What serious side effects may happen if I stop taking Gabapentin and How to treat Gabapentin Withdrawal

Both those who abuse gabapentin and those who take it as prescribed can experience some form of withdrawal when the drug is stopped. Research shows that someone taking gabapentin for as little as 3 weeks, and at doses as low as 400 mg a day, may experience withdrawal.

Gabapentin Neurontin
Gabapentin Neurontin

Gabapentin withdrawal symptoms are similar to those associated with benzodiazepine and alcohol withdrawal and vary from mild to life-threatening. 

The following are withdrawal symptoms one might experience if they stop taking gabapentin abruptly: 

  • Irritability
  • Anxiety
  • Agitation
  • Restlessness
  • Excessive sweating
  • Sensitivity to light
  • Headache
  • Confusion or disorientation
  • Fever
  • Hallucinations
  • Rapid heart rate or heart palpitations
  • Catatonia or inability to move
  • Status epilepticus – a condition where seizures occur one after another (can be fatal)

A physician or medical professionals at a detox facility can safely manage these symptoms.

Several levels of gabapentin withdrawal and abuse treatment are available, and hundreds of facilities throughout the country offer each level of care. The levels of care include:

  • Detox – Gabapentin detox centers specialize in helping people through the acute phase of substance withdrawal. People are supervised around the clock and receive medical and psychiatric attention. Ongoing substance abuse therapy is not the focus at this stage. But the staff will help arrange continued care at another facility following detox. Programs will typically last 3-10 days.
  • Inpatient treatment – Inpatient or residential treatment facilities also provide around-the-clock supervision and care. People meet with psychiatrists, medical doctors, and therapists on a regular basis. Additionally, they may receive individual, group, family, couples, nutritional, and recreational therapy. Inpatient facilities provide a safe place to recover from addiction and focus on mental, behavioral, and lifestyle changes that contribute to long-term recovery. Program lengths typically start at 28 days and can continue for months.
  • Partial hospitalization programs (PHP) and intensive outpatient programs (IOP) – PHPs and IOPs typically take place at psychiatric centers, hospitals, or private practices and primarily focus on group therapy. These programs may also provide weekly family sessions or individual sessions as needed. Many PHPs will include medication management, but IOPs often expect that people have outside providers managing any medications.
  • Individual therapy – Individual therapy can be helpful for learning ways to cope with chronic pain and to help work through issues driving drug abuse.
At this time, no medications have been approved for gabapentin withdrawal treatment. However, physicians may prescribe medications for some of the more uncomfortable side effects of withdrawal.
Your dose of gabapentin may be tapered down over a period of a week to several months to reduce withdrawal symptoms and to avoid complications associated with stopping gabapentin rapidly.

What Is Gabapentin Off Label Usages ?

Neurontin is the trade name for the generic drug gabapentin. It is useful as an anti-epileptic drug and as an analgesic, particularly for pain of the neuropathic or neurogenic type. (pain from irritation or inflammation of nerves). When used for controlling epilepsy, it is usually used in conjunction with another anti-epileptic drug. It is used much more extensively in the medical field to treat pain than it is to treat epilepsy.

Gabapentin belongs to a class of drugs known as anticonvulsants, used to help control seizures in the treatment of epilepsy. Neurontin will only be able to control seizures for as long as you take it. It can’t cure epilepsy. Gabapentin capsules, tablets, and oral solution are used to help control certain types of seizures in people who have epilepsy.

Gabapentin capsules, tablets, and oral solution are also used to relieve the pain of postherpetic neuralgia (PHN; the burning, stabbing pain or aches that may last for months or years after an attack of shingles). Gabapentin extended-release tablets (Horizant) are used to treat restless legs syndrome (RLS; a condition that causes discomfort in the legs and a strong urge to move the legs, especially at night and when sitting or lying down). Gabapentin is in a class of medications called anticonvulsants. It has also been reported to be helpful in controlling the pain of fibromyalgia.

Gabapentin treats seizures by decreasing abnormal excitement in the brain. Gabapentin relieves the pain of PHN by changing the way the body senses pain. It is not known exactly how gabapentin works to treat restless legs syndrome.

Buy Gabapentin 800mg Online
Buy Gabapentin 800mg Online

Gabapentin is also sometimes used to relieve the pain of diabetic neuropathy (numbness or tingling due to nerve damage in people who have diabetes), and to treat and prevent hot flashes (sudden strong feelings of heat and sweating) in women who are being treated for breast cancer or who have experienced menopause (”change of life”, the end of monthly menstrual periods). Talk to your doctor about the risks of using this medication for your condition.

Pregabalin (Lyrica), a drug similar to gabapentin, was the first medication approved by the Food and Drug Administration (FDA) to treat fibromyalgia. While gabapentin hasn’t been approved by the FDA for the treatment of fibromyalgia, some doctors may prescribe it off-label for such use.

Gabapentin and pregabalin were originally approved to treat certain types of epilepsy and nerve pain. Both drugs work by limiting the release of pain-communicating chemicals by nerve cells in the brain and spinal cord. The most common side effects of both drugs are dizziness and drowsiness.

It is also used to control pain associated with shingles and has been evaluated for pain conditions, including migraine, as its pain-modulating properties may regulate the perception of pain.

Anticonvulsant drugs, such as gabapentin, are becoming increasingly popular for migraine prevention.

Efficacy of gabapentin in migraine prophylaxis research on a history of migraine episodes for a mean of about 21 years shows that Gabapentin is an effective prophylactic agent for patients with migraine. In addition, gabapentin appears generally well tolerated with mild to moderate somnolence and dizziness.

Gabapentin is generally well tolerated. The main side effects are dizziness and drowsiness. Occasionally there maybe some fluid retention, unsteadiness or G.I upset, mainly diarrhea.

The effective dose of gabapentin varies greatly. Some persons need only 200-300 mg a day whereas others may need 3000 mg or more a day. It may take several weeks to become effective, so it is important to stay on it for an adequate length of time.

Gabapentin has a lot of off-label usage. It is widely used nerve related diseases. Most of them are reviewed by patients and reviewed high.


General speaking, Gabapentin can be off label used to treat Cough, Hot Flashes, Occipital Neuralgia, Trigeminal Neuralgia, Transverse Myelitis,
Alcohol Withdrawal, Pruritus, Bipolar Disorder, Migraine, Anxiety, Postherpetic Neuralgia, Insomnia, Restless Legs Syndrome, Vulvodynia, Benign Essential Tremor, Peripheral Neuropathy, Fibromyalgia, Diabetic Peripheral Neuropathy, Pain, Neuropathic Pain, Reflex Sympathetic Dystrophy Syndrome, Epilepsy, Hiccups, Syringomyelia, Periodic Limb Movement Disorder, Spondylolisthesis, Burning Mouth Syndrome, Pudendal Neuralgia, Small Fiber Neuropathy, Nausea/Vomiting, Chemotherapy Induced.

Gabapentin For Restless Legs Syndrome

I have suffered with RLS for pretty much my entire life, I’m 55 now. Discovered gabapentin reading blog posts.

I have tried all the other meds. My RLS was getting so bad I was having a lot of episodes during the day and not just at night, but worse at night. I could not sit still to even look at a newspaper or magazine. There were time I actually thought I was going to go completely insane.

Most night I didn’t sleep more than an hour or two. Even then I was not getting a good deep sleep. When I asked my GP about gabapentin, he had no problem prescribing it for me. He even followed recommendation for the dosage.

I take 100mg in the morning and at lunch. Before bedtime I take 200 mg.. All I can say is that this has been a godsend for me.

One of Gabapentin off-label use is to treat Restless Legs Syndrome. 76% patients think Gabapentin is good for RLS. A lot of doctors also recommend its off-label usage for RLS.

Joge siad: “I have had RLS and insomnia since around age nine. I was 1st prescribed gabapentin after herniating a disc three years ago. Didn’t notice any effect on my RLS, but I was so drugged up, I wouldn’t have. I was prescribed it again as a sleep aid two months ago.

I have been taking lorazepam for sleep for years, and wasn’t thrilled about taking 2mg of a benzo every night. It works great for sleep, but I feel hung over the next day — can’t seem to clear the fog. I ran out of gabapentin and noticed, holy cow, my legs are driving me crazy.

Only then did it occur to me – – I hadn’t had any RLS symptoms since I started taking it. I thought I had made a major discovery. LOL. This is the only drug that has ever touched my RLS.”