What is the maximum daily dosage of Gabapentin?

Answers (9)

23 Apr 2013

Hello Shanon,
To the best of my knowledge, the max dose of gabapentin is 3600mg per day. I currently take 2700mg myself on a daily basis. I take it for fibro and neuropathic pain. I hope this helps you.
In peace,
Tee

Votes: +2
Stewie666 7 days ago

Hi, shanon, as an ex-downhill mtber, I have severe nerve damage in my forearms and hands, have difficulty even holding a cuppa now, and I'm only 40. I'm on 2700mg of gabapentin, I'm thinking of asking my doctor to look at other options, as I've got to this amount over the period of a year and a half, and Myself and my wife are noticing a 'big' decline in my functions.

23 Apr 2013

It is 3600mg. Usually it is administered 900mg 4x per day at that dose. I was at that dosage for a couple years. When needed, lower dosages are slowly raised by a doctor after side effects and benefits are evaluated at lower dosages. There is a lot of information out there that indicates its effectiveness wears out for some people and an increase may be needed. However, once you are at 3600mg, you have no place to go. Personally, I would recommend trying to not go past 2700mg, so you have the mental encouragement that it can be raised if things get worse. People at these pain levels need psychological strengths as well. At 3600mg, you might be able to find a doctor that will prescribe Lyrica in addition to get to a higher dose of gaba receptors. I would suggest researching the FDA guidelines first on that issue. Everyone reacts differently to meds.

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Votes: +1
Trish Schiesser 10 Nov 2014

yearsofit: I read your answer to the woman asking about gabapentin.

Your story is one that is quite emotional to this reader.
I just wanted to say good luck in training your brain and stopping the
ringing in your ears.

I wish you good luck and my prayers are going out to you.

Hang in there. :)

Trish

yearsofit 10 Nov 2014

Thanks for your concern and prayers. It's been 1 1/2 years since being on here, so another long recap. Doing a lot better. About a year after stopping gaba, weight started dropping back to normal without trying. Ear ringing got better and still haven't had another pneumonia. Pneumonia almost got me several times during my decade from hell. Even though pneumonia is listed as a rare side effect of gaba, being bedridden and not being able to breathe deeply without pain were probably the bigger culprits. Vision has stabilized, so I am not using 3 different glasses.

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27 Apr 2013

Shannon,
The maximum dosage is 3600 mg. I have been on 2700 mg & I take 900 mg 3x day & have been on this dosage for about 10 yrs. Once I felt like I needed more my Dr. decided to put me on Lyrica with the Gabapentin. Between the two medications they worked really great. So speak to your Dr. & see what would be best for you. Kathy

Votes: +0

30 Jul 2013

In 2008 a Neurological Surgeon put me on a dose of 6400mg a day taken 4 x 1600mg every 6hrs for pain after an amputation... It seriously messed me up in the head after being on it for >6mo... Does this mean the UW Hospital Surgeon overdosed me???

Votes: +0

26 Aug 2013

I am taking 5,200 per day for a nerve problem, causing severe pain, in my right leg and have crazy effects from it at times including a complete loss of my muscles. That includes dropping things that I am holding and even having my knees go out on me (though that has only happened twice). If the pain in my leg was not so bad I would cut back but the medication is the only relief that I can find.

Votes: +0
TammyFink 25 Jan 2015

So this is why my left knee goes out on me, which has occurred while I was out and this was sop embarrassing, but what can you do about it. I have Sciatica which came from my piriformis being inflamed, which is located in my butt and with it being inflamed for a year and half it's now caused permanent damages, which has changed my life.

TammyFink 25 Jan 2015

And I'm prescribed 600MG three times a day.

28 Jun 2014

3600 seems to be the magic number. I've been on gabapentin only a few weeks but already I've jumped from 900mg a day to 2400mg. I take it 600mg in four doses, breakfast, early afternoon, late evening, and bedtime. It really help with the sciatic leg pain and back pain. I have a herniated disk and I am waiting to have surgery as soon as they can schedule me. I think gabapentin is a great pain reliever, although it does make me very drowsy and clumsy. I would say don't drive while you're on this med.

Votes: +0

12 Aug 2014

I take five(5) doses (6000mg) of 1200mg spread out through the day and evening. My first dose starts when I wake up and the last dose is before going to sleep. I have an acute burning throughout my body even though I'm taking this crazy daily dose. My doctor says its nerve damage. Double vision is something I've experienced since I started this dose. Is there anything else that anyone knows of that I can take which will reduce the burning feeling and do away with my double vision? Any help is appreciated.

Votes: +0

9 Nov 2014

I have cervical spinal stenosis with myelopathy in my neck, spondylosis and degenerated discs with 3 fusions completed in less than 2 years. Basically my whole neck is crashing down and pinching my spinal cord in various places. I didn’t find Lyrica to be helpful but gabapentin was a miracle drug for me. I am also on various other drugs for pain, fentanyl patch, Effexor (anti-depressant for nerve pain), muscle relaxer cylobenzaphrine (very effective too) and Celebrex for arthritis. It was trial and error until finding the right “cocktail” mix that worked. Higher dose of gabapentin helped me the most, over 1800, until I was on 2,400. I had few side effects. The dropping items while trying to grab them on occasion and being forgetful, out weighted the pain relief I received.

Votes: +0

21 Dec 2014

My neurologist has prescribed me @ only 900mg a day (1 300mg 3x a day)... This is a medication neuropathy and other things, I'm guessing. So far from what I've read, I am on the smallest does here. And I have a question also: does THIS particular med help with jitters (or ticks)? Or make it worse? I'm real jittery and have this annoying "ticks" (involuntary spasm movements) and it drives me crazy. You guys have mentioned sides effects if "forgetful" & "dropping" things, and I have both of those but idk if it's from just this med or a combo of this and others that I take! I take a crapload of things from diff diagnosis!

Votes: +0

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