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Gabapentin dosing

Neuropathy | Last Active: Oct 3 11:13am | Replies (31)

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@jeboys46

I have PN and take 1 - 400mg capsules four times daily - 1600 mg total. I can't tell how much or if it helps with my pain as I often have to take OTC pain medications. I occasionally experience side effects – zoned out, slow to respond, confusion, etc. I can live with the side effects if it helped manage my pain. I plan to give gabapentin a couple of more months to see if it is effective.

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Replies to "I have PN and take 1 - 400mg capsules four times daily - 1600 mg total...."

Please tell me more about your PN. What areas does it affect and are you in constant pain?
I take 300 mg three times a day. When I started I was not actually in pain but rather I suffered constant numbness and tingling in both feet and calves. I think my sleep improved but now after several prescriptions, my sleep is disrupted because I'm very uncomfortable. It's now more like pain in the form of a deep, deep aching that I want to be able to just shake out. My PCP has conveniently labeled this Restless Leg Syndrome. I wonder if I should ask for another referral to a Neurologist. I did not stick with Neurology the first time around due to an insurance change. I did have a negative EMG but was told at the time that it didn't rule out small fiber neuropathy and I did not have a skin biopsy. I was told that whether that came out positive or negative, the treatment for my symptoms would be the same. I wake up each morning in pretty tough shape, but once I motivate and move I can still walk without issue.
It seems that Gapapentin does need to be titrated up and I'm wondering if it's time.
I'm also tempted to wean off all together to see if it really did make a difference.