Gabapentin dosage for trigeminal neuralgia?

Posted by pointeofview @pointeofview, Sep 14 6:13pm

I am currently on 1800 mg/day of gabapentin, but am still having a fair amount of pain. On a scale of 1 to 10, the background level is about a 2 with occasional flares to a level of 5 or 6.
Does anyone have luck with gabapentin, and if so, what dosages?

I take 1,800 milligrams as well. It does help my pain somewhat (I have small fiber neuropathy). I still have pain though. My neurologist also had a compound pharmacy make me a pain compound. The first one wasn’t strong enough so they made me a stronger one. It’s expedited $170 a pump bottle. It helps but I am never pain free. The Gaberpentin does give me horrible brain fog but I I don’t think I could survive without it.

REPLY

Hi @pointeofview and welcome.

I thought you might like to read a few articles regarding your inquiry about gabapentin.
Defining the role for gabapentin in the treatment of trigeminal neuralgia: a retrospective study: https://pubmed.ncbi.nlm.nih.gov/14622800/

Gabapentin Dosing for Neuropathic Pain: https://www.practicalpainmanagement.com/treatments/pharmacological/non-opioids/gabapentin-dosing-neuropathic-pain

Trigeminal Neuralgia: A “Lightning Bolt” of Pain: https://www.uspharmacist.com/article/trigeminal-neuralgia-a-lightning-bolt-of-pain

Did you report the constant pain to your physician?

REPLY
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