Gabapentin use: Hi all, How do you... - Restless Legs Syn...

Restless Legs Syndrome

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Gabapentin use

rls-ottawa profile image
8 Replies

Hi all,

How do you take gabapentin if you dose is higher then 2100?

Thank you.

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rls-ottawa
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8 Replies
SueJohnson profile image
SueJohnson

Take 600 mg 1 to 2 hours before bedtime as the peak plasma level is 2 hours. Then take 600 mg 4 hours before bedtime as it is not as well absorbed above 600 mg. Then take 600 mg 6 hours before bedtime and then 300 mg 8 hours before bedtime. Since this becomes ridiculous you should switch to pregabalin which can be taken in 1 dose 1 to 2 hours before bedtime. You can switch directly. The equivalent dose is 350 mg.

If you have been taking more than 600 mg in one dose you can take less gabapentin. For example if you take 900 mg in one dose you are really only taking the equivalent of 540 mg. If so let me know how much you are taking at one time and I can probably tell you how much to take in 600 mg doses.

If you take magnesium even in a multivitamin, don't take it within 3 hours of taking gabapentin (it is OK with pregabalin) as it will interfere with the absorption of gabapentin and don't take calcium within 2 hours for the same reason (not sure about pregabalin). If you have been that also may have reduced your effective dose.

rls-ottawa profile image
rls-ottawa in reply toSueJohnson

I am currently taking 3X600 per day (using your schema) but will be adding 300 more (2100 total) sines I still have RLS symptoms

SueJohnson profile image
SueJohnson in reply torls-ottawa

I would just add 100 mg more. That might be enough.

rls-ottawa profile image
rls-ottawa in reply toSueJohnson

My GP prescribes 2 capsules X 3 times a day

SueJohnson profile image
SueJohnson in reply torls-ottawa

Ask for a prescription for 100 mg.

Bantamdyno profile image
Bantamdyno

Why are you taking all these drugs have you found your trigger points🤔

rls-ottawa profile image
rls-ottawa in reply toBantamdyno

could you explain, I do not take triggers like alcohol and others

Bantamdyno profile image
Bantamdyno in reply torls-ottawa

The trigger points in the legs setoff rl s sensations ,to find and treat points I use this hand held massager🤔

Trigger point massager

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