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Gabapentin is used to treat chronic neuropathic pain, but it may cause dizziness, drowsiness, and confusion in some older adults. Making the decision on whether the benefit of gabapentin outweighs the side effects, which could lead to increased falls, may seem daunting. Concerning the elderly, untreated persistent pain is associated with poor sleep, social isolation, functional deterioration and increased risk of falls . Anticonvulsants, such as pregabalin and gabapentin, as a first line therapy for neuropathic pain have are effective also for sleep disturbances. 2. Clinical Evaluation and Diagnosis Appropriate studies performed to date have not demonstrated pediatric-specific problems that would limit the usefulness of gabapentin for treating partial seizures in children 3 years of age and older. However, safety and efficacy have not been established in children younger than 3 years of age. One of the most significant concerns with gabapentin use in elderly patients is the increased risk of dizziness and falls. This side effect can be particularly dangerous for older adults, who may already have balance issues or fragile bones. The use of Gabapentin capsules in patients less than 12 years of age with compromised renal function has not been studied. 2.4 Dosage in Elderly. Because elderly patients are more likely to have decreased renal function, care should be taken in dose selection, and dose should be adjusted based on creatinine clearance values in these patients. It is possible the current standard dose is too high for some older patients, and some hospitalizations may be avoided through the judicious use of gabapentin, use of the lowest dose possible to control pain, and vigilance for early signs of altered mental status. Gabapentin is an effective treatment for chronic neuropathic pain but may cause dizziness, drowsiness, and confusion in some older adults. The goal of this study was to assess the association between gabapentin dosing and adverse outcomes by obtaining estimates of the 30-day risk of hospitalization with altered mental status and mortality in older adults (mean age 76 years) in Ontario, Canada Gabapentin is FDA-approved as Neurontin to treat partial seizures in adults and children with epilepsy. Partial seizures are convulsions that originate from a single location in the brain. Neurontin is also approved to treat a type of nerve pain called postherpetic neuralgia, or PHN. Although gabapentin has been increasingly prescribed to older adults, the relationship between gabapentin and cognition/functional status is not well studied. Therefore, we aimed to examine the association of gabapentin use and cognitive/functional change in older adults. Methods Gabapentin can be a valuable medication for many elderly patients when used appropriately. Its effectiveness in managing neuropathic pain and seizures, coupled with its relatively favorable side effect profile, makes it a useful option in geriatric medicine. Neurontin (gabapentin) is used to treat pain you may have from shingles (postherpetic nerve pain). It is also used with other seizure medicines for partial onset seizures in patients 3 years and older. Gralise (gabapentin) is only used for pain after having shingles (postherpetic nerve pain). It should not be used for any other medical condition. Gabapentin is commonly used for neuropathic pain relief in all stages of life. But how safe is gabapentin for older adults? What are the main gabapentin side effects in the elderly? Older adults have a higher prevalence of side effects due to overlapping health conditions and polypharmacy. Gabapentin is used to: Prevent and control partial seizures. Gabapentin can be used in adults and children age 3 and older who have partial seizures. Relieve nerve pain following shingles in adults. Shingles is a painful rash that develops many years after you've had chickenpox. In elderly patients with renal impairment, dose adjustment of gabapentin and pregabalin is required. Carbamazepine currently is the first line therapy for neuralgia. Gabapentin and pregabalin are recommended to be taken in short courses (two to four months) for certain types of neuropathic pain including diabetic neuropathy, central neuropathic The prevalence of gabapentin use was measured each year (2006 to 2019) across different levels of cognitive status. In addition, we examined the prevalence of gabapentin use stratified by age groups (65 to 74 years; 75 to 84 years; and 85+ years) and sex across different categories of cognitive status. Gabapentin, while an effective medication for managing neuropathic pain and seizures, presents significant risks for older adults, making its use in this population a complex issue requiring careful consideration. Learn about the common side effects of gabapentin in elderly patients, including dizziness, fatigue, cognitive impairment, and more. Explore the connection between gabapentin and depression, mechanisms behind gabapentin-related depression, and strategies to manage and mitigate side effects. The use of gabapentin has thus far been only sporadically reported in this condition [7–10]. The available literature mentions only anticonvulsives (eg, carbamazepine and valproate) [ 5 ]. Therefore, we should like to call attention to our satisfactory experience of gabapentin in cases like ours. Geriatric Considerations for Gabapentin Use. Gabapentin is a medication commonly prescribed to older adults for various health conditions. However, when it comes to elderly patients, several age-related concerns must be taken into account to ensure safe and effective use. Age-Related Concerns with Gabapentin Use
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