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Studies on gabapentin’s sexual side effects have shown that sexual dysfunction caused by this medication in both men and women was resolved when their doses were reduced or when their medications were changed. One 52-year old man experienced ED while taking 900 to 1,500 mg of gabapentin. The condition lasted for two months but went away when The most common gabapentin (Neurontin) side effects are dizziness and drowsiness. This may affect your ability to drive or perform other activities. Other gabapentin side effects include edema (fluid buildup), weight gain, and eye problems, but these aren’t as common. Gabapentin side effects in elderly patients can vary in duration. Some effects, like dizziness or drowsiness, may improve within days to weeks as the body adjusts. However, elderly patients often take longer to adapt due to slower metabolism and age-related factors. If side effects persist or worsen, it’s crucial to consult a healthcare Side effects of gabapentin. Common side effects of gabapentin include: drowsiness or dizziness; headache or blurred vision; nausea, vomiting, diarrhea, constipation; dry mouth; weight gain; swelling of the hands, feet, or ankles; back or joint pain; flulike symptoms such as fever or body aches. Rare but serious side effects. Rare but serious The serotonin reuptake antagonist antidepressants are particularly known for their effects on orgasm (2–4). Much less is known about the adverse sexual effects of anticonvulsants, although one case report suggests that carbamazepine may cause ejaculatory failure . We report a case of ejaculatory failure and anorgasmia associated with gabapentin. What are the serious side effects of gabapentin? If you have any of these symptoms, call your healthcare provider right away: Signs of an allergic reaction: If you have a skin rash, hives, itching or swollen, blistered or peeling skin with or without fever contact your healthcare provider. 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. Gabapentin may cause serious side effects. Call your doctor at once if you have: drowsiness, dizziness, weakness; problems with balance or muscle movement; or. increased seizures. Common gabapentin side effects may include: fever, chills, sore throat, body aches, tiredness; headache; swelling of your legs and feet; trouble speaking; While less common, the most serious side effects of gabapentin are described below, along with what to do if they happen. Severe Allergic Reactions. Gabapentin can cause allergic reactions, Gabapentin is fairly safe when you use it correctly. It does come with some possible side effects, though. People who misuse this drug are also at risk of additional side effects. Sexual side effects of gabapentin in men Erectile dysfunction is the most commonly reported sexual side effect in men. A 2022 review found 139 reports of erectile dysfunction believed to be caused by gabapentin, over a 10-year period. 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. However, elderly patients are more likely to have unwanted effects (eg, problems with balance or walking, swelling in the feet or legs) and age-related kidney problems, which may require caution and an adjustment in the dose for patients receiving gabapentin. ED caused by gabapentin is a potential side effect. Additionally, research shows several medications used for treating epilepsy can cause sexual dysfunction in both men and women. For example, studies⁴ have shown that gabapentin-induced ED can occur in some individuals who take only 300 milligrams of gabapentin per day. In men, Gabapentin is associated with sexual dysfunction. Men who use the medication have a high incidence of anorgasmia or difficulty in achieving an orgasm. Gabapentin-induced sexual dysfunction is common in older men. When to See a Doctor. When your doctor prescribes Gabapentin they should advise you about the side effects. Gabapentin is also associated with other sexual side effects, like difficulty reaching orgasm, although the science on this link isn’t totally clear. ED from gabapentin isn’t permanent. It’s possible to treat the issue by changing the way you use your medication — or by using a form of treatment for ED. 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 Side Effects Common side effects of gabapentin. Gabapentin can cause several common side effects, including dizziness, drowsiness, and fatigue. Other commonly reported side effects include headache, nausea, and blurred vision. These side effects are usually mild and tend to improve over time as the body adjusts to the medication. Still, gabapentin’s cardiac side effects sometimes include a severe alteration of the heart rhythm called atrial fibrillation and other types of arrhythmia. Gabapentin can also have long-term side effects when administered for an extended period. Neurontin side effects in the long long-term include: The Takeaway: Gabapentin is a common medication used to treat seizures, but one of the side effects can be erectile dysfunction. Depending on a few factors, the best way to treat ED from gabapentin is either by changing or reducing the medication, using a PDE5 inhibitor like Viagra or Cialis, a vacuum erection device, or self-injection ED therapy.
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