Gabapentin

Generic Details

Generic Name

Gabapentin

Other Names

  • Neurontin
  • Gralise
  • Horizant

Drug Class

  • Anticonvulsant
  • Neuropathic Pain Agent

Chemical Formula

C9H17NO2

Molecular Weight

171.24 g/mol

Mechanism of Action

  • Inhibition of excitatory neurotransmitter release

Indications

  • Epilepsy
  • Neuropathic pain
  • Restless legs syndrome
  • Anxiety disorders

Common Dosage Forms

  • Capsules
  • Tablets
  • Oral solution

Typical Dosage

  • 300mg to 3600mg per day in divided doses

Pediatric Dosage

  • Dosage based on weight and age

Geriatric Dosage

  • Lower starting dose may be required

Side Effects

  • Dizziness
  • Drowsiness
  • Weight gain
  • Peripheral edema

Contraindications

  • Hypersensitivity to gabapentin

Pregnancy Category

  • C - Risk cannot be ruled out

Lactation Safety

  • Limited data available, caution advised

Drug Interactions

  • Alcohol
  • Opioids
  • Antacids

Overdose Symptoms

  • Ataxia
  • Drowsiness
  • Respiratory depression

Antidote for Overdose

  • Supportive care

Storage Conditions

  • Store at room temperature away from light and moisture

Pharmacokinetics

  • Absorption: Not affected by food
  • Distribution: Crosses blood-brain barrier
  • Metabolism: Minimal hepatic metabolism
  • Excretion: Renal excretion of unchanged drug

Precautions

  • Monitor for signs of suicidal thoughts or behavior

Warnings

  • May cause dizziness and drowsiness, caution while driving or operating machinery

Others