Gabapentin. Gabapentin is an anticonvulsant (an analogue of gamma-aminobutyric acid). It is approved to treat neurological disorders such as seizures and neuropathic pain. Research: A systematic review has confirmed that Gabapentin 900mg per day reduces hot flushes more effectively than placebo 11. The most common side effect of gabapentin is Gabapentin is a drug that doctors sometimes prescribe off-label to reduce hot flashes during menopause. Instead of affecting hormones, experts think it may act on the Vasomotor symptoms (VMS), more commonly known as hot flushes or flashes and night sweats, are the cardinal symptoms of menopause, occurring in up to 80% of postmenopausal women. 1,2 Apart from being disruptive and bothersome, VMS may independently have adverse health consequences associated with cardiovascular and metabolic changes, including increased carotid intima thickness, increased Gabapentin Brand name: Neurontin® available as 100mg, 300mg, 400mg, 600mg and 800mg capsules. Also available in generic brands. Gabapentin is usually used to control epilepsy or chronic nerve (neuropathic) pain. It is also a non-hormonal medicine that has been shown to be effective in reducing menopausal hot flushes. Gabapentin appears to be earched the PubMed, MEDLINE, EMBASE, and CENTRAL databases for English-language articles published until June, 2018. The following search terms were used: “menopause,” “hot flushes,” “vasomotor symptoms,” “gabapentin,” and “non-hormonal therapy.” Primary outcomes were frequency, duration, and composite score of hot flushes. Secondary outcomes were adverse effects and Objective: To review the literature examining the use of gabapentin for treatment of hot flashes during natural or surgically induced menopause. Data sources: A literature search was conducted via PubMed, MEDLINE, and International Pharmaceutical Abstracts (1948-November 2010) using the search terms gabapentin, hot flashes, and menopause. The North American Menopause society and the American College of Obstetricians and Gynecologists recommend the use of gabapentin as an option for managing hot flashes in women who are unwilling to take estrogen-containing supplements. Gabapentin Helps Hot Flashes. In BREEZE 3, 600 postmenopausal women (mean age, 54.0 years; mean time since last menstrual period, 114 months; mean body mass index, 29.4 kg/m²) were randomized to Overall, gabapentin was found to reduce the frequency of hot flushes at both 4 and 12 weeks (mean difference: -1.62 [95% CI: -1.98 to -1.26], and -2.77 [95% CI: -4.29 to -1.24], respectively). 28 Among the two crossover studies reported in the meta-analysis, there was no statistically significant difference between the use of gabapentin and Step-wise approach to management of menopausal hot flashes. M ANAGEMENT. The management of HFs is guided by their frequency and severity. The severity of HFs can be graded as (a) mild (no interference with usual daily activities), (b) moderate (interfere with usual daily activities to some extent), and (c) severe (when usual daily activities cannot be performed).[] Gabapentin is effective in reducing the frequency and severity of hot flashes, particularly for those experiencing menopausal symptoms. Originally used for epilepsy and neuropathic pain, it has been found to offer significant relief from hot flashes. Key Benefits: Hot flashes are a common symptom of menopause, affecting approximately 75% of women. Gabapentin (Neurontin) 47: 59 menopausal women: 300 mg three times per day: 12 weeks: 45 percent decrease in hot flashes with gabapentin versus 29 percent with placebo (P = .02, NNT = 6 Several studies have shown that gabapentin (Neurontin) at 600-2400 mg/day in divided doses is effective for treating hot flashes in menopausal women. Research presented at the annual meeting of the North American Menopause Society (NAMS) indicates that an investigational extended release (ER) formulation of gabapentin (Serada, Depomed) is effective for the treatment of hot flashes and sleep As the FDA hasn’t approved gabapentin for menopause, doctors must consider study results or their own clinical experience. The American Association of Family Physicians reports success with dosages between 900 and 2,400 mg daily. Gabapentin (Neurontin, Gralise, others). This antiseizure medicine helps ease hot flashes. Side effects can include being drowsy, dizzy or tired and swelling in the arms and legs, called edema. Pregabalin (Lyrica). This is another anti-seizure medicine that can help ease hot flashes. Gabapentin is a non-hormonal treatment that may be prescribed for women who need, or want, to avoid MHT. Why have you been prescribed gabapentin? Gabapentin is usually used to control epilepsy or chronic nerve pain. It also reduces menopausal hot flushes.
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