Gabapentin & acid reflux: I have just... - Restless Legs Syn...

Restless Legs Syndrome

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Gabapentin & acid reflux

Silveryogi profile image
19 Replies

I have just started taking Gabapentin for my RLS and I’m suffering really bad acid reflux, to the point that it is difficult to eat or drink anything. Is this likely to be a side effect of Gabapentin (as it isn’t listed as a common side effect)?

19 Replies
SueJohnson profile image
SueJohnson

It can be a side effect. Most antacids make RLS worse. A safe one to take is Gaviscon. Most side effects disappear after about a month.

Silveryogi profile image
Silveryogi in reply to SueJohnson

thank you!

Frizbotch profile image
Frizbotch in reply to SueJohnson

I too am having acid reflux after starting gabapentin for my RLS. The gabapentin (800mg tablet in the evening before bed) has really helped my RLS but the acid reflux started after about 6 weeks on the gabapentin. I will try Gaviscon and would like to know when you suggest taking it and at what dose. Also I like to stop eating after 3 pm (I’ve been restricting eating to an eight hour window 7am-3pm for a couple of years). Is it ok to take gabapentin on an empty stomach or could that be exacerbating the acid reflux? Thank you!

SueJohnson profile image
SueJohnson in reply to Frizbotch

Ask your doctor on the dose and timing of gaviscon. You can take gabapentin on an empty stomach. Most people do. I doubt that taking it on an empty stomach would be exacerbating your acid reflux. If you are taking 800 mg all at one time though, you should divide the dose since it isn't well absorbed above 600 mg. Take 600 mg 1 to 2 hours before bedtime and 200 mg 2 hours before that. You may find you only need 700 mg as a result.

Joolsg profile image
Joolsg

Just enter gabapentin and acid reflux into search engine and there are numerous people reporting it as a side effect. Also report it via Yellow Card report in UK or FDA adverse side effects in US because unless we report these side effects, they are not listed on the meds leaflet.Be wary about taking PPI gastric pills to counter the acid reflux as they worsen RLS for the majority.

Try taking a good probiotic like VSL or Symprove and try Gaviscon or magnesium based antacids, taking them 2 to 3 hours before the gabapentin as magnesium can affect gabapentin absorption.

Silveryogi profile image
Silveryogi in reply to Joolsg

thank you!

SueJohnson profile image
SueJohnson in reply to Silveryogi

Antacids can interfere with the absorption of iron and magnesium needs to be taken 3 hours before gabapentin as it interferes with the absorption of the gabapentin. And magnesium needs to be taken 2 hours apart from iron.

SueJohnson profile image
SueJohnson in reply to Joolsg

Magnesium based antacids will reduce the absorption of gabapentin so better not to take them.

SalemLake profile image
SalemLake in reply to Joolsg

Hi Jools, I had to report back on something to you. I think probiotics do help with reflux/heartburn though as usual I doubted you. I’ve been taking Kimchi for months (4?) now and about a month ago noticed a dramatic drop in reflux/heartburn which I was completely certain was due to a moderate sized hiatal hernia, yet I now truly believe the gut microbiome is also somehow involved, but it may take 3 months to see any improvement. Zinc worked well, after the fact, but in no way ever prevented reflux.

The kimchi has done nothing for the RLS sadly, which is seemingly worse since I had Covid this past October - to the point I’ve been taking double and even triple the amount of iron. However, while I was taking berberine for about a month, the RLS seemed vastly improved, almost from day one, but the stuff really (really) slows down motility, so I stopped about three or four weeks ago and I never quite took it everyday anyways. Last night was the straw that broke…so I’m back on the berberine…at half the dose. And yes, I was even taking a stool softener and fiber to no avail. If I have to I will go in for the stronger stuff - Miralax. I want to get in a solid 3 months of berberine.

Sounds like you continue to do well which pleases me to no end. Xx

Stdorn profile image
Stdorn

Same here but it seems to come and go.

VJ29 profile image
VJ29

I have also just started taking it and have noticed indigestion issues. I take lanzaprozole anyway so will need to look at suggested alternatives .

Silveryogi profile image
Silveryogi in reply to VJ29

yes I already take Lanzaprozole too. I think I need to speak to my doctor if it persists; there’s no point in taking a drug if it solves one issue but causes another

SueJohnson profile image
SueJohnson in reply to Silveryogi

If you take iron be aware that lansoprazole is a proton pump inhibitor and can interfere with the absorption of iron.

SueJohnson profile image
SueJohnson in reply to VJ29

If you take iron be aware that lansoprazole is a proton pump inhibitor and can interfere with the absorption of iron.

VJ29 profile image
VJ29

I know but I'm goi.g to see how it's goes as if the gabapentin solving the RSL I will try a different solution for reflux I think

Silveryogi profile image
Silveryogi

the problem is that mine is so severe, that I’m struggling to eat and drink at the moment. This is like nothing I have experienced before - actual pain in my throat, cough etc. I’ll give it a few more days to see if it settles down, then I’ll have to go back if necessary

jilk profile image
jilk in reply to Silveryogi

silveryogi I had to eliminate most foods to get results i eventually went carnivore for a few months which healed my gut then discovered gaba glutamate. recommend trying no starchy foods, then dairy bless you i know how hard and isolating this can be good luck finding YOUR solution

Silveryogi profile image
Silveryogi

thank you!

Jadawyn profile image
Jadawyn

Apple cider vinegar (1tsp-1tbsp) in warm water before meals helps tremendously. I add 1 tsp lemon juice to make it more palatable, some don't.

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