Neurontin is not excreted through the liver like most things, by excreted through the kidneys. It has been used for treatment of partial seizures in patients from the ages 3-12.
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.
Gabapentin is indicated for the management of postherpetic neuralgia in adults. Gabapentin does not interact with other medicines used for seizures and is safe to use as an add on. It has not beet yet approved to treat severe RLS (restless leg syndrome).
Neurontin is expensive for the treatment of chronic pain. This is one of the best selling drugs. The average cost is approximately $400 a month for 3200mg a day. The effects are very good even though it is an expensive drug to treat pain.
Neurontin is the first oral medication approved by the FDA and found in breast milk. It was prescribed for epilepsy. The medicine has also been approved for a few off label uses. One of the biggest selling points is that it has few side effects.
Neurontin does not produce any active or inactive metabolites and is not metabolized by the body. It can be taken with or without food orally. Neurontin is good for the nerve damage from chronic back pain and should not be used as pain management.
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 well tolerated, has relatively mild side effects and also opasses through the body unmetabolized. Therefore, is often one of the first drugs prescribed.
Severe Chronic Back Pain
Chronic back pain is a serious problem in America today with a large percent of the population suffering from it at one time or another. Many thousands of individuals can function on a day to day basis due to the pain. Many hours of work time is lost from chronic back pain as well as many workmen compensation claims being filed from the chronic back pain.
Many individuals don't go to the doctor at the beginning of the back problem. They often feel with rest in bed, chronic back pain will go away. Usually by the time the pain has developed to the stage of being considered "chronic", it's turned into something serious-something needing more than just laying in bed. Chronic back pain shouldn't get to the stage where it's chronic and for it to be chronic; it's been present for at least three months. Although the beginning of a back injury may be helped by resting in a bed, chronic back pain usually needs much more treatment such as medications, physical therapy or possibly surgery for a serious problem.
At the beginning of a back injury (provided it's not a serious injury) the doctor may prescribe over the counter medications, heat or ice and bed rest. If this doesn't help after a few days, the doctor will recommend more serious measures such as exercise and physical therapy by a qualified physical therapist. Surgery is usually not recommended until all other options have failed, with the exception of a serious apparent injury to the spine or other parts such as you would see in an automobile accident.
As important as it is to get proper rest in bed, chronic back pain has, on occasion, been caused by poor sleeping arrangements such as poor mattresses, etc. It's very important for our back to be in a stable straight position for the hours that we are in bed. Chronic back pain can develop when the back is repeatedly twisted or bent in a position that is not healthy. Often, we don't realize what we are doing to our back until it's too late. Many times we wake up with a backache and just assume "slept poorly" and shrug it off. In some cases, it's an isolated incident and doesn't happen again. But, in other cases, it's the beginning of a pattern of poor sleeping and back pains. If not corrected, it becomes chronic back pain, requiring a doctor's care to get the back in the proper healthy condition.
If your mattress or bed does not allow you to get a good nightly rest while in bed, chronic back pain can very easy develop considering you sleep at least 6 hours each night. Don't ever ignore any back problem that goes on longer than a few days.
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