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Medical Conditions
Generic Neurontin is used to treat or prevent the following medical conditions or diceases:Epilepsy, Postherpetic Neuralgia
Generic Neurontin Information
Introduction
Neurontin is a prescription medication whose active ingredient is gabapentin, a synthetic analogue of the neurotransmitter gamma‑aminobutyric acid (GABA). It belongs to the Pain Relief group and is primarily prescribed in the United Kingdom for neuropathic pain conditions and as an adjunctive therapy for epilepsy. Gabapentin’s efficacy in relieving nerve‑related pain and reducing seizure frequency has made it a widely used option in secondary care and primary‑care settings.
What is Neurontin?
Neurontin is the trade name for a formulation that contains the single active compound gabapentin. The drug was first developed by Parke‑Davis (now part of Pfizer) and received marketing authorisation from the UK Medicines and Healthcare products Regulatory Agency (MHRA) in 1994 for epilepsy and later for post‑herpetic neuralgia. Although Neurontin is the original brand, the same molecule is available as generic gabapentin from numerous licensed manufacturers. Our online pharmacy provides the generic version of gabapentin, offering the identical therapeutic effect at a lower cost.
How Neurontin Works
Gabapentin does not bind to GABA receptors despite its structural similarity. Its principal mechanism is the high‑affinity binding to the α2δ subunit of voltage‑gated calcium channels in central nervous system neurons. This binding reduces calcium influx during depolarisation, thereby decreasing the release of excitatory neurotransmitters such as glutamate, substance P and norepinephrine. The net effect is a dampening of neuronal hyper‑excitability that underlies both epileptic discharges and abnormal pain signalling.
Pharmacokinetic characteristics that influence therapeutic outcomes include:
- Absorption: Approximately 35–60 % of an oral dose is absorbed; food slows but does not prevent absorption.
- Onset: Analgesic effect usually appears within 2–3 days, while anticonvulsant efficacy may take up to 2 weeks of titration.
- Half‑life: 5–7 hours in individuals with normal renal function, leading to a need for multiple daily doses.
- Elimination: Primarily unchanged renal excretion; clearance is proportional to creatinine clearance, necessitating dose adjustments in renal impairment.
Conditions Treated with Neurontin
Neurontin (gabapentin) holds a licence for the following indications in the UK:
- Epilepsy: Adjunctive treatment of focal seizures with or without secondary generalisation.
- Post‑herpetic neuralgia (PHN): Pain persisting ≥3 months after herpes zoster infection.
- Peripheral neuropathic pain: Includes diabetic peripheral neuropathy, painful radiculopathy and chemotherapy‑induced neuropathy (off‑label but widely prescribed).
Epidemiological relevance:
- The NHS estimates that up to 10 % of the adult population in the UK experiences chronic neuropathic pain, representing a substantial burden on primary‑care resources.
- Approximately 30 % of patients with focal epilepsy in the UK require adjunctive therapy beyond first‑line agents, positioning gabapentin as a valuable option in polytherapy regimens.
The drug’s efficacy is derived from its ability to modulate abnormal neuronal firing, which is a common pathophysiological feature across these conditions. Clinical trials have demonstrated statistically significant reductions in pain scores (average 30 % decrease) and seizure frequency (≈30 % reduction in monthly seizure count) compared with placebo.
Who is Neurontin For?
Neurontin is suitable for adults who meet any of the licensed indications and for whom first‑line treatments have been ineffective, poorly tolerated, or contraindicated. Typical clinical scenarios include:
- Adults with focal epilepsy who continue to have breakthrough seizures despite optimal dosing of carbamazepine, levetiracetam or lamotrigine.
- Patients over 50 years old with PHN whose pain remains uncontrolled after a trial of tricyclic antidepressants or topical agents.
- Individuals with diabetic peripheral neuropathy who experience burning, shooting or electric‑shock sensations that limit daily activities.
Contra‑indications and cautions:
- Severe renal impairment (creatinine clearance < 15 mL/min); dose reduction or alternative therapy is required.
- Known hypersensitivity to gabapentin or any excipients in the formulation.
- Pregnancy and breastfeeding: use only if the potential benefit outweighs the risk, as data are limited.
Risks, Side Effects, and Interactions
Common
- Dizziness or light‑headedness
- Somnolence or fatigue
- Peripheral oedema (especially in the lower limbs)
- Ataxia or unsteady gait
- Dry mouth
Rare
- Visual disturbances (blurred vision, diplopia)
- Tremor or dysarthria
- Eosinophilic pneumonia (very uncommon)
- Skin reactions such as rash or pruritus
Serious
- Severe cutaneous adverse reactions (e.g., Stevens‑Johnson syndrome, toxic epidermal necrolysis)
- Suicidal ideation or behaviour; patients should be monitored for mood changes.
- Respiratory depression when combined with other central nervous system depressants (e.g., opioids, benzodiazepines).
Clinically Relevant Drug–Drug Interactions
- Antacids containing aluminium or magnesium: may reduce gabapentin absorption; separate administration by at least 2 hours.
- Opioids (e.g., morphine, oxycodone): additive CNS depression; dose adjustments and close monitoring are advised.
- CNS depressants (benzodiazepines, alcohol): increase risk of sedation and respiratory compromise.
- Renal‑clearing drugs (e.g., NSAIDs, diuretics): may exacerbate renal dysfunction, requiring dose reassessment.
Patients should provide a complete medication list to their prescriber, including over‑the‑counter products and herbal supplements.
Practical Use: Dosing, Missed Dose, Overdose
Standard dosing for neuropathic pain (adults):
- Initiate with 300 mg taken at night.
- Titrate by 300 mg every 2–3 days as tolerated, aiming for 900–180 mg per day divided into three doses (e.g., 300 mg morning, 300 mg midday, 300 mg night).
- Maximum recommended dose: 360 mg/day (usually divided into three to four doses).
Standard dosing for focal epilepsy (adults):
- Start with 300 mg three times daily.
- Increase by 300 mg per dose every 1–2 weeks to a maintenance range of 900–180 mg per day, divided into three doses.
Renal adjustment:
- Creatinine clearance ≥ 60 mL/min – standard dosing.
- 30–59 mL/min – reduce total daily dose by 25‑50 %.
- 15–29 mL/min – reduce total daily dose by 50‑75 %.
- < 15 mL/min – gabapentin is generally contraindicated; consider alternative agents.
Missed dose:
- If a dose is missed and the next scheduled dose is more than 6 hours away, take the missed dose as soon as remembered.
- If the next dose is imminent, skip the missed dose and continue with the regular schedule; do not double‑dose.
Overdose:
- Symptoms may include profound drowsiness, ataxia, respiratory depression and hypotension.
- In the event of suspected overdose, seek immediate medical attention (call 999). Management is supportive; there is no specific antidote.
Practical precautions:
- Take gabapentin with or without food; consistency helps maintain stable plasma levels.
- Avoid alcohol, which can potentiate sedation and dizziness.
- Use caution when driving or operating machinery until individual response is known.
Buying Neurontin from Our Online Pharmacy
Patients in the United Kingdom can obtain gabapentin (Neurontin) through our online pharmacy in UK. Our service offers several advantages:
- Affordable pricing: We acquire medication at near‑manufacturer cost, passing savings directly to the customer.
- Verified quality: All products are sourced from licensed, GMP‑certified suppliers and undergo rigorous quality checks before dispatch.
- Guaranteed delivery: Discreet packaging is shipped via express courier (typically 7 days) or regular airmail (approximately 3 weeks), with tracking available for every order.
- Online‑only access: Our pharmacy broker model works with overseas licensed pharmacies, enabling patients who experience limited local availability to receive the medication safely and confidentially.
By choosing our platform, patients receive a reliable, cost‑effective alternative without compromising safety or regulatory compliance.
FAQ
-
Is gabapentin available both brand‑name and generic forms in the UK?
Yes. The original brand name is Neurontin, produced by Pfizer. Generic gabapentin contains the same active ingredient and is marketed by multiple manufacturers, providing a more affordable option for patients. -
What storage conditions are recommended for gabapentin tablets?
Store the tablets at room temperature (15‑30 °C) in a dry place, away from direct sunlight and moisture. Keep the container tightly closed and out of reach of children. -
Can I travel internationally with Neurontin in my hand luggage?
Yes, provided you carry the medication in its original packaging with a copy of the prescription or a medicine‑specific letter from a healthcare professional. Check the destination country’s import regulations to ensure compliance. -
Does gabapentin interact with caffeine or other common dietary substances?
No clinically significant interaction has been reported with caffeine. However, excessive caffeine may exacerbate anxiety or insomnia, which can be side effects of gabapentin. -
Are there any differences in tablet appearance between UK‑sourced and overseas generic gabapentin?
Generic tablets may vary in colour, shape, and imprint depending on the manufacturer. All approved generics meet the same pharmacopoeial specifications for strength and dissolution. -
Is it legal to import gabapentin for personal use in the UK?
Personal import of prescription‑only medicines is permitted when the medication is for a genuine personal need, the supply does not exceed a three‑month supply, and a valid prescription is held. Importing without a prescription is a breach of MHRA regulations. -
Will gabapentin show up on a standard drug test for employment?
Gabapentin is not part of most routine workplace drug‑screening panels (e.g., for opiates, cannabinoids, cocaine). Targeted testing can detect it, but such tests are uncommon outside of specialized clinical or forensic settings. -
How long does gabapentin remain detectable in the body after stopping therapy?
Due to its relatively short half‑life, gabapentin is usually cleared from plasma within 24–48 hours in individuals with normal renal function. In those with impaired renal clearance, elimination may be prolonged, potentially up to several days. -
What is the historical origin of gabapentin?
Gabapentin was first synthesised in 1975 by researchers at Northwestern University as a structural analogue of the neurotransmitter GABA. It was later repurposed for epilepsy and neuropathic pain after clinical trials demonstrated its efficacy. -
How does gabapentin compare with older neuropathic pain agents such as amitriptyline?
Gabapentin and amitriptyline have different mechanisms; gabapentin targets calcium channels while amitriptyline is a tricyclic antidepressant. Clinical guidelines suggest gabapentin may be better tolerated in patients who cannot tolerate anticholinergic side effects of amitriptyline, though individual response varies.
Glossary
- α2δ Subunit
- A regulatory protein attached to voltage‑gated calcium channels; gabapentin binds to this subunit, reducing calcium influx and neurotransmitter release.
- Half‑Life
- The time required for the plasma concentration of a drug to decrease by 50 %. Gabapentin’s half‑life is about 5–7 hours in healthy adults.
- Renal Clearance
- The volume of plasma from which a drug is completely removed by the kidneys per unit time. Gabapentin is eliminated unchanged, making renal function a key determinant of dosing.
- Neuropathic Pain
- Pain arising from damage or disease affecting the somatosensory nervous system, often described as burning, tingling, or shooting sensations.
⚠️ Disclaimer
The information provided about Neurontin is for general knowledge only. It does not replace professional medical consultation. All treatment decisions should be made under the supervision of a qualified healthcare provider. We assume all readers are responsible adults capable of making informed decisions about their health. Our online pharmacy offers access to Neurontin for individuals who may have limited availability through traditional pharmacies, prescription‑based insurance schemes, or who are seeking affordable generic alternatives. Always consult your doctor before starting, changing, or discontinuing any medication.
Alternative names or trademarks of Generic Neurontin
Neurontin may be marketed under different names in various countries.
All of them contain Gabapentin as main ingredient.
Some of them are the following:
Gabapentin, Aclonium, Abaglin, Alidial, Logistic, Gantin, Pendine, Gabarex, Gabatal, Progresse, Dineurin, Gabex, Gabictal, Neugabin, Normatol, Ritmenal, Apo-gab, Gabture, Epleptin
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