Gabapentin withdrawal and palpitations
Posted , 25 users are following.
Hi. I was put on Gabapentin for nerve pain (though it turns out I was just having nerve pain-like withdrawals from coming off Mirtazapine). I only took Gabapentin for a week - max 200mg - then stopped as it gave me terrible side effects. I have now had two weeks of terrible withdrawals - nausea and insomnia for 5-6 days but ongoing heart palpitations (especially in the afternoon and evening) and high dayime anxiety. Has anyone else experienced anything similar? The palpitations are worse at mealtimes and I've lost a lot of weight too. Anyone had a similar experience? Does it ease? I'm gutted to have such withdrawals after just a week of taking a low dose.
3 likes, 75 replies
babs99203 gina18608
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Hmm, wish I had seen this earlier! I posted a few months ago about how to decrease my gab and side-effects I was having. Not too many people responded. I've been a regular here since November when I got shingles, now PHN. As I'm decreasing my Gab, I just started noticing palpitations. What fun!! Can't stay on it, can't get off it. I'll read through the other comments. Thanks. (I found this via a Google search).
susan32309 babs99203
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Hi babs99203 - glad you found some of the info you needed . . . I had a very lovely gp who helped me taper, very slowly, using 100's instead of 300's, it took a while, but we got there, wishing you well.
Susan
babs99203 susan32309
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Hi Susan, I'm lucky that I worked in healthcare as a medical secretary for over 30 years (boy, that makes me sound old!, but I'm not that much LOL!) so I can work my way through a lot of the terms and information out there. My GP's extremely good and very familiar with shingles, plus I've got a good relationship with some pharmacists.
To start, I had only been increasing by 100, every week until the pain was better controlled until I was at 800 mg 3 x a day. But in January, I'd been out of work for two months between the pain and the gab side effects so I dropped by 100. That was too soon, as I still had quite a bit of pain but I wanted to get back to work. I actually quit my job 3 weeks ago, as it was too difficult to work and I couldn't drop while I was working after that last reaction I had in April.
My recent palpitations were a little disconcerting, but it was still better than the problems I had the last time I dropped. It's just a good reminder how powerful this drug is. I absolutely needed it to help with the pain, but I'll be glad when I'm off it. I plan on waiting 2-4 weeks between the decreases to see how it's going. I realize now that I'm at 1800 mgs it may take a year. Or because of the PHN, I may have to be on it for a while or the rest of my life. I also use extra strength Tyelonol 1000 mg 3 times a day, Aspercreme with Lidocaine pain cream, a prescription NSAD I've been on for years and am prudent with lifting, twisting and bending. But I AM better, so I'm very grateful. I've got 85% of my life back again.
grace28398 babs99203
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babs99203 grace28398
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Compared to others with PHN (Postherpetic neuralgia i.e. pain after shingles) I'm pretty lucky. That Tylenol dose is two extra strength every 5-6 hours, so 3 times a day. When the pain was worse, it was 4 times a day, which I know was too high. But I needed it. In your previous message, you said you pain was helped by cool or ice packs, have you tried any pain creams with Lidocaine? You can get prescription creams or patches, but the OTC work just as well. I've had great luck (as have others) with Aspercreme with 4% Lidocaine. The new roller ball one works really well and you use a lot less than trying to put it on with your fingers. Take care!
grace28398 babs99203
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babs99203 grace28398
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Hi Grace, Yes, the pain stinks, but so does the whole rest of this mess, right?? Last time I had problems about 1 week after I dropped by 100 mg, this time, I had hardly any problems at all the first 3 weeks, then the last few days, more pain, fatigue, confusion, memory issues and then some anxiety and weepiness. You've got to be kidding me! (I had to clean up the wording on that). Two days ago I was just "off", not myself at all, today I again and an odd stretch, but now I'm back to same old me with less pain, more energy and vim and vigor. However I try VERY hard to avoid lifting much more than 3 pounds, no hugging (not even a laundry basket for carrying dirty wash--learned that the hard way), only careful bending and watching even my leaning.
You've got to have a life, but IF I can try and avoid certain motions, I do feel much better. Also, in a different forum we got to discussing pain and bras. Wearing one of those is the worst for chest/back pain like mine. I finally found a more comfortable style--racer backs that close in the front. As you've been diagnosed with a different problem, I'm not sure if these suggestions will help, but I wanted to foffer them. A few years ago I had a cracked rib, and the pain is similar to that.
grace28398 babs99203
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babs99203 grace28398
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I'm now at 1800 mg-that's 600 three times a day. Have you read some of the other forums? Depressions with PHN is really good. I found it the other day and there's a lot of info for anyone dealing with chronic pain. I'd post the link, but these forums usually block links. You could probably also find it my checking my posts and finding it that way.
StephWrites gina18608
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I took a low dose of Gabapentin for a little over 2 months (May 2017 to July 2017) for foot pain (still undiagnosed). While it did provide some relief, the side effects were (AND STILL ARE) terrible! I had depression, anxiety, and ended up in the Emergency Room with AWFUL heart palpitations in June after a neurologist recommended upping my dose of Gabapentin. I saw 3 different doctors and all of them said the Gabapentin could not be causing my heart palpitations. WHAT!! I have never in my life had heart palps. I am 39 and a relatively healthy mama of 2 girls. The foot pain started 2 years ago, but other than that, I don't have any other conditions. One doc suggested I was just "getting old". The ER doc seemed to think I was crazy for getting worked up over heart palps. BTW, that particular first episode lasted for TWO DAYS STRAIGHT. I thought I would go crazy. It was like being on a roller coaster!
Anyway, I QUIT gabapentin in July. What a fun few days THAT was. I can't imagine lifelong heroin addicts having a harder time coming down. I had shakes, night sweats, crazy, erratic heartbeat. I thought I was dying. I toughed it out, determined NEVER to take that poison again. I thought it was over, but just the past couple days, the heart palps came back, and as I'm typing, my poor heart is like a caged animal trying to escape my chest! I feel like I have the flu, shaky, hard to breathe and swallow, crazy heart, stomach pain. It's AWFUL!
If you're in the USA, please PLEASE contact the FDA and report your side effects from Gabapentin. They need to KNOW what this poison does to people!!! Sorry if I sound like a crazy person, but my entire life has been ruined by this drug. The foot pain was bad enough, but now I can't even function on a daily basis because of these "Side Effects". People need to know what they're signing up for! My doctor said this drug can help nerve pain. That is all. No one warned me about side effects. No one believed that heart palpitations ARE a side effect. And they are life-stealing!
Please report Gabapentin/Neurontin to the FDA!
babs99203 StephWrites
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I'm so sorry Steph, yes Gab is a powerful, frustrating drug. I agree with you that doctors don't understand what it does. I almost regret taking it, but the pain was so bad, I felt there were no other options. Unfortunately, Gab shouldn't be stopped cold turkey, it can cause seizures and the problems that you mention. May I ask how high a dose you were on? I'm trying to slowly drop, only 100 mg/month, so at this rate it will be 17 months before I'm off it. AND to add to it, my depression, concentration and memory issues have worsened at times. We're all between a rock and a hard place. It's very hard not to get discouraged and down (I'm going thru a bad stretch myself right now). There a forum here about CBT that Charlie started, he's a psychologist who also has PHN. He's had some good advice. I'm not surprised that you're still having palpitations, I think gab WILL take a while to get out of our systems. I know someone who a year later was still having memory issues.
When I have the energy, I WILL contact the FDA about the problems I'm having. Yes, they need to hear. I googled Gabapentin withdrawal and came up with some good information confirming what we're going thru and explaining what actually happens chemically. It helped (a bit) to understand the process.
kirk51905 StephWrites
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kirk51905 StephWrites
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arneluis StephWrites
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kirk51905 arneluis
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arneluis kirk51905
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StephWrites
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It has been a year. The heart palpitations have persisted. In October 2017 (3 months after quitting Gabapentin/neurontin) I started taking beta blockers. They have helped with the heart palps quite a bit. My last bad heart palp episode was in January 2018 after getting an echo cardiogram (man those things hurt!). Since then, I've had what I call "blipies" where my heart skips a few beats. The last one was a couple weeks ago when I tried to cut some weeds outside with shears. I came in and sat down and drank water right away, and it didn't turn into a full-blown episode of heart palps. SO thankful! Life is S-L-O-W-L-Y getting back to normal. Last year the doc discovered I was hypothyroid, and I started meds for it. I think maybe that was where my foot pain was coming from??? Not sure, but miraculously, my feet have been better the past six months.
My advice for those suffering from Gabapentin is hang in there! I know how incredibly life-sucking it feels. Don't give up! It is a long road to recovery, but now I have more good days than bad days (finally!). Surround yourself with people who will love you and take care of you if you are able. Distract yourself with funny videos or whatever you can to keep your mind off your side effects! Keep fighting the good fight! One day you will wake up and realize you can live again. <3
ellen05533 StephWrites
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Hi, My name is Ellen. my username on here is ellen05533. I have been reading everyone's post on this forum and yours is identical to what I am experiencing. I see that this was posted 2 years ago but I'm hoping you reply back. I started taking gabapentin 300 mg 3 times a day for nerve damage caused by a throat ulcer the doctor told me it was similar to post herpetic neuralgia this was in 2016. I took it for two years and stopped cold turkey (not knowing) on 8/2/2018. The withdrawals were so horrific!! nausea, sweating, insomnia, muscle pain, etc etc The ultimate worst were the heart palpitations!! I ended up going to the er where they did an ekg. apparently nothing was found. Since then I have explained this to my gp and told him i know its from quitting gabapentin. To make a long story short.. he referred me to a cardiologist and I wore a holter monitor for 24 hours which did show pvs's but the dr said not to worry and to see him a year later. Anyway I thought they were gone completely but just recently they are back again. So I went back to the cardiologist and am currently wearing another monitor but this time for 2 weeks. He tells me he doubts its from the gabapentin because I quit so long ago the withdrawals would be gone by now. Which I know its def from the med because I never ever in my whole like experienced them it was only after stopping the gabapentin!! Now I'm afraid I did permanent damage like an arrhythmia problem or hoping its just paws (post acute withdrawal syndrome) ?? Since you experienced exactly what I am going through can you please write me back and let me know if yours have ever gone away completely?? I am so worried this drug has ruined my life!! Thank you..
ingrid67824 ellen05533
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Hi Ellen, sorry for late reply, i am useless at checking me e-mails! Yes I am completely better and all heart palpitations have stopped. I did however have to take Prozac to control my anxiety and that perhaps helped control the rapid heart beat. Mine mostly happened on waking up first thing and calmed as the day wore on. I took Valium to help but it really made no difference. After around 3-4 weeks of having to be pretty much looked after like a child by my mum and dad I started to feel a bit better.
ellen05533 ingrid67824
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Thank You for replying back. That makes me feel much better knowing the have gone away completely!! Thank You..