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Re: Starting Neurontin -- Update Please Advise! » Simcha

Posted by Ritch on November 9, 2002, at 17:42:14

In reply to Re: Starting Neurontin -- Update Please Advise!, posted by Simcha on November 9, 2002, at 11:11:21

> Today, is day two of the trial. I'm not sure what I should do. I've cut the Klonopin down to .5mg at night. Last night I took 200mg of Neurontin.
>
> On Friday, after taking 100mg the night before, I did feel very good during the mid-morning and early afternoon. I did have a restful sleep. I was a bit dopey during the day. I'm not sure if that's a side-effect or what.
>
> Today, after taking 200mg the night before, I feel a bit sedated and my body feels slightly numb. My mood feels rested and I feel very mellow. I'm going to take a nap now because, well, it's Saturday, and I feel slightly drowsy.
>
> My pdoc told me that I can experiment with the Neurontin. I'm using it primarily for Bruxism, which seems to be anxiety related and it was made worse with the addition of Celexa to my mix. He told me to stop at the level that I feel an effect. I'm feeling some effects. He did tell me that some people do just fine with 100mg per night.
>
> I've read all over the place that it might take some time before I feel the full benefits of Neurontin. Also it seems that most people are on more Neurontin than me and that it might be more effective at higher doses.
>
> I'm not sure if I should take the 300mg as scheduled tonight or stick to 200mg.
>
> Does anyone have experience with this drug who could advise?
>
> My pdoc doesn't have weekend hours even though I could page him if this were an emergency. I don't feel that this is an emergency because I could easily stop where I am and call him on Monday.
>
> Or, I can continue increqsing the dosage 100mg per night to see what happens. I'm tempted to see what happens today and guage it. I'll make a decision tonight, of course.
>
> What do all of you who have experience with Neurontin have to say?
>
> Thanks in advance,
> Simcha


Simcha,

I would just trust your own feelings. If you are resting OK and the Neurontin isn't making you feel too zoned out in the mornings at work you could try 300mg at bedtime. Just a suggestion, but if you have cut the Klonopin in half to .5mg, it may take a couple of weeks before the level of Klonopin reaches a steady state. Perhaps target 300mg of Neurontin + .5mg of Klonopin at bedtime for a couple of weeks and see how the bruxism goes?? You won't know if Neurontin will 'replace' Klonopin for your bruxism until you aren't taking Klonopin any longer and you aren't in a *withdrawal symdrome* from the Klonopin. When I was taking higher doses of Neurontin, 400mg+ for a single dose was just too much of a whallop for me.

good luck,
Mitch


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URL: http://www.dr-bob.org/babble/20021108/msgs/127066.html