Freema
Expert
- Messages
- 7,346
- Type of diabetes
- Type 2
- Treatment type
- Diet only
I am now even more confused. After speckling with my surgery about the amount that I should take, I have read the leaflet and also looked online and they say 3 times 3 tablets aday is the norm.
That's what says on my box but queried it because I thought 9 aday was alot
My surgery did say after that it's 1 times 3 aday
it seems to be different doses for different kinds of nerophathy
https://www.practicalpainmanagement...on-opioids/gabapentin-dosing-neuropathic-pain
Gabapentin Dosing Considerations
Three gabapentin products are FDA approved to treat PHN. The different formulations cannot be interchanged and each has its own dosing schedule.
- For immediate-release gabapentin (Neurontin), dosing may be initiated with 300 mg on day 1, doubled on day 2 (300 mg twice a day), and tripled on day 3 (300 mg 3 times a day). The dose can then be titrated up as needed for pain relief to a maximum dose of 1,800 mg daily (divided into 3 daily doses). Clinical studies referenced in the package insert state that efficacy for a range of doses from 1,800 mg/day to 3,600 mg/day were observed; however, there was no additional benefit seen with doses greater than 1,800 mg/d.1
- Gralise is an extended-release gabapentin formulation that also is FDA approved for PHN with a titration schedule that begins with 300 mg on day 1; 600 mg on day 2; 900 mg on days 3 to 6; 1,200 mg on days 7 to 10; 1,500 mg on days 11 to 14; and 1,800 mg on day 15 and thereafter.2
- The third gabapentin formulation for PHN treatment is another extended-release product, Horizant. The starting dose is 600 mg in the morning for 3 days, increased to 600 mg twice daily on day 4 and thereafter. A daily dose of Horizant greater than 1,200 mg provided no additional benefit at the expense of side effects.3