Gabapentin

Table of contents

  • Brand Names
  • Chemistry
  • Pharmacologic Category
  • Mechanism of Action
  • Therapeutic Use
  • Unlabeled Use
  • Pregnancy and Lactation Implications
  • Contraindications
  • Warnings and Precautions
  • Adverse Reactions
  • Toxicological Effects
  • Caution and personalized dose adjustment in patients with the following genotypes
  • Other genes that may be involved
  • Inhibits
  • Drug Interactions
  • Nutrition/Nutraceutical Interactions
  • Dosage
  • Pharmacokinetics and Pharmacodynamics
  • Special Considerations

Brand Names

Europe

Austria: Neurontin; Belgium: Neurontin, Gabapentine; Bulgaria: Gabagamma, Gabaneural, Gabapentin, Gabastad, Gordius, Neurontin; Cyprus: Gabapentina, Gabenil; Czech Republic: Apo-Gab, Gabagamma, Gabalept, Gabanox, Gabapentin, Gabatem, Gabator, Gordius, Grimodin, Neurontin, Nurabax; Denmark: Gabadoz, Gabapentin, Neuril, Neurontin; Estonia: Gabagamma, Gabapentin, Gordius, Neurontin, Nurabax; Finland: Gabapentin, Gabrion, Neurontin; France: Gabapentine, Neurontin; Germany: Epipentin, Gabadig, Gabagamma, GabaHexal, GabaLich, Gabamed, Gabaneuro, Gabanox, Gabapentin, Gabapont, Gabarent, Gabaron, Gabatang, Gabax, Gaboton, Gabstad, Neurolept, Neurontin; Greece: Armofil, Brilian, Gabantin, Gabapen, Gabapentin, Gabapentina, Gabaront, Gabental, Gabiton, Gaboton, Medivapom, Neurontin, Neuros, Nurabax, Pentin, Peronten, Seni-Ven; Hungary: Gabagamma, Gabaneural, Gordius, Grimodin, Neuroba, Neurontin; Ireland: Gabapentin, Gabin, Gabture, Neurontin, Neurostil, Rangabax; Italy: Apentin, Gabapentin, Gabexine, Neurontin, Semerial; Latvia: Gabagamma, Gabapentin, Gordius, Grimodin, Neurontin; Lithuania: Gabagamma, Gabapentin, Gordius, Grimodin, Neurontin, Nurabax; Malta: Neurontin; Netherlands: Gabapentin, Neurontin; Poland: Gabagamma, Gabalept, Gabaneural, Gabapentin, Gabatem, Gabax, Grimodin, Neuran, Neurontin, Symleptic; Portugal: Gabapentina, Neurontin; Romania: Gabagamma, Gabalept, Gabaneural, Gabapentin, Gabaran, Gordius, Grimodin; Slovakia: Gabagamma, Gabapentin, Gabatem, Gordius, Grimodin, Neurontin, Nurabax; Slovenia: Gabagamma, Gabapentin, Neurontin; Spain: Gabapentina, Gabatur, Gabmylan, Neurontin; Sweden: Gabapentin, Neurontin; UK: Gabapentin, Neurontin.

North America

Canada: Gabapentin, Neurontin; USA: Gabapentin, Neurontin.

Latin America

Argentina: Alidial, Logistic, Neurontin, Ultraneural; Brazil: Gabapentina, Neurontin, Progresse; Mexico: Bapex, Blugat, Compulxine, Gabantin, Gapridol, Neurontin, Nopatic.

Asia

Japan: Gabapen.

Drug combinations

Chemistry

Gabapentin: C~9~H~17~NO~2~. Mw: 171.24. CAS-60142-96-3 (1989).

Pharmacologic Category

Anticonvulsants, Miscellaneous. Analgesics and Antipyretics, Miscellaneous. (ATC-Code: N03AX12).

Mechanism of action

Gabapentin is an anticonvulsant agent structurally related to the inhibitory CNS neurotransmitter GABA.

Therapeutic use

Used in combination with other anticonvulsants to control partial seizures with or without secondary generalization. Management of postherpetic neuralgia in adults.

Pregnancy and lactiation implications

Teratogenic effects observed in animal studies. There are no adequate, well-controlled studies in pregnant women. Use during pregnancy only if potential benefit to mother outweighs potential risk to fetus. Enters breast milk (use caution).

Unlabeled use

Social phobia. Chronic pain.

Contraindications

Hypersensitivity to gabapentin or any component of the formulation.

Warnings and precautions

May cause CNS depression. Use with caution in severe renal impairment. Effects with other sedative drugs or ethanol may be potentiated. Increased incidence of CNS-related adverse effects in children 3-12 years of age with epilepsy (emotional lability, hostility, thought disorder, and hyperkinesias). High incidence of pancreatic adenocarcinomas in male rats (clinical relevance unknown). Withdrawal effects.

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