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Drug Cards Daily | Episode #37: gabapentin (Neurontin) | For Seizures and Neuropathic Pain

Gabapentin has a wide variety of uses but the main indications are for focal seizures in adults and children and for postherpatic neuralgia in adults. There are many commonly used off label indications such as for neuropathic pain, fibromyalgia, and alcohol dependence. Max dosing for gabapentin is around 3600 mg/day. Although the exact mechanism of action is unknown, it is clear that it is similar in chemical structure to GABA. This is important because GABA is responsible for modulating excitatory neurotransmitter release. Gabapentin is poorly protein bound at less than 3% and not metabolized. When discontinuing longer term therapies, doses should be tapered down over at least 7 days. Some of the most common side effects are dizziness, fatigue, and weight gain. The serious side effects are depression, suicidal thoughts and behaviors, and withdrawal related seizures.

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La gabapentine est un anti-épileptique de deuxième génération indiquée dans les épilepsies mais également contre les douleurs neuropathiques. C'est un médicament très utilisé que nous allons détailler dans cette vidéo.

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In this episode, I discuss a medication known as gabapentin (Neurontin).

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Clase sobre la gabapentina y su uso en el tratamiento de enfermedades como la neuropatía periférica, neuropatía diabetica, dolor de nervios, convulsiones y síndrome de piernas inquietas.

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- This is lesson n# 85 in "A DRUG IN BRIEF" Series. In this video I'm gonna discuss almost all you need to know about Gabapentin (Neurontin 300 mg): What is Gabapentin Used for? Dosage, Side Effects, Precautions and mechanism of action

- In 3 minutes you'll learn:

- What is Gabapentin (Neurontin 300 mg)?

- Gabapentin is an anticonvulsant. It is initially developed as a gamma aminobutyric acid agonist. However, it does not act at GABA receptors, enhance GABA actions or convert to GABA. Its precise mechanism of action is not known.

- Gabapentin is used as an adjunctive therapy in treatment of partial seizures with or without secondary generalization in patients above 12 yr with epilepsy; adjunctive therapy for partial seizures in children 3 to 12 yr; management of postherpetic neuralgia in adults.

- It is available as 100 mg; 300 mg; 400 mg; 600 mg tablets.

- Learn more about Gabapentin (Neurontin 300 mg) mechanism of action, uses, dosage, side effects, and precautions in this video...

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¿Te han recetado gabapentina para el dolor de nervios? Antes de tomarla, mira este vídeo. Aquí te explico con claridad y evidencia médica:

Qué es la gabapentina y cómo actúa en tu cuerpo, cuándo sí funciona (y cuándo no), efectos secundarios frecuentes y a largo plazo, riesgos reales que pocas veces se explican y precauciones a seguir. Además, abordo las preguntas más frecuentes respondidas por un médico: ansiedad, fibromialgia, adicción, conducción, interacción con otros fármacos y más.

Este vídeo es una guía completa y directa para pacientes y familiares que quieren entender de verdad este medicamento.

https://youtu.be/Dj6krQuMMGo

0:00 Planteamiento del problema
0:56 Qué es la Gabapentina y para qué sirve
3:05 Cómo tomar la gabapentina
4:45 Cuánto tarda en hacer efecto
5:57 Cuánto tiempo y cómo suspenderla
6:17 Efectos secundarios y cuándo preocupan
7:37 Contraindicaciones
8:33 Interacciones y problemas con medicamentos
10:22 Embarazo y gabapentina
11:20 Lactancia y gabapentina
12:18 Fertilidad y gabapentina
12:43 Precauciones al tomar la gabapentina
14:31 PREGUNTAS FRECUENTES
14:53 ¿Tiene efectos a largo plazo?
16:38 ¿Se puede combinar con plantas y suplementos?
18:25 ¿La gabapentina causa adicción o dependencia?
20:35 ¿Es útil para problemas emocionales o psiquiátricos?
22:07 ¿Hay alternativa a la gabapentina?
23:43 ¿Es mejor la pregabalina o la gabapentina?
26:00 ¿Se puede conducir?
26:24 ¿Debo evitar alguna comida o bebida?
26:47 ¿Sirve para la fibromialgia?
27:50 ¿Sirve para el tunel carpiano?
28:41 ¿Sirve para mi problema?
29:46 ¿Cómo funciona la gabapentina?(Mecanismo de acción)
31:33 Recuerda esto
32:03 Vídeo recomendado

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#gabapentin #neurontin

Gabapentin belongs to a group of medicines called anticonvulsants.
It is a medication used to control repeated seizures in epilepsy and also to treat neuropathic pain due to nerve damage. It is a doctor's prescription-only
medication.

How does it work?
Gabapentin is thought to work by controlling brain chemicals that send signals to the nerves to help control seizures or neuropathic pain.

Before you start to take gabapentin Tell your doctor if

- you have any Allergies
- if you have any kidney problems • mixed seizure disorders which include absence seizures or any other medical condition
- if you taking any other medication which includes supplements you buy without a script.
more it video...

How to take it?

The dosage of gabapentin is dependent on your age, and if you are taking any other medication.
Your doctor will usually start you with a low dose and slowly increase it to the lowest dose to control your condition.

Swallow the capsules whole with a full glass of water. It does not matter if you take this medicine before or after food.

Take it at the same time every day. Use an alarm to remind you if needed. If you are taking Gabapentin three times a day, do not allow more than 12 hours between doses.
more in video...

What if you forget?

If you forget to take it, If it is almost time for your next dose which is within 4 hours, skip the dose you missed and take your next dose when you are meant to. Otherwise, take it as soon as you remember, and then go back to taking Gabapentin as you would normally
. Do not take a double dose to make up for the dose you missed.

While you are on GabapentinYou must:

- Tell all health professionals who are treating of looking after you that you are on gabapentin
- Call your doctor immediately if you have any thoughts of suicide or self-harm, any unusual changes in mood or behaviour, or show signs of depression.
- if you become pregnant

Make sure you keep all your doctor's appointments as your doctor will need to monitor your progress and may want to take some tests from time to time to prevent unwanted side effects. Gabapentin can cause drowsiness, do not drive or operate machinery until you know how it affects you
.

Side effects: All medicines can have side effects. Sometimes they are serious, most of the time they are not. Do not
be alarmed by it, because you may not even experience any of them. You may need medical attention if you get some of the side effects. For gabapentin, It can be difficult to tell whether the side effects are the result of taking this medicine; or side effects from other medicines you may be taking, or it is actually from your own condition; so it is important to tell your doctor of any change in your condition. If you are over 65 years old, you may have an increased chance of getting side effects.

Side effects information can be obtained from the leaflet that your pharmacist gives you. Here, I would like to draw attention to a few side effects, which if you experience it, you need to contact your doctor as soon as possible.
- weakness, unsteadiness when walking including falling, reduced coordination or slowed reactions
- unusual changes in mood or behaviour such as restlessness, nervousness, or excitement
- signs of new onset of, or increased irritability or agitation
- signs of depression
- seeing or hearing things that are not there, irrational thinking
- blurred or double vision, uncontrollable jerky eye movements, or difficulty seeing
- signs of frequent infections such as fever, severe chills, sore throat or mouth ulcers
- trouble breathing or shallow breaths
- loss of consciousness.

Send yourself to the hospital, if you have
- an anaphylactic reaction
- more frequent or more severe seizures or fits
- chest pain or a very fast heart rate

Side effects information is there for your reference, so you know what to do if you experience it. It is not there to scare you or to stop you from getting appropriate treatment.

if you have not already subscribed to my channel, please do so, I will be making more valuable content for you. Let me know what other videos you would like me to make. It's soonkie the pharmacist here. See you around.

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Patty McGoldrick: Neurontin is also known as gabapentin and it's another medication that can be used for control of seizures and epilepsy. It's well tolerated, it's used for generalized, impartial seizures. It's available both in pills that can be crushed or it's available in an oral formulation, so a liquid for small children.

Dr. Steve Wolf: The major side effects is sedation.

Patty: Right.

Dr. Wolf: Sleepiness. It can cause a little bit of an increased appetite and weight gain, so you need to monitor that very closely. Though it's also useful for patients who are having trouble sleeping at night. It already helps to sort of increase the sleep control.

Patty: And actually we use it a lot for people who are having difficulties sleeping. It's also used for pain, for neuropathic pain.

Dr. Wolf: So it's a good medication Another option in our armory of people with difficult to control seizures but not one of your first line kind of drugs.

Patty: So Neurontin or gabapentin, third or fourth line drug for control of generalized, impartial seizures. A big side effect is drowsiness. It's also used for pain and it's well tolerated for the most part.

#sideeffects, #howtouse, #dosage #gabapentin, #neurontinsideeffects NEURONTIN (GABAPENTIN) Uses, Precautions, Dosage, Side Effects

0:00 NEURONTIN Video Content
0:37 What is NEURONTIN
1:01 Things t o know before using NEURONTIN
2:40 How to use NEURONTIN
4:56 NEURONTIN Side Effects

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In today's episode, I discuss an anti seizure medication (sometimes used in nerve pain) known as gabapentin aka Neurontin.

My book is now available! It discusses my experience with Bipolar Disorder.
The Fifth Episode - Inside The Manic Mind.
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Download the cheat: https://bit.ly/50-meds  View the lesson: https://bit.ly/GabapentinNeuro....ntinNursingConsidera   Generic Name

Gabapentin
Trade Name

Neurontin
Indication

Seizures, peripheral neuropathy, neuropathic pain, prevention of migraines
Action

Exact method of action unknown, may play a role in stabilizing neural membranes
Therapeutic Class

Analgesic adjuncts, anticonvulsants, mood stabilizers
Pharmacologic Class

None
Nursing Considerations

• May cause suicidal thoughts, confusion, depression, drowsiness, ataxia, facial edema, hypertension • Monitor pt closely for changes in behavior and depression • Assess seizure activity • Assess pain level • Patient should take medications exactly as prescribed

NCLEX Review: Gabapentin (Neurontin) - Mechanism of Action, Uses, Side effects, Contraindications, and Nursing considerations


Action: 0:20
Uses: 0:29
Side effects: 1:30
Contraindications: 1:42
Nursing considerations: 1:56

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Reference Images:
Seizure (brain) image: epilepsyqueensland.com.au - What is epilepsy?

Shingles image: creakyjoints.org - Living with Arthritis

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Music: Summer from https://www.bensound.com
Thumbnail icon by DinosoftLabs: https://www.flaticon.com/authors/dinosoftlabs
Intro: adMJ707
Outro: adMJ707

Dr. Pagnani of Rittenhouse Psychiatric Associates discusses Gabapentin (neurontin) and its mechanism of action. He discusses its FDA approved indications including partial seizures, post-herpetic neuralgia, neuropathic pain, fibromyalgia and alcohol dependence and some off-label uses (such as the treatment of anxiety, and alcohol withdrawal). Gabapentin (Neurontin) is a controlled medication in some states, and does have abuse potential (albeit, it is thought of as having less abuse potential than benzodiazepines or other pain medications like opiates). As this medication has various side effects (including abuse potential) it must be taken under the direction and supervision of a medical provider.

Dr. Pagnani is the founder and medical director of Rittenhouse Psychiatric Associates, an Instructor at The Johns Hopkins Hospital for the Department of Psychiatry, he supervises psychiatric residents at Jefferson Hospital, he serves on the Young Professional Board of Uplift, the Center for Grieving Children and he maintains a private practice of Psychiatry in Philadelphia where he sees patients for one-time psychiatric evaluations and second opinions. He is a licensed physician and surgeon in NJ, PA, NY, MD, DE, FL and CA and can provide consultations to individuals via HIPAA compliant Telehealth visits living in these locations.

Rittenhouse Psychiatric Associates is a private practice of psychiatry consisting of about 25 psychiatrists, psychiatric nurse practitioners and psychotherapists with physical locations in Philadelphia and Paoli, PA and serving all of PA, NJ, NY and FL virtually via HIPAA compliant tele-psychiatry. Individuals seeking not only evaluations but long-term psychiatric care, can contact Rittenhouse Psychiatric Associates directly.

These videos aim to increase awareness and discussion of mental health topics and to encourage struggling individuals to schedule an appointment directly with a mental health provider. Mental health needs to be normalized, and simply speaking about mental health topics openly, is an important first step.

Dr. Pagnani and Rittenhouse Psychiatric Associates are NOT advocating for or against the use of any mentioned psychiatric medications for any specific individual. Additionally, any side effects mentioned are not a complete list of potential side effects or contraindications to taking any mentioned medications, and all risks and benefits of a medication should be discussed with an individual’s provider at an appointment, before starting, stopping or making changes to a medication regimen.

This video is INFORMATIVE ONLY - NOT MEDICAL ADVICE.

If you are researching a specific topic, please view our Youtube channel, click all videos and use the search function. Please also visit and follow us on instagram and FB: @RittenhousePsych.

www.RittenhousePA.com
www.ChrisPagnaniMD.com

Neurontin belongs to a group of medicines used to treat epilepsy and peripheral neuropathic pain (long lasting pain caused by damage to the nerves). The active ingredient in Neurontin is gabapentin.

If you would like to find out more visit: 
http://www.lynchspharmacy.com/....medicine/neurontin-c
http://www.lynchspharmacy.com

You can also visit Lynch's Pharmacy in Broadale, Maryborough Hill, Cork.

Please note that this video is meant for educational purposes only, and should not be used as a means to diagnose any health condition. You should always consult your doctor if you have any concerns regarding your health or medication.We are not selling or advertising any product our videos include.

Thank you for watching!

Videoconsejo sanitario sobre el itraconazol, para qué sirve este medicamento, cómo y cuándo debemos administrarlo. Videoconsejo impartido por la farmacéutica Paula Mateos, elaborado por el Consejo General de Colegios Farmacéuticos y producido por Medicina TV.

La gabapentina es un fármaco que se emplea para el tratamiento de la epilepsia y del dolor neuropático.

Gabapentina está disponible en el mercado en forma de cápsulas y comprimidos.

La dosis a emplear y la duración del tratamiento se deben ajustar individualmente y tienen que ser definidas por el médico. De forma general, para el tratamiento tanto de la epilepsia como del dolor neuropático, la dosis inicial va de 300 mg una vez al día a 900 mg al día dividido en tres tomas. Posteriormente, en base a la respuesta individual del paciente y la tolerabilidad, la dosis puede aumentarse en incrementos de 300 mg/día cada 2-3 días hasta una dosis máxima de 3600 mg/día.

En pacientes con insuficiencia renal, es necesario realizar un ajuste individualizado. Gabapentina se puede tomar con o sin alimentos y es aconsejable no consumir alcohol durante el tratamiento.

Entre sus reacciones adversas más frecuentes, destacamos el aumento de apetito, cambios en el estado de ánimo o dolores de cabeza. También es habitual que aparezca somnolencia y mareos, por lo que se debe tener precaución a la hora de conducir o realizar actividades peligrosas que requieran tu atención.

Entre las principales recomendaciones, es fundamental no usar gabapentina sin receta médica. No suspendas el tratamiento hasta que así lo indique tu médico y sigue sus indicaciones para realizar una suspensión gradual. Y finalmente, desecha el tratamiento que te haya sobrado en el punto SIGRE de tu farmacia.

Y recuerda, pregunta siempre a tu farmacéutico de confianza. Te informaremos sobre los como debes administrar gabapentina y sobre cualquier otra duda que tengas.

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Gabapentin for sleep, gabapentin for anxiety, gabapentin for nerve damage, gabapentin for back pain, gabapentin for neuropathy. This guide walks you through what you need to know while taking gabapentin.

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What is Gabapentin

Gabapentin is a epilepsy medication in the class of medicine known as anticonvulsants, but it is so much more than that. Its primarily used to treat partial seizures and neuropathic pain. It is a first-line medication for the treatment of neuropathic pain caused by diabetic neuropathy- nerve damage that can occur if you have diabetes, postherpetic neuralgia- when you get chronic pain after shingles, and central pain. You also see it used for many other uses as well such as restless leg syndrome, non neuropathic pain, anxiety, and bipolar disorder.

Gabapentin mechanism of action. How does gabapentin work

Scientists aren't entirely sure how it works exactly but It appears to work by altering electrical activity in the brain, at a specific site (called the alpha2-delta site) located on voltage-gated calcium channels. Doing so, relieves nerve-pain and lowers the risk of seizures by influencing the activity of chemicals called neurotransmitters, which send messages between nerve cells in our brain. Once they start to slow down, this lowers the excitement our neurons face thereby controlling seizures as well as how we perceive pain.

How to take Gabapentin

Take gabapentin exactly as your doctor has told you to take it, and follow the directions on the bottle label and packaging. If you're not sure, check with your doctor or pharmacist.

Gabapentin side effects

Some common side effects of gabapentin that are usually mild and go away by themselves is: feeling sleepy, tired, or dizzy, nauseous, vomiting or diarrhea, mood changes are another common one, weight gain as gabapentin can make you feel more hungry, memory problems especially with short term memory, and dry mouth.

DISCLAIMER:
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#gabapentin #neurontin #neuropathy

What is Gabapentin (Neurontin) Used For? | What are the Side Effects of Gabapentin? – Side Effects, Uses, Mechanism of Action, Dosage, Interactions, Warnings
Gabapentin, marketed under various brand names like Neurontin, is commonly prescribed to manage epilepsy, neuropathic pain, and restless leg syndrome (RLS). While its precise mechanism of action isn't entirely understood, it's believed to modulate calcium channels in the nervous system, reducing abnormal neuronal firing. Gabapentin usage entails various side effects such as dizziness, fatigue, peripheral edema, gastrointestinal disturbances, weight gain, mood changes, muscle tremors, and allergic reactions, and it's been associated with an increased risk of suicidal thoughts. Dosage varies depending on the condition being treated and patient factors, and precautions include monitoring for mood changes, being cautious of drug interactions, gradual tapering to prevent withdrawal symptoms, adjusting dosage for renal impairment, and avoiding use during pregnancy or breastfeeding. Users should be vigilant about these warnings to ensure safe usage.
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• What are the Side Effects of Gabapentin?
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• Dosage of Gabapentin
• Interactions of Gabapentin
• Warnings when using Gabapentin
• Gabapentin nerve pain relief
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• Gabapentin fatigue
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In this video we will cover everything you need to know about Gabapentin, also known as Neurotin or Horizant. This video is part of a video series on mental health problems. So for more mental health related videos check out this playlist:
https://www.youtube.com/playli....st?list=PLaG3Bo3L0gX

Generic name: Gabapentin.
Brand names: Neurontin or Horizant.
Available as a capsule and as a tablet.

How to use it?
Make sure to swallow the capsule or tablet whole with half a glass of water.
In addition, it is recommended to take gabapentin at fixed times. This will make it less likely that you forget a dose.
Furthermore, after a few days to months your doctor will evaluate if gabapentin is sufficiently effective for you. If necessary your doctor will adapt your dose or will switch to another drug.

When to use it?
Gabapentin is part of a group of drugs called anti-epileptic drugs. However it can be used to treat several medical conditions, like:
- Epilepsy
- Neuropathic pain

What is the correct dosage?
The precise dose will depend on your specific indication of use, the side effect you might experience and the severity of your symptoms.Therefore always use the precise amount and frequency your doctor prescribed you.

- Most commonly your doctor will slowly increase your dose, up to a maintenance dose of 900-3600mg per day divided over 3 dosages. Therefore always use the precise amount and frequency your doctor prescribed you.


What are common the side-effects?
- Very common (10%): somnolence, dizziness, fatigue, increased risk for viral infections and fever.
- Common (1-10%): pneumonia, infections, aggression, fatigue, confusion, anxiety, depression, weight gain, appetite increase, amnesia, headache, insomnia, tremor, convulsions, altered reflexes, high blood pressure, cough, rash, itching, muscle and back pain, muscle twitching and erectile dysfunction.
- Uncommon (0.1-1%): allergic reactions, high blood sugar, agitation, palpitations, swallowing disorder and oedema.
- Rare (0.1%): palpitations, low blood sugar, loss of consciousness and respiratory depression.

Safety:
First of all be careful to combine gabapentin with alcohol. As this might increase its side effects.
In addition, it can be dangerous to drive while using this drug. As it can cause you to become drowsy, sleepy and/or dizzy. If you experiencing any of these side effects then please do not drive.
Furthermore, gabapentin can have interactions with other drugs your are taking. always discuss this with your prescribing doctor.

Pregnancy and Lactation:
There is insufficient data to conclude if gabapentin is dangerous. However it seems to be dangerous in animal studies.

- Disclaimer: this video and the comments are meant purely informational! This is not medical advice! If you are looking for medical advice always contact your own doctor. -

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Literature:
1: Farmacotherapeutisch Kompas. (2021). Gabapentine.
2: Apotheek.nl (2021). Gabapentine.

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Gabapentin is approved by the FDA for three specific indications to prevent and control partial seizures, relieve nerve pain following shingles (post herpetic neuralgia), and to treat moderate to severe restless leg syndrome. Unfortunately, less than 1% of the prescriptions written for gabapentin are for the above listed FDA approvals. In fact, much of the off-label prescribing of gabapentin is done for the treatment of psychiatric and substance use disorders.

Time Stamps
Introduction: 00:00 to 01:12
FDA approved indication and how we got here: 01:13 to 04:10
Mechanism of Action: 04:11 to 05:11
Why the increase in off-label prescribing: 05:12 to 08:34
Gabapentin For Anxiety: 08:35 to 11:38
Gabapentin for Bipolar Disorder: 11:39 to 13:23
Gabapentin for Alcohol/cannabis use disorder: 13:24 to 18:50
Gabapentin and chronic lower back pain: 18:51 to 19:57
Adverse Effects: 19:58 to 20:18
Dosing Gabapentin: 20:19 to 21:44
Conclusion: 21:45 to 23:46

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All content is created for informational purposes only. The Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider. If you think you have a medical emergency, call your doctor, go to the emergency department, or call 911. We do not endorse any specific treatment, tests, or procedures. Reliance on this information is solely at your own risk.

Dr. Pagnani of Rittenhouse Psychiatric Associates discusses Gabapentin (Neurontin) and its clinical utility for the off-label treatment of anxiety and insomnia. This medication has abuse potential (although, it is generally thought of as having less abuse potential than anxiolytics and sedatives like benzodiazepines (xanax, ativan, valium, klonopin) and other hypnotics (ambien & lunesta). Individuals should only take this medication under the direct supervision and direction of a medical professional.

Dr. Pagnani is the founder and medical director of Rittenhouse Psychiatric Associates, an Instructor at The Johns Hopkins Hospital for the Department of Psychiatry, he supervises psychiatric residents at Jefferson Hospital, he serves on the Young Professional Board of Uplift, the Center for Grieving Children and he maintains a private practice of Psychiatry in Philadelphia where he sees patients for one-time psychiatric evaluations and second opinions. He is a licensed physician and surgeon in NJ, PA, NY, MD, DE, FL and CA and can provide consultations to individuals via HIPAA compliant Telehealth visits living in these locations.

Rittenhouse Psychiatric Associates is a private practice of psychiatry consisting of about 25 psychiatrists, psychiatric nurse practitioners and psychotherapists with physical locations in Philadelphia and Paoli, PA and serving all of PA, NJ, NY and FL virtually via HIPAA compliant tele-psychiatry. Individuals seeking not only evaluations but long-term psychiatric care, can contact Rittenhouse Psychiatric Associates directly.

These videos aim to increase awareness and discussion of mental health topics and to encourage struggling individuals to schedule an appointment directly with a mental health provider. Mental health needs to be normalized, and simply speaking about mental health topics openly, is an important first step.

Dr. Pagnani and Rittenhouse Psychiatric Associates are NOT advocating for or against the use of any mentioned psychiatric medications for any specific individual. Additionally, any side effects mentioned are not a complete list of potential side effects or contraindications to taking any mentioned medications, and all risks and benefits of a medication should be discussed with an individual’s provider at an appointment, before starting, stopping or making changes to a medication regimen.

This video is INFORMATIVE ONLY - NOT MEDICAL ADVICE.

If you are researching a specific topic, please view our Youtube channel, click all videos and use the search function. Please also visit and follow us on instagram and FB: @RittenhousePsych.

www.RittenhousePA.com
www.ChrisPagnaniMD.com

This question is from one of our podcast listeners who listened to our episode on Cervical Radiculopathy, which you can watch here - https://www.youtube.com/watch?v=0x4ZSZvQ7EY

They ask, "Why no mention of Gabapentin?"

Gabapentin is a medication that is often used to treat nerve pain. It is a nerve membrane stabilizing drug. In this video, I discuss Gabapentin and touch on everything you need to know about this form of treatment.

0:00 Introduction
0:51 What is Gabapentin?
2:27 What is the Role of Gabapentin for Nerve Pain?
4:40 Side Effects & Risks of Gabapentin
7:02 Lyrica
8:16 Like & Subscribe

I hope you've found this video useful and if you have enjoyed it and learned something then please remember to like this video, subscribe to the channel and tell a friend who might enjoy it because that's the way we can spread good health information and achieve good health, together. As always ,if you have questions that you would like me to answer in a future video, or if you have any comments, you can reach me at [email protected] or of course leave a comment in the comments section. Thank you.

#Gabapentin #NervePain #ChronicPain #PainRelief #BackPain #MedicalAdvice #DoctorExplains #HealthTips #SpineHealth #CervicalRadiculopathy #Lyrica #NerveHealth #MedicationInfo #PainManagement #Neuropathy #NeckPain #MusculoskeletalHealth #HealthyLiving #WellnessJourney #MedicalEducation #Health #Medicine #Wellness #Education #Science