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Gabapentin dosing

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

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@pah17

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.

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Replies to "Please tell me more about your PN. What areas does it affect and are you in..."

I was on Gabapentin for several years as much as 2400mg per day.
At one point 2 years ago I was hospitalized for surgery, and they never gave me my Gabapentin a,l the while I was there.
It was then I noticed I didn’t feel any differently without it and my feet and legs were still numb and tingly.
So I decided along with a new neurologist to discontinue Gabapentin for good.
Did nothing for me.

900 did not do much for me. I am taking 600 mg 3 times a day. That is definitely helping, though not as much in my spine. It did help a lot with the deep pain in my feet and the burning on my calves. My hands have less tingling and burning too. I read reports from the NIH that said most people with neuropathy are often under medicated. 1800 sounded like a lot to me until I read that dose is more effective for many with peripheral neuropathy. Some people need even more.