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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 Gabapentin is a GABA neurotransmitter analog; however, it does not inhibit GABA uptake or degradation. It appears to interact with GABA cotical neurons, but its relationship to functional activity as an anti convulsant is unknown. Used in conjunction with other anticonvulsants to control certain types of seizures in patients with epilepsy. Epilepsy: Starting dose is 300 mg PO tid, then titrated up as needed. Maintenance: 900–1,800 mg/day PO in divided doses tid PO; maximum interval between doses should not exceed 12 hr. Up to 2,400–3,600 mg/day has been used. Postherpetic neuralgia: Initial dose of 300 mg/day PO; 300 mg bid PO on day 2; 300 mg tid PO on day 3. gabapentin Administer first dose at bedtime to decrease dizziness and drowsiness Monitor for worsening depression, suicidal thoughts or behavior, and/or any unusual changes in mood or behavior As needed, open gabapentin capsules and mx contents with water, fruit juice, apple sauce or pudding before administration. Give drug at least 2 hours after an antacid. Be aware that routine monitoring of blood gabapentin level isn't needed. Monitor renal function test results, and expect to adjust dosage, if needed. Indications. Gabapentin is an anticonvulsive medication that was first discovered in the 1970s. The medication 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 is an anticonvulsant medication commonly prescribed for epilepsy, neuropathic pain, and various off-label uses. Understanding proper nursing considerations is crucial for safe and effective patient care. Absorption: Well absorbed after oral administration by active transport. At larger doses, transport becomes saturated and absorption ↓ (bioavailability ranges from 60% for a 300-mg dose to 35% for a 1600- mg dose). Distribution: Crosses blood-brain barrier; enters breast milk. Gabapentin administration requires meticulous nursing care. Nurses ensure proper medication administration, closely monitor side effects such as drowsiness and dizziness, and assess for drug interactions. Patient education is crucial to promote adherence and minimize adverse effects. However, gabapentin is often used off-label for a variety of conditions. In fact, one study revealed that 83% of gabapentin prescriptions were for off-label use. Some of the common reasons gabapentin is prescribed are: Neuropathic pain and diabetic neuropathy (this is very common) Bipolar disorder and anxiety; Migraine prevention Find information on Gabapentin (Gralise, Horizant) in Davis’s Drug Guide including dosage, side effects, interactions, nursing implications, mechanism of action, half life, administration, and more. Davis Drug Guide PDF. Here are other nursing pharmacology study guides: Nursing Pharmacology – Study Guide for Nurses Our collection of topics related to nursing pharmacology; Pharmacology Nursing Mnemonics & Tips These nursing mnemonics aim to simplify the concepts of pharmacology through the use of a simple, concise guide. Generic Drug Name Stems Cheat Sheet 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. 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)? 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 ANTIEPILEPTICS, PART 2: DRUG NAME: vigabatrin (Sabril) gabapentin (Neurontin, Gralise) CLASS: GABA inhibitors: GABA analogues: MECHANISM OF ACTION: Prevent GABA reuptake into presynaptic neurons; ↑ GABA concentration in synapse; ↓ seizure activity Administration Considerations Available preparations: Capsules, oral solution, tablets, extended-release tablets (Horizant) Dosages for adults: For treatment of partial seizures: 900-1800 mg/day. Gabapentin Nursing Interventions. Administer gabapentin according to the prescribed dosage and schedule. This ensures that the patient receives the appropriate dose of medication at the right time, promoting therapeutic effects. 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. Advise patient not to take gabapentin within 2 hr of an antacid. Gabapentin may cause dizziness and drowsiness. Caution patient to avoid driving or activities requiring alertness until response to medication is known. Seizure patients should not resume driving until physician gives clearance based on control of seizure disorder.
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