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36. Is Gabapentin a Controlled Substance in Tennessee and does it require a DEA to prescribe? Gabapentin is a Schedule V Controlled Substance in Tennessee and therefore should be treated just like any other Schedule V Controlled Substance. 37. I suspect my healthcare practitioner is engaged in TennCare fraud, waste, or abuse. What do I do? Generic Name: gabapentin. Brand Name: Apo-Gabapentin (CAN), Gen-Gabapentin (CAN), Neurontin. Classification: Antiepileptic. Pregnancy Category C. Dosage & Route. Available forms : Capsules—100, 300, 400 mg; tablets—100, 300, 400, 600, 800 mg; oral solution—250 mg/5 mL. ADULTS. Epilepsy: Starting dose is 300 mg PO tid, then titrated up as Gabapentin is a multipurpose medication that enhances GABAergic effects, inhibits excitatory neuronal signaling, and effectively prevents seizures. The U.S. Food and Drug Administration has approved gabapentin as an anticonvulsant, and it is now widely used to manage neuropathic pain, partial-onset seizures, restless legs syndrome, and select Report observations of depression, suicidal thoughts, or unusual behavior. Inform the provider of signs of allergic reactions (difficulty of breathing, coughing, or swelling of face or tongue). Advise the patient that gabapentin can be taken with or without food. Identify appropriate indications for use of gabapentin. Relate general characteristics of gabapentin to specific patient situations. Apply nursing process considerations for gabapentin to specific patient situations. Correctly calculate dosage for gabapentin. Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client who has been prescribed gabapentin (Neurontin) and is monitoring for adverse effects of the medication. Which finding indicates a potential adverse effect?, The client is receiving meperidine hydrochloride (Demerol) for pain. Which are side/adverse effects of this medication? Select all that apply hormone, or gabapentin dispensed to an inpatient at a hospital, long-term care, or other facility in which the resident is provided with 24-hour nursing care. 13:45A-35.2 DEFINITIONS The following words and terms, when used in this subchapter, shall have the following meanings unless the context clearly indicates otherwise: Gabapentin is an anticonvulsive medication that received approval from the US Food and Drug Administration (FDA) in 1993 and has been available in generic form in the USA since 2004. Gabapentin was originally used as a muscle relaxant and an anti-spasmodic. However, it was later discovered that gabapentin has the potential of an anticonvulsive medication and can be used as an adjunct to more Gabapentin may cause suicidal thoughts, ataxia, or lack of muscle control and depression with these things in mind, monitor your patient for changes and behavior and depression while on Gabapentin, make sure you assess seizure activity and pain level in your patient, teach your patient to take this medication exactly as it's directed and to Interpretation. Therapeutic ranges are based on specimens collected immediately before the next dose (ie, trough). Most epileptic patients show a response to the drug when the trough concentration is in the range of 2 to 20 mcg/mL. Therapeutic drug monitoring may be useful due to inter-individual variation in pharmacokinetics and dose-dependent bioavailability; specimens for measurements In this article, you’ll learn about Gabapentin (Neurontin) nursing implications and patient teachings. Also, its dosage, indication, contraindications, interactions, side effects, nursing assessment, and nursing interventions. Generic Name: Gabapentin. Brand Names: Neurontin, Gralise, Horizant. What are the indications of gabapentin (Neurontin)? Tell all of your health care providers that you take this drug. This includes your doctors, nurses, pharmacists, and dentists. Avoid driving and doing other tasks or actions that call for you to be alert until you see how this drug affects you. This drug may affect certain lab tests. Nursing Considerations for Gabapentin. When administering or caring for patients taking gabapentin, nurses should consider several important factors. Nursing Assessment. 1. Assess the patient’s medical history, including any known allergies, previous adverse reactions to gabapentin or similar medications, and relevant medical conditions. Gabapentin is available in 2 forms—gabapentin immediate release and the prodrug gabapentin enacarbil. Gabapentin is available in tablet form with strengths of 600 mg and 800 mg, capsules in strengths of 100 mg, 300 mg, and 400 mg, as well as an oral solution of 250 mg/5mL. Gabapentin enacarbil is available in 300 mg extended-release tablets. Nurses play a critical role in administering the drug, monitoring for side effects, educating patients, and ensuring proper follow-up. Understanding gabapentin's indications, mechanisms, and potential complications helps nurses provide comprehensive care and improve patient outcomes. Despite variable pharmacokinetics, therapeutic drug monitoring (TDM) is scarcely described in other indications than epilepsy. The aim of the study was to investigate the use and pharmacokinetic variability of gabapentin in epilepsy and non-epilepsy indications and to further evaluate the use of TDM in patients with restless legs syndrome (RLS). Monitoring: Regularly monitor the patient’s response to gabapentin therapy. Assess for any adverse effects, such as dizziness, drowsiness, or mood changes, and report them to the healthcare provider. Gabapentin is used for partial seizures and neuropathic pain. Nursing Considerations Across the Lifespan. This drug can cause harm to the fetus of pregnant women. Gabapentin use in pediatric patients with epilepsy 3 to 12 years of age is associated with the occurrence of central nervous system related adverse events. Monitor for and document effectiveness in pain relief or seizure control. Assess for and document side effects. Monitor for signs of abuse or dependence. Provide emotional support and frequent monitoring for patients at risk for suicidal ideation. Ensure proper hydration. Monitor weight regularly. Gabapentin is used for partial seizures and neuropathic pain. Nursing Considerations Across the Lifespan. This drug can cause harm to the fetus of pregnant women. Gabapentin use in pediatric patients with epilepsy 3 to 12 years of age is associated with the occurrence of central nervous system related adverse events.
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