain - Leave it by itself and, maybe, it will work
2) Maybe help anti-pain - He could send me a newer anti-pain med.
3) Could help anti-pain to end it - 1.5 mths ago, I closed a surgery right close from my right-side of my top rear-end to the bottom of my back. I spent the next 5-days at that hospital. The pain was gone - no anti-pain meds at that hospital. So losing pain - that’s gone - and trying to walk a different way - with no pain. How would I needed to change a diff way of walking? That was there, even after my surgery. That changed of working on my exercising, lifting my balance and legs… stretching the muscles is a bit percentage.

Today, me weakness of my balance is still here; any pain of anything - NO, thankfully; walking again - only on my 4-step (sorry, my memory of that word is not there). Today, I don’t hold 100% of my 4-step, but hold things in my kitchen.

Sorry, my surgery was fixed my back to move my largest nerve between several part of my bone that’s stretches one part to another for 5 parts my lower back. I had photos on paper, but I can’t find it. I think my wife has everything. s

REPLY
@cocokoohlah24

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.

Jump to this post

Thank you for reply. If you would like to talk, let me know. Stay strong.

REPLY
Please sign in or register to post a reply.