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Gabapentinoid drugs—specifically gabapentin (Neurontin) and pregabalin (Lyrica)—are increasingly being prescribed for pain because physicians and patients seek alternatives to opioids in the Prescribing gabapentin for chronic, non-specific low back pain is not recommended. Patients who suffer from nerve pain, numbness, and tingling in the legs from sciatica or have diabetic Nerve pain medication: Gabapentin (Neurontin) and pregabalin (Lyrica) may help reduce neck and back nerve pain, especially sciatica. Begin with low doses to avoid daytime drowsiness and fall risk. Muscle relaxants. Tizanidine (Zanaflex) and baclofen (Lioresal) may reduce pain from muscle spasms. Although healthcare professionals often prescribe gabapentin, high-quality studies show that gabapentin doesn’t work well to treat all types of back pain. Evidence suggests that gabapentin works best for nerve pain caused by diabetes and shingles. Neurontin (gabapentin) is used to treat pain you may have from shingles (postherpetic nerve pain). It is also used with other seizure medicines for partial onset seizures in patients 3 years and older. Gralise (gabapentin) is only used for pain after having shingles (postherpetic nerve pain). It should not be used for any other medical condition. Gabapentin is commonly used to treat and prevent seizures in people with epilepsy or to treat nerve pain (postherpetic neuralgia) that can occur after a viral infection called shingles. If you have impaired kidney function, taking a lower dose or spacing out the dosing time is essential to prevent unwanted side effects.; Taking gabapentin with opioids (e.g., morphine, hydrocodone) can cause respiratory depression and sedation, and lead to fatal outcomes. Gabapentin is also used off-label to treat conditions such as anxiety and nerve pain from diabetes. It may also be used to treat alcohol use disorder. Though gabapentin has many potential uses, it can cause side effects too. Knowing about gabapentin side effects in advance can help you manage them if they happen to you. If your back pain is nerve-related, then the anticonvulsant drug gabapentin may be a good choice for you. This article will explain how gabapentin works, detail its uses, and go over potential side effects, so that you can assess with your doctor whether this drug may be right for you. I take Neurontin 300mg three times per day; it is one of those medications that can be used for a variety of things. I take it for Interstitial Cystitis, although I do have pretty severe back and neck issues. A 2016 double-blind RCT (N = 108) investigated gabapentin as a treatment for chronic low back pain with and without a radicular component. 2 This RCT was included in the 2017 meta-analysis but is Gabapentin can be very effective in treating various types of back pains, including: Sciatica; Spinal Stenosis; Nerve Pain from Various Causes; Post-Surgery Back Pain; Arthritis-related back pain; Fibromyalgia; Is Gabapentin a Long-Term Solution for Back Pain? Although not specifically approved to treat chronic back and neck pain, your doctor may also prescribe these drugs if you have nerve-related spine pain. Gabapentin and pregabalin, which are In recent years—especially as concern over the opioid epidemic has increased—doctors have turned to prescribing the gabapentinoids pregabalin (Lyrica) and gabapentin (Neurontin, others), which have demonstrated benefit for neuropathic pain conditions but not for nonspecific CLBP. When Should I Use Gabapentin? Despite its many uses, Gabapentin is particularly effective at treating neuropathic (nerve-related) pain. Spinal Disorders. According to research, Gabapentin can often alleviate back problems caused by a herniated disc or spinal stenosis. Off-label uses for gabapentin. Doctors often prescribe gabapentin off-label to treat conditions such as: pain from diabetic neuropathy, which is numbness or uncomfortable tingling caused by nerve damage from diabetes; nerve pain in the neck and back from conditions such as sciatica, a painful compression of the sciatic nerve Neurontin (gabapentin), generally prescribed for the treatment of nerve pain, is sometimes used to relieve severe pain caused by knee osteoarthritis (OA). Osteoarthritis, also known, as wear-and-tear arthritis, can often become so severe that joint replacement surgery is needed. Sciatica pain can be intense for some people. In certain cases, healthcare professionals may prescribe medication that can relieve severe pain, such as opioids. But results from a small 2007 study showed that morphine (a type of opioid pain reliever) isn’t effective at relieving back and leg pain from sciatica. In fact, one 31 of the studies we included did not support the use of gabapentin for a general sample of low back pain with and without pain radiating to the legs, but another, 29 only with patients without radicular pain or neuropathy, found a subtle pain reduction in the 0-10 verbal numeric rating scale during gabapentin use (of 7.10 to 6.39 Lyrica, Neurontin and other anti-convulsant drugs are ineffective for treating low back pain and may even be harmful to patients, according to a new study published in the Canadian Medical Association Journal.
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