I changed neurologists and the new one suggested the problem could be related to hydrochlorothiazide, the BP med I was on. He suggested that the spasms might be related to a sudden electrolyte imbalance caused by the diuretic. I weaned myself off Gabapentin and stopped the diuretic both with dr approval. Although I still get cramps from time to time, they are few and far between, and pickle juice resolves them quickly.