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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@martinsmckinney

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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Did you try Cymbalta ?
I was told it lasts by a nurse that works in pain clinic

Electric stimulator
Loma Linda neuropathy clinic real choice

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@ashleymeade

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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Diabetic neuropathy and bad back
How long have you been on your combo?

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@cgs

Did you try Cymbalta ?
I was told it lasts by a nurse that works in pain clinic

Electric stimulator
Loma Linda neuropathy clinic real choice

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Good question. I am also on 60mg Cymbalta daily.

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@carol65

Gabepetin has side effect of slowing cognition

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I take 2400 mg of Gabepetin per day without any side effects . I also take Cymbalta at 90 mg per day and occasionally Xanax in “nibble” amounts, all without any cognition effects .

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What is your age? How
Long have you done this amount?
How long have you had DN?

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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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I asked about Cymbalta because a nurse from a pain clinic that works with veterans recommended it.
My Dr recommended electric stimulator?

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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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What is the age and weight of the person.
That's what my Dr is counting
He says for my weight

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@jriemer

Look for pain specialist and ask other docs, nurses and friends. Also ask a pharmacist.

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I only take gabapentin

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I am taking gabapentin and oxycodone. Thought you might be headed that way.

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