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Genetic name Gabapentin (GA ba PEN tin) Peak

Trade name Gralise, Horizant, Neurontin, Gabaron Onset

Classification anticonvulsant

Dosage/route 100 MG, PO,

Duration

Time/ frequency qam 0800, Normal dosage range

Why is the patient getting this medication

Nursing implication ( what to focus on) Mood change, side effection

Mechanism of action and indication ( why med ordered) Gabapentin is an antiepileptic medication, also called an anticonvulsant. It affects chemicals and nerves in the body that are involved in the cause of seizures and some types of pain. Gabapentin is used alone or in combination with other medications to treat seizures caused by epilepsy in adults and children who are at least 12 years old. Gabapentin is also used with other medications to treat partial seizures in children who are 3 to 12 years old. Gabapentin is also used in adults to treat nerve pain caused by herpes virus or shingles (herpes zoster), and to treat restless legs syndrome (RLS).

Interactions with other patient drugs, OTC or herbal medicines.

Common side effects signs of an allergic reaction to gabapentin: hives; fever; swollen glands; painful sores in or around your eyes or mouth; difficulty breathing; swelling of your face, lips, tongue, or throat. Mood change, serious side effect such as:increased seizures;fever, swollen glands, body aches, flu symptoms;skin rash, easy bruising or bleeding, severe tingling, numbness, pain, muscle weakness;upper stomach pain, loss of appetite, dark urine, jaundice (yellowing of the skin or eyes);chest pain, irregular heart rhythm, feeling short of breath;confusion, nausea and vomiting, swelling, rapid weight gain, urinating less than usual or not at all; new or worsening cough, fever, trouble breathing; or rapid back and forth movement of your eyes. Some side effects are more likely in children taking gabapentin. changes in behavior; memory problems;trouble concentrating; or acting restless, hostile, or aggressive. Less serious gabapentin side effects may include: dizziness, drowsiness, weakness, tired feeling;nausea, diarrhea, constipation;blurred vision;headache; breast swelling;dry mouth; or loss of balance or coordination. Be sure to teach the patient the following about this medication Report any sign of mood or behavior changes, anxiety, depression, or if you feel agitated, hostile, restless, hyperactive (mentally or physically), or have thoughts about suicide or hurting self. Wear a medical alert tag or carry an ID card stating that you take gabapentin. Any doctor, dentist, or emergency medical care provider who treats you should know that you take seizure medication. The Horizant brand of gabapentin should not be taken during the day. For best results, take Horizant with

food at about 5:00 in the evening. The Neurontin brand of gabapentin can be taken with or without food. Nursing process- assessment Important information: not use this medication if you are allergic to gabapentin. Before taking gabapentin, assess for kidney, liver, or heart disease. may cause have thoughts about suicide while taking gabapentin. need to be checked at regular visits. Do not miss any scheduled appointments. Report any new or worsening symptoms to doctor, such as: mood or behavior changes, anxiety, depression, or if you feel agitated, hostile, restless, hyperactive (mentally or physically), or have thoughts about suicide or hurting yourself. Do not stop taking gabapentin for seizures without first talking to doctor, even if feel fine. May have increased seizures if you stop using gabapentin suddenly. May need to use less and less before you stop the medication completely. Contact your doctor if your seizures get worse or you have them more often while taking gabapentin. Avoid taking an antacid within 2 hours before or after you take gabapentin. Antacids can make it harder for body to absorb gabapentin

Before: assess kidney disease; liver disease; heart disease; or (for patients with RLS) if you are a day sleeper or work a night shift. After: mood change, suicide throught