Best Choice when Gabapentin is fading?

Posted by cgs @cgs, Dec 27, 2024

Dr. says my Gabapentin is at the maximum dose. What's next?

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@carol65

Gabepetin has side effect of slowing cognition

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Gabapentin has worked 100% for me except when I get off schedule
I am maxed out on 2700 mg

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For my sore feet at night, I find that Vicks Vaporub works best.

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I was just prescribed Horizant. I believe it’s Gabapentin with an additive. I am waiting for it to arrive from the Truax company in Minnesota. I currently take 900MG of Gabapentin at night, but it no longer helps with the pain and discomfort .

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@jakedduck1

@cgs
3600 mg isn't the absolute max dose of Gabapentin. I've had doctors say it's side effect dependent. I knew of a guy taking 7200 mg. with no side effects.
Lyrica may be an good option. Neither on helped me.
What is you physician recommending?
Jake

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My Dr says 2700mg is all he recommends I don't get too many side effects ,,dry mouth ..but I drink a lot of water keep a bottle by bed
May try pregabalin
A nurse from a pain clinic said Cymbalta is slow but sure after a couple months and works for decades
She works with a lot of veterans she said

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@cgs

My Dr says 2700mg is all he recommends I don't get too many side effects ,,dry mouth ..but I drink a lot of water keep a bottle by bed
May try pregabalin
A nurse from a pain clinic said Cymbalta is slow but sure after a couple months and works for decades
She works with a lot of veterans she said

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Gabapentin works great on the pain when I remember to take it

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@martinsmckinney

I transitioned off Lyrica to Gaba and currently on 900mg, three times daily. A move to 1,200mg is the most the producer recommends. Doctor has me moving to Vimpat.

Good luck,

Martin

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martinsmckinney
“A move to 1,200mg is the most the producer recommends.”
What producer is that?
Jake

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Hey there Jake,

Two things-I am not a doctor & this drug like many are dosed to achieve successful results based on the particular ailment. My top level may not match yours.

Best,

Martin

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May I ask what are you taking it for? I have CIPN and along with gabapentin I take Duloxetine and I notice if I miss a dose of that, im miserable ALL day. Duloxetine and Gabapentin go great together for me. It is also called Cymbalta but I have been taking both now for about.... 2 years come February 2025.

I tried Pregabalin and had HORRIBLE side effects. Like memory loss, BAD depression. Its on my allergy list

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@cgs

How about pregabalin ?

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Pregabalin was my initial treatment. I reached a point where it no longer prevented pain even with the increased dosage. Made the change to Gabapentin probably 2.5 years ago. Will cycle off Gaba. in a few months. More pain is creaping in daily and the short term memory loss is no joke for me. That is real. 🙂

Cheers,
Martin

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@cgs

How about pregabalin ?

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I was looking at claim info from my drug Rx insurance carrier. They showed provider paid $2279 Another claim showed that they paid $2279 and a second entry for about $101. My cost was around$135 or so. Picked up my last refill of the year today. 270 75mg capsules was about $37. I asked the pharmacist about the $2279 and she thought that was OOP for Lyrica. I take PreGabalin which is a much cheaper generic. I can't imagine shelling out almost $2300 for a 3 month's supply of brand name.

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