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Is A Dose Of Neurotin 2400 Mg Per Day Considered Normal To Treat A Herniated Disc?

Posted on Fri, 5 Apr 2013

Question: Is a dose of neurotin of 2400mg per day considered normal to treat a herniated disc?

Answered by Dr. Payman Hajiazim (33 minutes later)

Hi there, thanks for asking. Neurotin (gabapentine) is a medication which should be increased gradually to minimize the side effects. Furthermore, it should be taken in two or three divided dose to have a better coverage of pain during 24 hours and also have less side effects. Most people can tolerate 2400 mg a day of this medication and there is no risk for kidney or liver with this dose. It should be increased to this dose if tolerating the pain is difficult with lower doses.
Herniated disk is a serious issue and it need a comprehensive approach. apart from medication that you are taking, be careful about other orders that doctor has given to you. feel free to ask me any other question. I wish you a good health.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Payman Hajiazim (14 hours later)

Thanks for the information. Would Neurotin cause muscle spasms/twitches that appear to occur randomly? She has been experiencing this twitching for the past 2 days, in her face, arms, chest and legs, and they seem to be increasing. Also, she appears almost semi-sedated, with balance issues upon standing and she also says she feels like she's in a mental fog. I really believe she needs to see a neurologist or an orthopedic surgeon so that the problem can be solved rather than just masking the symptoms. This drug is adversely affecting her life to the point that she cannot even drive a car. Thank you for any help you can give me.

Answered by Dr. Payman Hajiazim (1 hour later)

Hi there, you are welcome. You are true, gabapentine can cause balance issues, overly sedation and decreased mental cognitive functions at the high dose. Gabapentine does not induce twitching or spasm. But, Pain can cause twitching.
The best thing is not to do some activities that aggravate the pain for the first days for the first few days and also asking an orthopedic surgeon more if the pain is severe or radiates to the leg. I wish you and the family a good health.

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar