The objectives of this study were to characterize gabapentin utilization in the NICU over time and describe clinical characteristics associated with gabapentin exposure in infants. These data will help inform study design for early phase trials of the pharmacokinetics and safety of gabapentin in infants. Gabapentin use in pregnancy is not very well-studied. While the available information does not strongly suggest that it causes problems for the baby, further research is required to prove that gabapentin is safe. %PDF-1.7 %âãÏÓ 112 0 obj > endobj xref 112 123 0000000016 00000 n 0000003281 00000 n 0000003486 00000 n 0000003527 00000 n 0000003562 00000 n 0000004020 00000 n 0000004126 00000 n 0000004241 00000 n 0000004349 00000 n 0000004463 00000 n 0000004571 00000 n 0000004686 00000 n 0000004791 00000 n 0000004906 00000 n 0000005013 00000 n 0000005128 00000 n 0000005235 00000 n 0000005350 00000 n In birds, oral doses given range from 10 mg/kg to as high as 80 mg/kg. In dogs, gabapentin given orally at 10 mg/kg might have had some pain-relieving effects. A recent study in women found gabapentin ineffective in relieving pelvic pain Where it does show some promise is in treating chronic neuropathic pain. If your doctor changes your brand, strength, or type of gabapentin, your dosage needs may change. Ask your pharmacist if you have any questions about the new kind of gabapentin you receive at the pharmacy. Neurontin can be taken with or without food. If you break a tablet and take only half of it, take the other half at your next dose. Gabapentin is a medication that has been used to prevent and control partial seizures, treat some forms of nerve pain, and treat moderate-to-severe restless legs syndrome. Some brand names are Horizant®, Gralise® and Neurontin®. The study uses data from the FDA. It is based on gabapentin and aspirin (the active ingredients of Gabapentin and Baby aspirin, respectively), and Gabapentin and Baby aspirin (the brand names). Other drugs that have the same active ingredients (e.g. generic drugs) are not considered. Dosage of drugs is not considered in the study. How to use We aimed to identify trends in gabapentin utilization among infants hospitalized in neonatal intensive care units (NICUs) across the United States (US) and to evaluate the associations between clinical diagnoses and gabapentin treatment. Over half (55%) of infants receiving gabapentin were born prematurely, 54% (n = 45) had chronic lung disease, 46% (n = 39) had gastrostomy tubes, and 34% (n = 29) had drug withdrawal syndrome; 49% (n = 42) and 27% (n = 23) received opioids and benzodiazepines, respectively. The baby can be monitored for symptoms such as unusual eye, tongue, and/or muscle movements, restlessness of the arms and legs, and arching of the back after birth. Does taking gabapentin in pregnancy affect future behavior or learning for the child? Gabapentin was initiated in 16 patients at a corrected gestational age of 44 weeks (range 36.2–75wks) for agitation (n =9), pain (n =6), and movement disorders (n =1). A neurological diagnosis was present in 13 patients. It provides a summary of information about gabapentin and does not contain all possible information about this medicine. Not all side effects are listed. If you have any questions or want more information about gabapentin, speak to your healthcare provider. Gabapentin was used for the treatment of term and preterm infants with suspected visceral hyperalgesia caused by a variety of neurologic and gastrointestinal morbidities. Improved feeding tolerance and decreased irritability were seen, as well as decreased usage of opioids and benzodiazepines. Gabapentin < Back to All Medications. Brand Names: Neurontin, generics What is Gabapentin used for? Gabapentin (GA ba PEN tin) has been approved by the FDA as adjunctive therapy in the treatment of focal onset seizures, with and without secondary generalization, in pediatric patients 3 years and older with epilepsy. Gabapentin was well tolerated in infants. Initial gabapentin dosing of 5 mg/kg/dose every 24 hours appears safe and consistent with other published studies in infants. The improvement in outcomes with few adverse events suggests a beneficial role for gabapentin. Keywords: gabapentin, infants, irritability, neonates, pain, visceral hyperalgesia. Gabapentin is currently approved by the Food and Drug Administration (FDA) as adjunctive therapy in the treatment of partial seizures in adults and children over 3 years of age. It is also indicated for the management of postherpetic neuralgia in adults.2,3 Use as an Anticonvulsant There are several studies of gabapentin in We aimed to identify trends in gabapentin utilization among infants hospitalized in neonatal intensive care units (NICUs) across the United States and to evaluate the associations between clinical diagnoses and gabapentin treatment. Results: Gabapentin was prescribed to 104 infants (median gestational age 29 weeks, median postmenstrual age at initiation 41 weeks). Sixty-one percent of infants were male. The primary indication was irritability in 86%, and 67% were receiving at least one other neurosedative medication. I need to take gabapentin throughout my entire pregnancy. Will it cause withdrawal symptoms in my baby after birth? Studies have not been done to see if gabapentin use alone can cause withdrawal in a newborn. One study found that when gabapentin is combined with opioids late in pregnancy, withdrawal can occur. It is not known how often Limited information indicates that maternal doses of gabapentin up to 2.1 grams daily produce relatively low levels in infant serum. Monitor the infant for drowsiness, adequate weight gain, and developmental milestones, especially in younger, exclusively breastfed infants and when using combinations of anticonvulsant or psychotropic drugs. A single oral dose of either 300 mg or 600 mg given to
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