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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Much Gabapentin Is Allowed After Diagnosed From Brain Stem Stoke?

Husband has had a brain stem stroke and has a diagnosis of MG. He is having significant pain on leg (neuropathy?). Currently taking gabapentin 300 mg three times per day. He has had an aerobic vave replacement and is on coumadin. How much gabapentin is he allowed to take to knock down the pain which has become unbearable during the sleeping hours? He is ready to take narcotics as the pain is so significant.
Wed, 19 Feb 2014
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Neurologist,  's  Response
Hi,

Thank you for posting your query.

I have noted your husband's symptoms and agree that pain relief is of paramount importance in his case.

Gabapentin is a safe and effective medication for treating neuropathic pain. The safe limit can be upto 2400 mg per day, however, it may lead to dizziness or drowsiness at that dose.

Other good medications for nerve pain relief include pregabalin and duloxetine capsules.

If these medicines do not work, then, narcotics may be used under supervision of a pain specialist.

I hope my reply has helped you.

I would be pleased to answer, if you have any follow up queries or if you require any further information.
     
Best wishes,
Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)
Senior Consultant Neurologist
Apollo Hospitals, Hyderabad,
For DIRECT QUERY to me: http://bit.ly/Dr-Sudhir-kumar
My blog: http://bestneurodoctor.blogspot.com/
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How Much Gabapentin Is Allowed After Diagnosed From Brain Stem Stoke?

Hi, Thank you for posting your query. I have noted your husband s symptoms and agree that pain relief is of paramount importance in his case. Gabapentin is a safe and effective medication for treating neuropathic pain. The safe limit can be upto 2400 mg per day, however, it may lead to dizziness or drowsiness at that dose. Other good medications for nerve pain relief include pregabalin and duloxetine capsules. If these medicines do not work, then, narcotics may be used under supervision of a pain specialist. I hope my reply has helped you. I would be pleased to answer, if you have any follow up queries or if you require any further information. Best wishes, Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) Senior Consultant Neurologist Apollo Hospitals, Hyderabad, For DIRECT QUERY to me: http://bit.ly/Dr-Sudhir-kumar My blog: http://bestneurodoctor.blogspot.com/