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Gabapentin (Neurontin, Gralise, Horizant) is a medicine used to treat partial seizures, nerve pain from shingles and restless leg syndrome. It works on the chemical messengers in your brain and nerves. Gabapentin is from a group of medicines called anticonvulsants. Some of the main substances that interact with gabapentin are morphine, caffeine, losartan, ethacrynic acid, phenytoin, mefloquine and magnesium oxide. Some of the side effects caused by gabapentin are teratogenicity, hypoventilation, respiratory failure and myopathy. Gabapentin is usually well tolerated, but like all medications, it can interact with other drugs and substances. It is important to be aware of the potential risks and to be aware of the drugs that should not be taken with gabapentin. Gabapentin is primarily eliminated from the body through the kidneys. Taking gabapentin together with other medications can lead to drug interactions. Some of the drugs that can potentially interact with gabapentin include: Naproxen. Studies suggest that naproxen (aleve) increases the amount of gabapentin absorbed in the body. Gabapentin may interact with other medicines and supplements. Before taking gabapentin, tell your healthcare provider about any prescription or over-the-counter (OTC) medicines, vitamins/minerals These classifications are only a guideline. The relevance of a particular drug interaction to a specific individual is difficult to determine. Always consult your healthcare provider before starting or stopping any medication. Major: Highly clinically significant. Avoid combinations; the risk of the interaction outweighs the benefit. Moderate Are there any serious interactions with gabapentin and other medications? Serious breathing problems can happen if you take gabapentin with drugs that cause severe sleepiness or decreased awareness. Some examples include narcotic opioids, anti-anxiety medicines, antidepressants, and antihistamines. 270 medications are known to interact with gabapentin. Includes: drug, food, pregnancy, breastfeeding and therapeutic duplication warnings. There are 3 main types of drug interactions to watch for: Drug-drug interactions: This is the most common type of drug interaction and involves one drug interacting with another. If you take many medicines, your chances for this type of interaction increases. Yes, some over-the-counter medications can interact with gabapentin. Common examples include cold and allergy medications that contain sedating antihistamines. These can enhance the sedative effects of gabapentin, increasing the risk of drowsiness and confusion. Pharmacodynamics. Gabapentin is an anti-convulsant medication that inhibits the release of excitatory neurotransmitters, allowing for its use against pathologic neurotransmission such as that seen in neuropathic pain and seizure disorders. 16,19 It has a wide therapeutic index, with doses in excess of 8000 mg/kg failing to cause a fatal reaction in rats. 21 Gabapentin is a prescription drug most commonly prescribed to relieve nerve pain following shingles in adults and the pain of postherpetic neuralgia. Learn about side effects, drug interactions, dosages, warnings, and more. In short, the most common over-the-counter (OTC) pain relievers, such as acetaminophen (Tylenol) and ibuprofen (Advil), are generally considered safe to take with gabapentin. Gabapentin, a medication primarily used to treat seizures and nerve pain, is generally considered safe when used as directed. However, like many medications, it can interact negatively with other substances, leading to unwanted side effects or reduced efficacy. Both Gabapentin and Doxepin have effects on the CNS and can cause sedation, which might affect the ability to perform skilled tasks (see 'Drugs and Driving' in Guidance on Prescribing). In some cases, use of two or more drugs that have effects on the CNS might also increase the risk of CNS depressant effects (which could range from sedation to Understand Drug Interactions: Gabapentin interacts with opioids, antacids, and more. Opioid Risks: Combining gabapentin with opioids can lead to increased sedation. Antacid Timing Matters: Take antacids at least two hours apart from gabapentin. There are 4 disease interactions with gabapentin. Major Potential Hazard, Moderate plausibility. Applicable conditions: Drug Abuse/Dependence. Anxiolytic, sedative, and hypnotic agents have the potential to cause dependence and abuse. Gabapentin, like any other substance, can interact with other substances.Those taking gabapentin should therefore always disclose to their doctors any medical conditions, other medications (prescription or over the counter), supplements, herbal products, illicit drugs, tobacco products, alcoholic beverages, and dietary choices.
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