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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. Gabapentin can be effective for some arthritis patients, especially those with neuropathic pain components. It has a different side effect profile than NSAIDs and opioids, making it a potential alternative for some patients. However, its effectiveness compared to traditional arthritis medications varies among individuals. What Is Gabapentin? Gabapentin is not considered addictive in the same way as opioids or benzodiazepines. However, it can cause physical dependence and withdrawal symptoms if abruptly discontinued. Key Takeaways Gabapentin is primarily used to treat seizures and nerve pain but may also have anti-inflammatory properties. 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. Along with its needed effects, gabapentin (the active ingredient contained in Neurontin) may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention. Check with your doctor immediately if any of the following side effects occur while taking gabapentin: More common side effects Symptoms usually begin within hours of combining the drugs and include confusion, agitation, irregular heartbeat, unstable blood pressure, tremors, muscle rigidity, nausea and vomiting. If you have these symptoms, stop taking your medication and seek immediate medical help. Gabapebtin can cause fluid retention which can lead to serious complications such as hyponatremia. Being that Gabapentin is an anti-convulsant, stopping it cold turkey may result in seizures- Even if you are taking it for other reasons. The best thing to do is to discuss an alternative medication with your doctor and have them ween you off. @cwallen9, I take only 600 mg. of neurontin with 50 mg. of elavil and have been asked to increase it but unfortunately I am so sensitive to meds and get very groggy with fuzzy thinking during the day. But, I hope if you decide to decrease the neurontin to tell your doctor and of course do it very gradually as you probably already know. Commonly reported side effects of gabapentin include dizziness, sleepiness, balance problems, blurred vision, coordination problems, nausea, vomiting, diarrhea, headaches, increased pain (including pain in extremities, back pain and joint pain), brain fog, depression, anxiety and insomnia. Some patients may experience weight gain. Along with causing dizziness, gabapentin can worsen your coordination. This can increase your risk of falls, which is especially dangerous for older adults. If you’re just starting to take gabapentin or your dose has increased, avoid driving or doing any activity that requires alertness. Some side effects of gabapentin may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Has anyone ever had the experience of Gabapentin causing severe muscle cramps in arms and legs and muscular pain and feeling of weakness? I know it is supposed to basically do the opposite and help with muscular problemsbut this has happened twice to me as soon as I started the gaba and it was very severe, Even though gabapentin does not have the FDA’s blessing for treating other kinds of nerve pain (neuropathy), many doctors are using it for this purpose. Some physicians prescribe it to patients with fibromyalgia and migraines as well as to control hot flashes brought on by menopause, even though there is no official blessing from the FDA. Lyrica can sometimes cause joint pain (arthralgia). Joint pain may be accompanied by swelling and stiffness. A hot or cold compress may help relieve discomfort. There are also OTC pain relief products that may help, such as Voltaren Arthritis Pain gel (diclofenac sodium 1%) or lidocaine 4% patches. But it’s best to talk to your prescriber Muscles may feel stiff or achy. Joint pain, especially in one shoulder, is also common. It’s not uncommon for people with PD to be diagnosed with frozen shoulder or rotator cuff problems, and even undergo surgery. Dystonic pain. Do you have painful curling of your foot, toes or hands? This is dystonia, a painful muscle spasm. It took almost 2 weeks after that before those mining explosions stopped. For me, I have to stay on gabapentin at this high dose and accept side effects. If you can do without gabapentin and you don't like side effects, do that. I do sleep better these last 5 years since I started gabapentin. Hi, sometimes this drug can give nasty side effects, they seem to be a lot like fibromyalgia, muscle pains weakness in all areas. Go to your GP or your Consultant if the gabapentin does not work or makes you worse. Philip. Like all medicines, gabapentin can cause side effects, although not everyone gets them. Common side effects. These common side effects of gabapentin may happen in more than 1 in 100 people. They're usually mild and go away by themselves. There are things you can do to help cope with them: Feeling sleepy, tired or dizzy Common Medications that cause joint and muscle pain Joint pain affects most people, and even though arthritis is a common cause, the main culprit could be medication. Even medications that are meant to alleviate pain, can actually be causing pain (NSAIDs and Opioids see below). So before you blame arthritis for your joint or muscle [] Back pain or joint pain; Ear pain; Some adverse effects of gabapentin can be serious. You should contact your doctor immediately if you experience side effects such as: Rash; Itching; Hoarseness; Swelling of the throat, mouth, lips, hands, feet; Problems with swallowing or breathing; Seizures; Bluish tinge to the lips, skin, or fingernails
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