Mental Health I blew through my gabapentin script again

cj

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This is the second time in 4 months I have run out early. This time its 10 days early even after I tried to taper down and stretch it out. I am prescribed 150 400mg pills a month to make it even more ridiculous on my end. You guys think my phych doctor will call me in a refill early? I emailed him last night and I am going to call his office when they open. The withdrawal is really gnarly and I am not in a great place mentally tbph. I wish I hadn't ever been prescribed these damn things.
 
I have no idea what your doctor will do but have you tried talking to him/her about the fact that you feel you need more? If you feel you are compulsively taking more and you don't really need to is there any way that you could get someone in your family to hold them and pass them out as prescribed?

When you say you are sorry they were ever prescribed is that because of the dependence you are experiencing? Would you consider trying to taper off in that case?

Sorry for all the questions, just trying to get a handle on what the best course of action would be.<3
 
He called me in enough to last until my next appointment thankfully. I got pretty lucky on the therapist/doctor lottery this time. I think having a family member hold them is a really wise idea that I am going to implement. This is the second time this has happened though so I imagine I am going to be tapering after this next appointment. I should have made this thread title more about dealing with medications as an addict trying to find sustainable recovery. I didn't ask to be put on this medicine but since it was recommended by the doctor who knows I am an addict I thought the risk was really low.

As far as needing more goes I agree that would be nice but at this point I doubt its going to play out like that. I am just hopeful that he gives me a slow taper. I am sorry that they prescribed them because it has caused me a lot of stress. Not being able to manage a script sucks because of the constant battle in my brain concerning whether I should take another one today and be fucked later or not. I lost the battle with future self this month. Other than that its a good medicine for anxiety. I think I want to taper off just so its not an issue in my life anymore.
 
Yeah. Doctors quite commonly prescribe Gabapentin as a "non-addictive" anti-anxiety and sleep medication which is hilarious because it is quite recreational and has one hell of a withdrawal. Pregabalin too. When you quit, make sure you do a slow and extended taper.

GABAnergic drugs cause excitotoxicity when you go cold turkey and this tends to cause some damage and PAWS can leave you with trouble sleeping and heightened anxiety for over a year afterward. You can mitigate this damage with a slow taper and ensuring you don't do the whole thing cold turkey. Your brain uses GABA to regulate excitatory activity or excess stimulation, glutamatergic activity in the brain, to calm it down. When your GABA receptors are down regulated and there are excessive glutamate receptors that your brain has created in attempt to keep homeostatic balance. The more you can counter the essentially physically traumatic experience if withdrawal on your brain, the better off you'll be. Slooow and eeaassyyyy
 
Yeah. Doctors quite commonly prescribe Gabapentin as a "non-addictive" anti-anxiety and sleep medication which is hilarious because it is quite recreational and has one hell of a withdrawal. Pregabalin too. When you quit, make sure you do a slow and extended taper.

GABAnergic drugs cause excitotoxicity when you go cold turkey and this tends to cause some damage and PAWS can leave you with trouble sleeping and heightened anxiety for over a year afterward. You can mitigate this damage with a slow taper and ensuring you don't do the whole thing cold turkey. Your brain uses GABA to regulate excitatory activity or excess stimulation, glutamatergic activity in the brain, to calm it down. When your GABA receptors are down regulated and there are excessive glutamate receptors that your brain has created in attempt to keep homeostatic balance. The more you can counter the essentially physically traumatic experience if withdrawal on your brain, the better off you'll be. Slooow and eeaassyyyy

That's really scary. I felt a little bit of the withdrawal the other day and I have to say it was extremely unpleasant. Damn man damn. I am on 2000mg a day so I am probably ultra ultra fucked.
 
No. I wouldn't say that. Just make sure to taper down nice and slow and you'll be fine.

Do you have a suggestion on how slow is appropriate. I have been dependent for 6 months give or take. 800mg a day keeps me feeling normal so I guess I will start the taper from there?
 
Ouch. I guess just every drug that's used to curtail cravings can also be abused. Gabapentin never worked for me, but pregabalin did. It's an invaluable substance when used as directed.

I think you might want to plan a tapering schedule with your doctor if you just can't resist abusing it. Some non-addictive substances might help the withdrawal.
 
I think gaba is a pretty good drug overall but it does do some wacky things to some folks and the withdrawal is super shitty. its the only thing i take anymore and it doesn't really bother me being on it except the dependency part. i don't get any side effects really and it doesn't interact with the other drugs I take or dampen or block them or mess with my sex life...yay. I have been on it for a long time now 5 years at least. I still get some benefit from it surprisingly. Its tolerable, works well for anxiety and depression among other things, but the withdrawal is a real bitch for some including me. I dont know if ill ever get off of it but i have experienced some dumbing down i think but hard to say for sure. Its one of the few drugs i find tolerable and effective in the long term. I do worry about what its doing to my brain here and there but sanity comes first lol.

your doses aren't that high really. Im surprised you are even able to get much of a 'feeling' from it. I know when I take it, but I haven't really gotten a buzz from it after the first couple weeks I was on it. Max dose is like 3600 mg a day i think. I was taking a lot of it for a while but im just as comfortable taking 900 mg twice a day and sometimes skip the morning dose or just take less. I had very little difficulty dropping from 3600 a day to 800 a day. Below 800 is a whole different story for me and I have to go super slow. The last time i lowered my dose it destabilized me for 3 months at least but I have other issues from APs that im dealing with. If I could do it over again, I would still take it, but take breaks to avoid dependency.

It has a sweet spot and I don't think taking more than a gram at time is any more effective than taking a whole bunch of it. 1800 mg a day works pretty well for me and i haven't met a doctor that has a problem with me taking it. Most consider it pretty benign and my current doc wants me to keep taking it lol. If you can muster up some willpower to take the same amount everyday and not abuse it, it might still be a good option for you. Are you sure that you aren't just trying to medicate symptoms by upping the dose or just taking it for a buzz? It does do wonders for my anxiety and when im taking more its usually because I feel like I need it not bc i want the good feels.

gabapentin isn't a gabaergic its a calcium channel blocker. it may have some influence on gaba but its indirect. most of what ive read says it doesn't have any effect on gaba. you won't die, but you can be screwed for a while. I would be extra careful if you are seizure prone even though its pretty weak in that department.

if you want to get off, the sooner the better as far as withdrawal goes. 6 months shouldn't be that bad or at least not as bad as years. I would say start at a dose you are comfortable on, say 800 for convenience. then go down a hundred mg every 3 weeks or so. if that gets uncomfortable, cut it to 50 mg. It can take weeks before you notice the drop. so if you have been a couple weeks and feel fine just stay put.

the 300 mg capsules are what you want. the powder inside is water soluble so you can dose volumetrically with an oral syringe. just make your solution easy to calculate like 25 mg per ml. whatever is easiest but you want to be precise with tapering and be able to do smaller amounts depending on what your needs are. I wouldn't store the solution for more than four or five days if it was me. the lower you get the smaller the cuts you want to make. you don't usually want to go halving your dose. that is usally too much esp when you get really low. 20-25% might be ok might still be too much. its kind of individualized but don't rush it. just don't let the symptoms get too bad. you shouldn't experience much more than minor discomfort if you are doing it right. you may be able to do it faster but i wouldn't push your luck with this drug if you are already getting bad withdrawals after 6 months. Just do it nice and easy and you can keep living your life without sick days, losing your mind, etc.

gabapentin can deplete magnesium levels. its also the only thing that helps much with the withdrawal and is also a calcium channel blocker. epsom salt baths, the oil you can rub on your skin, or a chelated form like magnesium bisglycinate are all good options. oxide is crap, citrate can give you the runs, but most aren't absorbed very well if at all. i found a tub of the bisglycinate for like 11 bucks on iherb. don't take it at the same time you take gabapentin bc they can compete and it will mess with absorption which you want to avoid when tapering.

best of luck man.
 
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I had read of it possibly not effecting GABA receptors directly. It is commonly used with success as a withdrawal aide for GABAnergic drugs and it does increase GABA concentrations in the brain by up to 55%. My assumption was that the withdrawal was related to it's effects on GABA levels.

http://www.ncbi.nlm.nih.gov/pubmed/11747901

There is conflicting information everywhere :(

http://m.jpet.aspetjournals.org/content/298/1/15.long

This suggests different. That it is GABAergic.
 
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I've been using it to help when going through PAWS from benzos. I had a horrendous experience the other night. I took a few 600 mg tablets earlier that day. At night I felt stressed out so I took one more. About an hour later the right side of my body, from my brain all the way down, felt like it was being electrocuted. My brain literally felt like it was frying and my chest hurt. My insides hurt too...It was a major shock to my nervous system. It was a painful experience and it turned into a killer migraine that didn't go away until the next day. My insides were still hurt the next day as if they had been cooked. I was so worried this could be permanent damage. I broke the 600 mg tablet in half and took it. It helped to soothe the pain. I'm used to taking 600 mg tablets (recreationally at times and for PAWS) so I was trying to figure out why that happened.

I can only guess that awful reaction came from one beer I had earlier that day and somehow it clashed with the 600 mg tablet I took that night. This is definitely not a drug to drink alcohol with. Not for me anyway. While reading up on side effects of this drug, I found a ton of people complaining. Some people said their hair started falling out. Someone made a thread here with the same complaints, but I can't remember. This drug isn't as safe or non-addictive as doctors try to make it out to be. A common theme is people telling their doctors about bad effects and the doctor denying it has anything to do with the Gabapentin. These doctors may be clueless, but do your own research.

Gabapentin makes it hard to think. I'm still struggling to come up with words so if my post sounds off, I apologize. At higher doses, I stutter and stammer and can't think clearly to save my life.

http://www.peoplespharmacy.com/2012/05/26/gabapentin-side-effects/
 
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I wonder if that has to do with marketing from the drug companies. Sort of like how oxycodone was marketed as non-addictive. In a world where doctors are afraid to prescribe narcotics, drug companies are misleading doctors and therefore patients to get their drug out.

All of these narcotics have legitimate purposes though and help many people. Except for the +/- 10% who end up getting addicted to them.
 
Poor guy. I get so many 600 gabas I hardly use um and literally threw away like 80 tevas cuz they had a bad smell I n the bottle and just threw away like 60 suns because I'm having actavist filled and really didn't care for the sun generics lol. If u knew me I'd throw u like over 100 for free for your pain
 
I wonder if that has to do with marketing from the drug companies. Sort of like how oxycodone was marketed as non-addictive. In a world where doctors are afraid to prescribe narcotics, drug companies are misleading doctors and therefore patients to get their drug out.

All of these narcotics have legitimate purposes though and help many people. Except for the +/- 10% who end up getting addicted to them.

Right. The thing I can't stand is how the doctors constantly deny any bad side effects are from the Gabapentin. That's crazy to me, especially when such high doses are given to certain patients. They go through hell from withdrawals they didn't even expect. It really pays for people to look up information on medicine they're prescribed.

I didn't even know Gabapentin was prescribed to certain ppl for insomnia. There are much better and safer options than that. They just throw these pills at anyone.
 
Good discussion. I was prescribed gabapentin for anxiety and depression. It certainly seems that doctors use it as an all purpose drug. I was told it was not addictive and had no recreational value by the prescribing doctor. It kinda pisses me off that I was mislead but on the other hand I should of done my research. Then again knowing myself learning it had recreational value wouldn't have stopped me from using accepting the script but I would have been more careful to try and avoid physical dependence. I have a smallish script for kolonopin that I have no problem managing because I have massive respect for the dependence potential of benzos.

I don't know this really sucks though. On the one hand I like the recreational value of the drug but on the other hand I am having a hard time using it sensibly. I don't know my appointment is Saturday and I have enough till then.
 
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My impression is that when gabapentin is prescribed for psychiatric reasons, it is oftentimes from a point of pragmatism. That is to say, it's viewed as a lesser evil if it stops people from abusing drugs. And it has a decent track record in curtailing stimulant, GABAergic, and even opiate abuse.

If people are told that it's not addictive by their psychiatrist, then it probably is less likely to be abused.

As far as how it works, it takes 3-4 hours to reach peak effect, doesn't tend to overstimulate or over-depress, and I theorize has overlapping mechanisms with some drugs of abuse, which makes it less likely to be abused. For instance, opiates inhibit Substance P. Gabapentin inhibits Substance P, too, which may satisfy opiate cravings in lieu of actual action on the classic opiate receptors. Similarly, opiate addicts tend to dislike the feeling of ethanol, probably in large part because opiates inhibit GABAergic action, and GABAergic action is associated with opiate withdrawal.
 
I love gabapentin it does get easy to blow threw them though tolerance developes REALLY rapidly. Fortunately VERY easy to quit find something to get you through the next day or so. For me a couple days and I'd always be back to normal (whatever that is). Good luck dude. I decided to take a couple months off the shit myself it stopped doing it for me. You may use this as an opportunity and take a month off and you might not run out as quick. Whatever you do good luck.
 
a couple days? How long were you using and what dose did you get to? I have no experience personally with being physically addicted to it. I've only used gabapentin and pregabalin on a couple binges each when I've ordered pure powder on the internet so I never used long enough to get any withdrawal from it. Besides alcohol and phenibut I have avoided getting physically addicted to GABAergics because it scares me so much. Phenibut withdrawal was enough to put me off of anything else, the only class of drugs I've had any control over or aversion to.
 
a couple days? How long were you using and what dose did you get to? I have no experience personally with being physically addicted to it. I've only used gabapentin and pregabalin on a couple binges each when I've ordered pure powder on the internet so I never used long enough to get any withdrawal from it. Besides alcohol and phenibut I have avoided getting physically addicted to GABAergics because it scares me so much. Phenibut withdrawal was enough to put me off of anything else, the only class of drugs I've had any control over or aversion to.

Ive been physically addicted at least 6 months. I get prescribed 150 400mg pills a month. So I binge out on the pills for the first week or two eating up too 10-15 a day then cut down to 800mgs a day for the rest of the month to hold off withdrawal. So I guess I really just need 800mg to not be in withdrawal.
 
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