Overview
Sciatic pain can be excruciating and unbearable. Gabapentin for sciatica is considered alongside NSAIDs including naproxen or ibuprofen, corticosteroids and physical therapy to help in the pain management caused by this condition. To address the following questions keep reading this article:
- Does Gabapentin help with sciatica nerve pain?
- What is the Gabapentin dosage for sciatica nerve pain?
Is Gabapentin good for sciatica?
Gabapentin for low back pain is not typically prescribed. However, those who suffer from numbness, and tingling in the legs from sciatica or nerve pain or have diabetic neuropathy are mainly prescribed Gabapentin. This mechanism of pain relief is based on the drug’s ability to calm the pain signals that are transmitted to the nerves.
Other options include combinations with corticosteroids, and Tylenol.
How does gabapentin work for sciatica?
Gabapentin belongs to the anticonvulsant class of medications that treat pain due to convulsions or nerve damage, especially in the lower back and legs. It works for sciatic pain in several ways, from binding to calcium channels on nerve endings to calming the nerve signals that are hyperactive due to pain and eventually improving pain tolerance for sciatic pain.
Gabapentin work for sciatic pain as follows:
- Gabapentin, when absorbed into the body, binds to the calcium channels in the nerve endings that transmit pain signals. It stops the pain signals that help a person feel the pain. Reducing the transmitting frequency decreases the intensity to which pain can be felt.
- Gabapentin also helps calm the hyperactive nerves, which also helps in reducing the pain sensation in the area.
Gabapentin helps manage sciatica by calming overactive nerve signals, reducing pain without treating the underlying cause, says Dr.Richard Honekar
How to take Gabapentin for sciatica?
The normal dosage of Gabapentin for sciatica is 300mg once a day. However, Gabapentin dosage for sciatica nerve pain can be increased up to three times a day depending on the severity of the individual’s condition. It is essential to take the medication as directed and to avoid missing a dose or doubling it.
This medication is available in the form of a capsule, tablet (immediate release/ extended release), and oral liquid solution.
How long does it take for Gabapentin to work for sciatica?
Gabapentin for sciatica pain can take 1-2 weeks to start showing any noticeable effects. Although, depending on the patient’s condition, dosage and response to the treatment, it may take longer to register relief. The dose may be altered in order to determine the best normal dosage of Gabapentin for sciatica for you.
What are the side effects of Gabapentin for sciatica?
Gabapentin for sciatica is usually prescribed as a second line when other treatment options fail to work.
Some common side effects include:
Some uncommon but serious side effects can include:
- Confusion
- Trouble breathing
- Vision changes
- Suicidal ideation
- Swelling
Those with breathing problems, particularly conditions such as chronic obstructive pulmonary disease or COPD must practice caution when taking Gabapentin as well as elderly patients as they are more prone to side effects due to decreased kidney function, and poor balance.
Additionally, taking Gabapentin with the following drugs affect your breathing and increase the risk of developing respiratory depression:
- CNS depressants
- Opioids
- Alcohol
When to consult a doctor?
Management of Sciatic pain is not simple. This painful condition can wear out the strongest warrior. It is essential that you consult a doctor for pain management options alongside physical therapy. To determine the best treatment options for you and to learn how to manage and treat the pain effectively, talk to one of our doctors at Your Doctors Online.
FAQs gabapentin for sciatica
Gabapentin masks the pain rather than healing the nerves by binding to nerve endings where pain signals pass. This reduces the sensation, leading to less pain.
If a healthcare provider prescribes it, yes! It’s essential to follow the prescription guidelines for gabapentin and the recommended dose. Doctors prescribe gabapentin in a pattern of increasing doses to treat sciatic pain effectively.
NSAIDs, over-the-counter pain relievers, anti-seizure medications, anticonvulsants like gabapentin, and antidepressants are considered the best drugs to treat sciatic nerve pain. However, your healthcare provider can only determine the best drug for your condition after the complete diagnosis.
