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Although there have been increasing reports of intentional gabapentin misuse, epidemiological evidence for the phenomenon is limited. The purpose of this study was to determine whether there are pharmacovigilance abuse signals for gabapentin. Using In this article, we report four cases of hallucinations associated with sensory impairment, three visual hallucinations and one musical hallucination, that responded to gabapentin. To our knowledge, this is the only case of musical hallucinations successfully treated with gabapentin. Hallucinations may also be prominent in delirium, drug-intoxication states and drug-withdrawal states (particularly alcohol withdrawal) and may also occur as an adverse effect of medication. Hallucinations may also occur in the hypnagogic (before sleep) and hypnopompic periods (before wakeful ness). Here, we report a patient who developed psychotic and depressive symptoms after gabapentin use. A 50-year-old female patient had complaints of feeling sad and fearful, reluctance, crying, out loud self-talk, visual hallucinations, decreased sleep, and loss of appetite for the last two weeks. In this case series, the authors describe four patients with either visual or musical hallucinations associated with sensory impairment who were successfully treated with gabapentin. Sensory impairment hallucinations, such as visual hallucinations with visual loss, may not respond to traditional treatments such as antipsychotics. The key takeaways for readers are to be aware of the possible side effects of gabapentin, including hallucinations, seek medical advice if you are concerned about any potential hallucinations associated with gabapentin use, and follow the advice provided by your doctor or health care provider. The most common gabapentin (Neurontin) side effects are dizziness and fatigue. These side effects may improve over time. But, in the meantime, it may be difficult to do activities that require alertness, like driving. If you’re taking gabapentin, avoid driving until you know how it affects you. Purpose: A case of probable gabapentin-induced visual hallucinations in a patient with no psychiatric history is reported. Summary: A 65-year-old white woman with no history of psychiatric Acute visual hallucinations should be considered in the clinical spectrum of very rare side effects of pregabalin use, especially at higher doses. Tapered discontinuation of the medication can improve and resolve symptoms. Keywords: Pregabalin, Visual hallucinations, Side effect, Adverse reaction. Background Background Pregabalin is an anticonvulsive, analgesic and anxiolytic medication. The typical side effects include dizziness, somnolence and weight gain. Few studies or case reports have demonstrated psychiatric side effects resulting from its use. Case presentation We present a patient who suffered visual hallucinations and agitation associated with an increase in pregabalin dose, resolving After decreasing the gabapentin dosage, she noticed an improvement in her daytime sleepiness and fatigue. She experienced one hallucination approximately 1 week after decreasing the dose. One month after, she completely discontinued her gabapentin therapy and no further hallucinations was observed. Check with your doctor immediately if any of the following side effects occur while taking gabapentin: More common in children. 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. She had decreased hearing bilaterally despite hearing aids. Gabapentin, 100 mg h.s., was started, and the musical hallucinations resolved in 3 days. One month later, gabapentin was discontinued at the patient’s request, and the same music started within 2 days. Restarting the gabapentin regimen ended the hallucinations in 4 days. Summary: A 65-year-old white woman with no history of psychiatric conditions arrived at the pharmacy clinic with specific complaints of daytime sleepiness, fatigue, and visual hallucinations that I’m so happy someone else is having the same issues . I started on gabapentin last Friday 100mg before bed. First night I had a migraine so bad I couldn’t even sleep and since then I’m having such vivid nightmares I can’t tell when I’m awake or sleeping. Summary: Hallucinations is reported as a side effect among people who take Gabapentin (gabapentin), especially for people who are female, 60+ old, have been taking the drug for < 1 month also take Nuplazid, and have Parkinson's disease. A 65-year-old woman with no psychiatric history developed visual hallucinations while taking gabapentin five times daily. Her hallucinations resolved after discontinuation of gabapentin and have remained absent after 1 year of follow-up. seeing things that are not there (hallucinations) Serious allergic reaction. In rare cases, it's possible to have a serious allergic reaction (anaphylaxis) to gabapentin. However, relevant research data have not proven success of newer antiepileptics. This article presents the negative side effects of gabapentin such as psychotic and depressive symptoms, which occur shortly after its use. The use of gabapentin in mood disorders is discussed through these side effects. Gabapentin-induced hallucinations, both visual and auditory, are significant adverse effects that require careful management. Dose adjustment and discontinuation are effective strategies, while alternative treatments may be considered in specific cases.
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