Brief Answer: Tolerating Gabapentin and safety issues. Detailed Answer: Hi! I am so sorry to hear about your troubles with Medicaid. Though I am surprised by this. Even if MEDICAID lost your info. Shouldn't your doctor have the original notes where (s)he prescribed it? Shouldn't the pharmacy that provided the medication have a record? Shouldn't there be a record on your debit card or something when you bought it? My question is. Why can't proof be given to the people at medicaid and your switch BACK to Lyrica be justified? Anyway's.. That's not your question. So let me see to addressing those. 1) There is no known supplement that can help with the side effects of Gabapentin. This is a molecule that is basically tricking the brain into thinking that it is a natural neurotransmitter called GABA. There are not that many other chemicals out there that can even GET INTO your brains circulation let alone interact with GABA or GABApentin. The only advise I have for you is to do EXACTLY what you are doing, take it at night and have someone keep a watchful eye for awhile. The side effects should slowly wear off as your system gets used to the GABApentin. 2) Gabapentin and Pregabalin (Lyrica) are actually pretty similar to each other. They both interact in the brain by tricking the brain into making it think they are natural GABA molecules. GABA is a naturally made neurotransmitter that has a whole host of uses. It's an inhibitory transmitter in general, that means it quiets things down. For some reason your nerves that are causing the fibromyalgia are firing fast and furious and the GABA tricksters are being given to quiet them down. Think of Gabapentin and Pregabalin as Horse whisperers or nerve whisperers. They do have marginally different chemistry. Gabapentin gets broken down in the liver into its inactive form while Pregabalin just gets filtered out by the kidney largely unchanged. If you have liver disease, Gabapentin is the worse choice. Kidney disease, pregabalin is the better choice. This might have some effect in their side effect profile as well since some of the breakdown products that come OUT of the liver after breaking down gabapentin may be causing your side effects. Maintaining good liver health is key! DO NOT USE ALCOHOL ALONG WITH THESE DRUGS!!!! EVER... EVER EVER!!! I can't stress this enough. 3) I'm not expecting too much withdrawal from the stoppage of the Pregabalin since your 'GABA' levels should be well maintained by the Gabapentin that you are starting. That having been said, there is NO way I can forsee all the biochemical consequences of any change in meds. Less so since I do not have your full medical history and I have not examined you. Nontheless. In my experience (I have switched patients the other way, GABApentin to pregabalin) there is little physical consequence to the change. I hesitate to mention this only because I know very little about your history, examination or blood work, but i think it might actually be beneficial. There is another drug that used to be prescribed for Neuropathic pain in the bad old days before the coming of Pregabalin. That drug is actually an antiseizure medication called 'Carbamezipine'. If nothing else is working for you well enough. It may be worth giving that drug a trial. though it's use in pain management has largely been abandoned. I hope I helped. I'm really hoping this Medicaid thing gets sorted out. I wish I had more knowledge of the system, but i'm sitting in India and we don't have that kind of a system here. Anyways. Take care. I do hope things get better for you. Feel free to follow up if i have left you any further questions or new ones arise. Vinay

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