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For chronic back pain, Neurontin (Gabapentin) will work for most people.
Neurontin is excreted primarily through the kidneys in the body. It is not excreted through the liver like most other things. It has been used in pediatric patients from the ages 3-12 for therapy treatment of partial seizures.
In the 1990’s, the sale of Neurontin was approved as treatment for epileptic seizures. The FDA has approved this to treat epilepsy only when used with another drug for shingles pain. The recommended dosage is 3 times a day.
The nice part about this medicine is it is easy to use as an add on, due to the fact that it does not interact with other seizure medicines. Gabapentin is indicated for the management of postherpetic neuralgia in adults. It has not been approved to treat severe RLS ( restless leg syndrome) where the legs inadvertently jerk.
This is one of the best selling drugs in the world. Neurontin is also expensive for the treatment of chronic back pain. The average cost for 3200/mg/day can run around $400/month. It is an expensive drug to treat pain, but the effects are very good.
Neurontin is found in breast milk. It is the first oral medication approved by the FDA for this indication. It was prescribed for the medical condition epilepsy, but the medicine has been used for a bunch of off label uses. It has few if any side effects, which is one of its big selling points.
One thing is that neurontin is not metabolized by the body, that is it does not produce any active or inactive metabolites. It is given orally and you can take it with or without food. Neurontin is not a good medicine for pain management, but it is good for nerve damage that can happen with chronic back pain.
Pfizer is the manufacturer and this is its best selling drug. It is popular too. It is one of the 50 most prescribed medicines in the United States in 2003.
Neurontin is often better tolerated than some other drugs, so that it is often tried first. Neurontin is very well tolerated when used with most patients. Neurontin for chronic back pain has relatively mild side effects profile. It also passes through the body unmetabolized.
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