Gabapentin

[auldreekie18]

Hi Sue ,switching from pramipexole to Gabapentin ,stopped 088 mg last night to 300mg Gabapentin ,slept for 6 hours wakened at 6.30am with RLS in 1 leg till 8.00 am till getting up do I need to increase the Gabapentin to 600mg now also took 2 50mg of Tramadol feel fine today a couple of weeks I will come of Tramadol ,felt better off Pramipexole hope it is long term and muscle pain will decrease ,I would be grateful for your advice as I know you recommend Gabapentin . God Bless.

[SueJohnson]

That's great that you are off the pramipexole! When did you start the gabapentin? It takes 3 weeks to be fully effective. Assuming you did this, it still takes at least a couple weeks for the withdrawal from pramipexole to settle down, so I would wait for a couple of weeks before increasing the gabapentin.

[auldreekie18 in reply to SueJohnson]

Thanks Sue , been stupid like usual, started 300mg Gabapentin got to sleep for 6 hrs before RLS kicked in ,so being stupid next night took 600 mg Gabapentin and 2 tramadol terrible night ,being off Pramipexole although it helped .,so third night took 900mg Gabapentin and no tramadol worst RLS I have had sweats dizziness eye sight felt terrible ,how do you space out the doses and when to increase them I want this to work God Bless you thanks for al the great advice you give everybody 1 day we will beat this horrible condition

[SueJohnson in reply to auldreekie18]

Don't stop the tramadol yet as you obviously need it. In fact you may need more temporarily. You can safely go up to 200 mg, Take the 600 mg 1 to 2 hours before bedtime and 300 mg 4 hours before bedtime. But as mentioned above it is not going to help much yet. Perhaps you came off the pramipexole too quickly. I would be tempted to go back on it at half the .088 dose while still taking the gabapentin to both help on your symptoms and to give the gabapentin the 3 weeks necessary to work. Wait to increase the gabapentin until the 3 weeks have passed and preferably until a couple weeks after you are off the pramipexole. Then increase 100 mg every couple of days and take the increased amount with the 300 mg until you reach 1200 mg total, then any additional 6 hours before bedtime. Hang in there. It will get better.

[auldreekie18 in reply to SueJohnson]

Thanks Sue great advice as usual but I will not go back on Pramipexole I will tough it out but take my time and wait longer to give it a chance to work ,God Bess and thank you .