just a question about gabapentin since this thread on it is recent and this doesn't feel deserving of a new one -- I have been experiencing akathisia in varying degrees for the past couple weeks, it is pretty damn severe right now, just about unbearable. I have had ~10-11mg buprenorphrine/2-3mg naloxone (zubsolv) IV (yes I shoot my subs, no it doesn't do anything at all, I just have a bad needle fix, don't judge) so far today when I normally would have had only ~4-5mg bupe IV by now, in an attempt to get the akathisia under control, didn't help. I have forgone my morning dose of saphris (asenapine), which I often do only take at night even though I'm rxed it morning and night, so this is not super unusual, because I know it can cause akathisia ...though it seems unusual that I would start having these side effects after being on it for like 2 1/2 years w/ no problems. I don't know.
anyway my point ...my mom has a scrip she rarely uses for 300mg gabapentin for her occasional bouts of post herpetic nerve pain ...I have taken 2 prior doses of 300mg in the past 7-10 days but had never in my life done any before that ...don't know if I have any tolerance yet or not but I do build tolerance to pretty much every substance on the planet VERY quickly, like notably more than the average user and I have a naturally unusually high baseline tolerance to every drug I've ever tried just to start (some drugs, like coke/crack, even the best quality, are completely pointless for me because even doing a gram or two to myself will feel like nothing more than a strong cup of coffee, not even a noticeable buzz ...my tolerance to opiates is completely unbelievably ridiculous, I can actually function normally in public on a meth binge and nobody can tell the difference, I've only done benzos [non-rxed] a handful of times in moderate-high therapeutic doses to self medicate my anxiety but I have never felt any buzz from them, etc, etc, drugs don't fuck me up easily). I don't want to be "under the influence" at all when I have to work later but I HAVE to get this akathisia under control it is making me want to bash my skull open on the wall, I can't even function. I took 300mg gabapentin about 90min ago and am not feeling it yet as far as any reduction in the akathisia ...the very first time I took it it helped the akathisia immensely and also greatly helped my anxiety, and if I focused on it I could "feel it" in effect psychotropicly ...the second time I took 300mg a couple days later I felt no perceivable effects, that was a little under a week ago. I have food in my stomach and have been drinking relatively acidic things (Gatorade G2 and sparkling lemonade). should I take another 300mg? should I wait another 30min before I do? I don't want to be drowsy or uncoordinated at work but I have GOT to do something about the akathisia. is 300mg more too much? I mean that's double the dose. have I just not given it enough time to kick in? I saw some people said 2 hours.
HELP ME WHAT DO I DO HERE?? I FEEL LIKE I'M GOING TO EXPLODE INTO A MILLION PIECES W/ THIS AKATHISIA I JUST WANT IT TO STOP. but I don't want to be buzzed at work. suggestions??