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Gabapentin may cause breathing problems in people who use opioid pain medicines and those with chronic obstructive pulmonary disease (COPD). Older adults who take gabapentin also are at higher risk of breathing problems. I take four 300 mg capsules a day of gabapentin and have for at least 15 years, a few months ago my legs started to swell and became very painful. doctor is doing a sleep study. I also take a water pill which He does not want to increase. but I can hardly walk. The question of whether long-term gabapentin use is safe is complex, and the answer isn’t a simple yes or no. While gabapentin can be a highly effective medication for managing conditions like epilepsy and neuropathic pain, prolonged use does come with potential risks and side effects. Gabapentin is available as a tablet, taken split or whole and with or without food, a capsule, or oral solution. Who should not take gabapentin? If you are allergic to gabapentin or any of the inactive ingredients, then you should not take it. Other considerations may influence whether you should take gabapentin. Tell your healthcare provider If you've been prescribed gabapentin for nerve pain, you may begin to feel pain relief within one to two weeks of starting it, depending on your dosage. However, for some people, it can take longer to see benefits. It is important to consult with your doctor if you want to stop taking gabapentin or if you plan on decreasing your dosage. Stopping gabapentin use can result in withdrawal symptoms that can become very dangerous if not managed safely. Your doctor will likely gradually decrease your dosage until it is the right time to discontinue. As a rule of thumb, it is advised that you NOT take expired medication, especially if it is not an emergency. As your gabapentin states an expiration date of 2016, the medication should be disposed of as there is a chance that it won't have the required efficacy needed. If you are in need of another prescription, please reach out to your doctor. You can take gabapentin with or without food, but it's best to do the same each day. Try to space your doses evenly through the day. For example, you could take it first thing in the morning, early afternoon and at bedtime. The recommended dosing interval for 300 mg of gabapentin is 8-12 hours. Gabapentin should be taken in divided doses throughout the day, with the maximum single dose being 600 mg. Spreading out doses helps maintain consistent levels of the medication in the bloodstream. Taking 300 mg every 8-12 hours is a commonly recommended dosing regimen. Gabapentin has a short half life of 5-7 hours and as mentioned, the immediate release formulations are typically dosed three times a day in people with healthy kidney function. The extended release Gralise or Horizant may provide patients with longer steady pain coverage, however they often come with a hefty price tag Gabapentin can cause life-threatening breathing problems, especially if you already have a breathing disorder or if you use other medicines that can make you drowsy or slow your breathing. Seek emergency medical attention if you have very slow breathing. Some people have thoughts about suicide while taking seizure medicine. 5. What should I avoid while taking 200 mg of gabapentin? 6. Can I take two 200 mg gabapentin at the same time? 7. Does 200 mg of gabapentin work for nerve pain? 8. Can gabapentin cause weight gain, even at 200 mg? 9. Does gabapentin interact with caffeine? 10. Is 200 mg of gabapentin addictive? 11. Can I take 200 mg of gabapentin every night If you’re taking gabapentin more than once a day, it’s best to space out your doses as evenly as you can. Taking them too close together could put you at a higher risk for side effects. Doing so can also make gabapentin less effective since only so much of it can be absorbed at once. Taking gabapentin can make you sleepy. According to studies, about 20% of people taking gabapentin experience drowsiness or fatigue. It may be even more likely, affecting 20% to 30% of people, with Horizant. While gabapentin can be effective in managing these conditions, prolonged use of the drug may lead to various long-term effects. Understanding the potential risks associated with gabapentin use over time is essential for those who rely on it for chronic conditions. Can you stay on gabapentin for life if needed? For some chronic conditions like epilepsy, lifelong gabapentin treatment may be recommended if it continues to effectively control seizures without major side effects. Gabapentin may also be used indefinitely in neuropathic pain if other treatments fail or are not well tolerated. If you take an antacid containing aluminum and magnesium, such as Maalox®*, Mylanta®*, Gelusil®*, Gaviscon®*, or Di-Gel®*, you should wait at least 2 hours before taking your next dose of gabapentin. If you take too much gabapentin, call your healthcare provider or your local Poison Control Center right away at 1-800-222-1222. Gabapentin is approved to prevent and control partial seizures, relieve postherpetic neuralgia after shingles and moderate-to-severe restless legs syndrome. Learn what side effects to watch for, drugs to avoid while taking gabapentin, how to take gabapentin and other important questions and answers. Don't abruptly stop taking gabapentin because you may experience withdrawal symptoms such as anxiety, agitation, confusion, insomnia, nausea, pain, and sweating which may be severe. It should be tapered off slowly under a doctor's advice. There are a few different gabapentin products. So dosing can vary depending on which one you’re taking. For example, Gralise is only taken once a day. Your prescriber will recommend an appropriate dosage depending on: The type of pain you have. The other medications you take. How well your body handles the side effects
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