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1740498 tn?1328962585

Increasing Gabapentin

I'm going from 600 mg 1x day of gabapentin to 600 mg 3x day. I think that I can't just jump it like that. What has worked for you?

My PCP did the increase not my [useless] neuro, and he didn't say I need to increase slowly. I'm just assuming that... since the guy who put me on 600 mg had me start with 300 for a few days then 600.
6 Responses
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1253197 tn?1331209110
I would definititely titrate your dosage slowly over at least a week otherwise you may feel a bit dopey and lathargic as it is a large increase from what your body has been used to.

Cheers for now

Sarah
Helpful - 0
147426 tn?1317265632
Excellent advice guys, nothing to add.  Props!

Q
Helpful - 0
1740498 tn?1328962585
I hadn't thought of asking the pharmacist. Thanks, you guys are so helpful.

Hopefully an increase helps my nerve pain. Fingers crossed!
Helpful - 0
382218 tn?1341181487
I agree, to be on the safe side, call your pharmacist.  When my neuro recommended I slowly titrate up my dosage, I added 100mg every few days.  You should gradually increase up to the point that you get maximum relief.  That might be 600mg, 3x per day, or it might be less, or you might need more.  The max recommended safe dosage is 3600 mg per day, which is the dosage I currently am on, (1200mg x 3) with no side effects.
Helpful - 0
1637739 tn?1371688706
Just to be safe, I would slowly adjust it or call the office.  I always slowly increase and decrease with Neurontin.

Jeny
Helpful - 0
Avatar universal
I would call your pharmacist or your doctor back and double check. I couldnt take gabapentin it turned me into someone I didnt like at all. Good luck :)
Helpful - 0
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