Gabapentin - being linked to increased risk of dementia

Posted by mikead63 @mikead63, 4 days ago

According to a large scale observational study published in the journal "Regional Anesthesia & Pain Medicine", patients who received frequent gabapentin prescriptions were significantly more likely to develop dementia and/or mild cognitive impairment (MCI).
Researchers analyzed anonymized medical records from tens of thousands of Americans sourced from TriNetX, a federated health research network with electronic health records from 68 healthcare organizations across the country.
They found that patients whom had received six or more gabapentin prescriptions were 29% more likely to be diagnosed with dementia and 85% more likely to be diagnosed with MCI within 10 years of their initial pain diagnosis.
There is more - To view the full report:
https://doi.org/10.1136/rapm-2025-106577

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So frustrating...I'm thinking I may have neuropathy and I know this is widely prescribed. I was a caregiver for my mother, who had Alzheimer's Disease and am fearful of getting it myself. There is an increasing # of medicines in which this is seen. I'm wondering if it's the medicine itself or the conditions leading to the need of this medicine (or both) that increase the likelihood. Thank you for the link...I will take look.

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@kimmiesue

So frustrating...I'm thinking I may have neuropathy and I know this is widely prescribed. I was a caregiver for my mother, who had Alzheimer's Disease and am fearful of getting it myself. There is an increasing # of medicines in which this is seen. I'm wondering if it's the medicine itself or the conditions leading to the need of this medicine (or both) that increase the likelihood. Thank you for the link...I will take look.

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That is 2 step thinking-thinking out of the box which can be very beneficial, because it looks at an issue from a different reference point. Gabapentin is just one of a whole host of chemicals that become a basis for mental regulating chemicals. Many also have pain regulating properties in one sense or another. The complications are enormous, so who can accurately predict long term outcomes. I guess it comes down to a quality of life issue-is pain relief now worth the possible risk of problems in the future?

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At what strength are the gabapentin prescriptions and over how many years?

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@grrranny

At what strength are the gabapentin prescriptions and over how many years?

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Very good question! Wish the study included that,

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I'm going to be 84. I've been taking gabapentin since I got periperal neuropathy from chemo treatment at age 79. I take 300mg.,3 times a day. So far my brain is ok.

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This is scary as I take Gabbapentin

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I am glad I decided to get off it after 6 months many years ago. It wasn't helping much with the neuropathy symptoms (tingling, etc.) and very little pain . But it made me sleepy and fogged all the time. It is a nasty chemical.
Two years ago a surgeon prescribed it for pain after repairing my broken ankle. I only took one pill. If you are not in severe pain I would not take it. Same goes for all the other crap that doctors give us for neuropathy. The only one that does not make me fogged is Cymbalta but that does not help much either and has it's own weird effects. BUT, Your results may differ from anyone elses.

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@mikead63
Cognitive disorders have long been associated with taking seizure medication. Especially first generation seizure medication's. That's nothing new.
As far as seizure meds causing dementia a lot more research and time is going to be needed before any definitive answers are known.
there are actually studies being done showing that seizure. Medicines may actually help prevent dementia so a lot more research is going to be needed before any reliable answers are known.
Take care,
Jake

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Since my stroke 2 months ago, I've been taking 200mg Gabapentin twice a night to take care of the pain shooting down my left arm and into my hand so I can get some sleep. Hopefully, I can cut back on it soon, and won't need it forever.

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I am taking 800mg (3) times per day for knee replacement and neuropathy pain. I am trying to break away from it. In doing so, I am getting severe pins and needle pains in my hands and fingers. Is this a function of withdrawal.

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