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|Prescription:||Over the Counter|
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Name of the medicinal product
Gabapentin 300 mg, Softgels gabapentin
Please read this leaflet carefully before taking Gabapentin 100 mg as it contains important information for you.
* Keep this leaflet. You might need to read it again.
- · If you have any other questions, ask your doctor or pharmacist.
- · Gabapentin has been prescribed to you personally. Do not give it to other people. It could be harmful to them, even if the signs of their illness are identical to yours.
- · If you experience any side effects, tell your doctor or pharmacist. This also applies to any adverse reactions that are not mentioned in this leaflet. See section 4.
What does this leaflet contain?
- 1. What is Gabapentin 300 mg capsule and what is it used for?
- 2. What information do I need to know before taking Gabapentin 300 mg capsule?
- 3. How to take Gabapentin 300 mg capsule?
- 4. What are the possible side effects?
- 5. How to store Gabapentin 300 mg, capsule?
- 6. Contents of the package and other information.
1. WHAT IS Gabapentin 300 mg Capsule AND WHAT IS IT USED FOR?
Gabapentin belongs to a class of drugs used to treat epilepsy and peripheral neuropathic pain (persistent pain caused by damage to the nerves).
Gabapentin is used to treat Various forms of epilepsy (convulsive seizures that are initially limited to certain parts of the brain, regardless of whether the seizure later spreads to other parts of the brain or not). Your doctor treating you or your child 6 years of age or older will prescribe Gabapentin to help treat epilepsy when current treatment does not completely control the disease. You or your child 6 years of age or older should take Gabapentin in combination with current treatment, unless otherwise indicated. Gabapentin can also be used alone to treat adults and children over 12 years of age ;
Gabapentin is used to treat peripheral neuropathic pain (persistent pain caused by damage to the nerves). Various pathologies can lead to peripheral neuropathic pain (mainly affecting the legs and/ or arms), such as diabetes or shingles. The painful manifestations can be described as being sensations of heat, burning, throbbing pain, slenderness, stabbing, lightning pain, cramp, aching, tingling, numbness, pinching and needle strokes, etc.
2. WHAT IS THE INFORMATION TO KNOW BEFORE TAKING Gabapentin 300 mg, capsule?
Do not take Gabapentin 300 mg, capsule:
- if you are allergic to gabapentin or to any of the other ingredients contained in Neurontin, mentioned in section 6.
- If you have kidney problems, your doctor may prescribe a different dose for you
- if you are on hemodialysis (to purify the blood if you have kidney failure), tell your doctor if you have muscle pain or muscle weakness
- if you develop signs such as persistent stomach upset, nausea (heartache), vomiting contact your doctor immediately. They can be symptoms of acute pancreatitis (inflammation of the pancreas)
- ·if you have a respiratory or nervous system condition, or if you are over 65 years of age, your doctor may prescribe a different dosage regimen for you.
- If you feel muscle weakness, tenderness or pain, and in particular, if at the same time, you feel unwell or fever, this may be caused by an abnormal muscle breakdown that can endanger your life and lead to kidney problems. You may also experience discoloration in the urine and a change in the results of blood tests (in particular, an increase in creatine phosphokinase in the blood). If you experience any of these signs or symptoms, contact your doctor immediately.
Warnings and precautions
Talk to your doctor or pharmacist before taking Gabapentin.
- Cases of abuse or dependence have been reported for gabapentin after marketing. Tell your doctor if you have a history of abuse or addiction;
- A small number of people treated with antiepileptic drugs such as Gabapentin have had self-destructive or suicidal ideation. If such thoughts should arise at any time, contact your doctor immediately.
Serious skin rashes, including Stevens-Johnson syndrome, toxic epidermal necrolysis and skin rash with eosinophilia and systemic symptoms (DRESS), have been reported in combination with gabapentin therapy. Stop taking gabapentin and seek medical attention immediately if you notice any of the symptoms associated with these serious skin reactions described in section 4.
Read the description of these symptoms in section 4 of this leaflet "Contact your doctor immediately if you have any of the following symptoms after taking Neurontin, as they may be serious".
If you feel muscle weakness, tenderness or pain, and in particular, if at the same time, you feel unwell or fever, this may be caused by an abnormal muscle breakdown that can endanger your life and lead to kidney problems. You may also experience discoloration in the urine and a change in the results of blood tests (in particular, an increase in creatine phosphokinase in the blood). If you experience any of these signs or symptoms, contact your doctor immediately.
Other medicines and Gabapentin 300 mg, capsule
Tell your doctor or pharmacist if you are taking, have recently taken, or may be taking any other medication. In particular, tell your doctor (or pharmacist) if you are taking or have recently taken medication for seizures, sleep disorders, depression, anxiety or any other neurological or psychiatric condition.
If you are taking medicines containing opioids (such as morphine), talk to your doctor or pharmacist because opioids can increase the effects of Gabapentin. In addition, the concomitant intake of Gabapentin and opioids can cause a desire to sleep, sedation, decreased breathing or death.
If you take Gabapentin and an antacid containing aluminum and magnesium at the same time, the absorption of Gabapentin from the stomach may be reduced. It is therefore recommended to take Gabapentin no earlier than two hours after taking an antacid.
Gabapentin should not interact with other anti-epileptic drugs or with the contraceptive pill
Gabapentin may interfere with some biological tests; if you need to do a urinalysis, tell your doctor or the hospital what you are taking.
Some people may become dependent on Gabapentin (need to continue taking the drug). They may have a withdrawal syndrome when they stop taking Gabapentin (see section 3, "How to take Gabapentin? "and "If you stop taking Gabapentin"). If you are worried about becoming dependent on Gabapentin, it is important that you consult your doctor.
If you notice any of the following signs during your treatment with cheap Gabapentin, it may be a sign that you have become dependent :
- You feel the need to take Gabapentin for longer than what was advised by your doctor.
- You feel the need to take a larger dose than recommended.
- You are using Gabapentin for reasons other than those for which it was prescribed to you.
- You have tried several times, without success, to stop or control the use of Neurontin.
- When you stop taking Gabapentin, you feel bad, and you feel better when you take it again.
If you notice any of these symptoms, talk to your doctor to discuss the best treatment for you, including when to stop treatment and how to do it safely
Gabapentin 300 mg, capsule with food
Gabapentin can be taken with or without meals.
Pregnancy, breastfeeding and fertility
If you are pregnant or breastfeeding, if you think you may be pregnant or are planning to become pregnant, ask your doctor or pharmacist for advice before taking cheap Neurontin.
Gabapentin should not be taken during pregnancy, unless otherwise advised by your doctor. Women of childbearing potential should use an effective contraceptive method.
No studies specifically evaluating the use of gabapentin in pregnant women have been carried out, but other drugs used to treat epilepsies have shown a higher risk of fetal damage, especially when taking more than one antiepileptic treatment at the same time. Thus, you should try as much as possible to only take antiepileptic therapy during pregnancy and only on the advice of your doctor.
You should contact your doctor immediately if you are pregnant, think you may be pregnant, or plan to become pregnant while you are taking Gabapentin. Do not stop taking Neurontin suddenly because it could lead to the recurrence of seizures, which could have serious consequences for you and your baby.
If taken during pregnancy, gabapentin can lead to withdrawal symptoms in the newborn. This risk may be increased when gabapentin is taken at the same time as opioid painkillers (for the treatment of severe pain).
Gabapentin, the active substance of Gabapentin, passes into breast milk. Since the effect in breastfed infants is not known, it is not recommended to breastfeed your child when taking Gabapentin.
Driving vehicles and using machines
Gabapentin can lead to dizziness, drowsiness and fatigue. You should not drive, operate complex machinery, or participate in potentially dangerous activities until it has been determined whether Neurontin affects your ability to perform such activities.
Gabapentin 300 mg, capsule contains lactose
If your doctor has informed you of an intolerance to certain sugars, contact him before taking Neurontin.
3. HOW TO TAKE Gabapentin 300 mg, capsule?
Always take Neurontin exactly as directed by your doctor or pharmacist. Check with your doctor or pharmacist if you are unsure. Do not exceed the prescribed dose.
Your doctor will determine the dosage that is right for you.
Recommended dose in the treatment of epilepsy
Adults and teenagers
Take the number of capsules prescribed by your doctor. Your doctor will usually increase your dose gradually. The initial dose will usually be between 300 mg and 900 mg per day. Then, the dose can be increased as prescribed by your doctor up to a maximum dose of 3600 mg per day, and your doctor will tell you to take it in 3 separate doses, i.e. one dose in the morning, one dose in the afternoon and one dose in the evening.
Children from 6 years old
The dose to be given to your child will be determined by your doctor because it is calculated according to your child's weight. The treatment is initiated with a low dose which will be gradually increased over a period of about 3 days. The usual dose controlling epilepsy is 25-35 mg/kg/day. It is usually administered in 3 separate doses, the capsule(s) being taken every day, usually once in the morning, once in the afternoon and once in the evening.
Gabapentin is not recommended for children under 6 years of age.
Recommended dose in the treatment of peripheral neuropathic pain
Take your Neurontin as soon as you remember. If it is almost time for your next dose, wait for that next dose, then continue as usual. Do not take a double dose to make up for the dose you forgot to take.
4. WHAT ARE THE POSSIBLE UNDESIRABLE EFFECTS?
Stop using Gabapentin and consult a doctor immediately if you notice any of the following symptoms :
- not raised reddish spots, in the form of targets or circles on the trunk, often accompanied by central blisters, peeling of the skin, ulcers of the mouth, throat, nose, genitals and eyes. These serious skin rashes can be preceded by fever and flu-like symptoms (Stevens-Johnson syndrome, toxic epidermal necrolysis).
- generalized skin rash, high body temperature and swelling of the lymph nodes (DRESS syndrome or drug hypersensitivity syndrome).
Like all medicines, Gabapentin can cause side effects, but not everybody gets them.
Contact your doctor immediately if you have any of the following symptoms after taking this medicine, as they may be serious :
- serious skin lesions that require immediate treatment, swelling of the lips and face, redness and rash and/or hair loss (these symptoms may be related to a serious allergic reaction)
- persistent stomach upset, nausea (heartache), vomiting contact your doctor immediately. They can be symptoms of acute pancreatitis (inflammation of the pancreas)
- respiratory problems, which, if serious, can lead to the administration of urgent and intensive care to allow the patient to continue breathing normally
- Gabapentin can trigger a serious, or life-threatening, allergic reaction that can affect your skin or other parts of your body such as the liver or blood cells. You may or may not get a rash when you manifest this type of reaction. This may require hospitalization or discontinuation of Gabapentin.
Contact your doctor immediately if you have any of the following symptoms :
- skin rash
- permanent swelling of the nodes
- swelling of the lips and tongue
- yellowing of the skin or whites of the eyes
- unusual bruising or bleeding
- great fatigue or weakness
- unexpected muscle pain
- frequent infections
These symptoms can be the first signs of a serious reaction. A doctor should examine you to decide if you should continue taking Gabapentin.
If you are on hemodialysis, tell your doctor if you have muscle pain or muscle weakness.
Other adverse reactions :
- Viral infection
- feelings of drowsiness, dizziness, lack of coordination
- feeling tired, fever
- Pneumonia, respiratory infection, urinary tract infection, ear inflammation or other infections
- low white blood cell count
- anorexia, increased appetite
- anger towards others, confusion, mood fluctuations, depression, anxiety, nervousness, difficulty thinking
- convulsions, jerky movements, difficulty speaking, memory loss, tremor, difficulty sleeping, headache, sensitive skin, decreased sensitivity (numbness), difficulty coordinating, abnormal eye movements, increased, decreased or no reflexes
- blurred vision and double vision
- increased blood pressure, redness or dilation of blood vessels
- vomiting, nausea (heartache), dental problems, gum inflammation, diarrhea, stomach pain, indigestion, constipation, dry mouth or throat, flatulence
- erectile dysfunction (impotence)
- swelling of the arms and legs, difficulty walking, weakness, pain, feeling unwell, flu-like symptoms
- decrease in the number of white blood cells, weight gain
In addition, in clinical studies conducted in children, aggressive behavior and jerky movements have been reported frequently.
After stopping short- or long-term treatment with cheap Gabapentin, you should be aware that you may experience certain side effects called "withdrawal syndrome" (see "If you stop taking Gabapentin").
If you experience any side effects, tell your doctor or pharmacist. This also applies to any adverse reactions that are not mentioned in this leaflet.
5. HOW TO STORE GABAPENTIN?
Keep Gabapentin out of the sight and reach of children.
Do not use Gabapentin after the expiry date which is stated on the carton. The expiration date "EXP" refers to the last day of the indicated month. The first two digits indicate the month, the following the year.
Store at a temperature not exceeding 30 °C.
Do not throw any Gabapentin down the drain or with household waste. Ask your pharmacist to dispose of medicines that you no longer use. These measures will help to protect the environment.
6. CONTENTS OF THE PACKAGE AND OTHER INFORMATION
What Neurontin 300 mg contains
The active substance is : Gabapentin
The other components are : Anhydrous lactose, corn starch, talc.
What is Gabapentin 300 mg contents of the pack
Gabapentin is available in the form of a capsule. Box of 10, 20, 30, 60, 90, 100 or 500 capsules.
Detailed information on Neurontin no prescription is available on the official website.