The accounts I read vary in usage from 100mg 3x/day to 800mg 2x/day, with results from very bad to hugely successful in diminishing migraines. How does a person figure out if this is the right remedy for them, and then the dosage level?? I have midnight migraines, which have been diagnosed as resulting from grinding (I've worn a mouth-guard for the last year), and when I wake up with one I take a Fioricet, drink half a Coke, then sit up-right for 45 minutes to 2 hours before I eventually fall asleep. I wake (normally) feeling refreshed and good. Am I a candidate for gabapentin??
Hey J Mahon,
That is a difficult one to predict. The gabapentin may help, you would just have to try. You could start at the lower dose so how you do, then increase the dose accordingly. The dosage regimen is described as follows:
In adults with postherpetic neuralgia, Gabapentin Tablets USP therapy may be initiated as a single 300-mg dose on Day 1, 600 mg/day on Day 2 (divided BID), and 900 mg/day on Day 3 (divided TID). The dose can subsequently be titrated up as needed for pain relief to a daily dose of 1800 mg (divided TID). In clinical studies, efficacy was demonstrated over a range of doses from 1800 mg/day to 3600 mg/day with comparable effects across the dose range. Additional benefit of using doses greater than 1800 mg/day was not demonstrated.
While you may not have postherpetic neuralgia, this gives you an example of the dosage schedule.
Gabapentin may help you as a prophylactic measure for the migraines. If you get a migraine while taking gabapentin, you can still take the fioricet. So I guess it would be worth a try.
- Gabapentin Information for Consumers
- Gabapentin Information for Healthcare Professionals (includes dosage details)
- Side Effects of Gabapentin (detailed)
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