Advertisement

Gabapentin Tablets, USP | Gabapentin

13:54 EDT 24th May 2013 | BioPortfolio
Note: While we endeavour to keep our records up-to-date one should not rely on these details being accurate without first consulting a professional. Click here to read our full medical disclaimer.
IMAGE gabapentin-str.jpgIMAGE gabapentin-fig1.jpgIMAGE gabapentin-fig2.jpgIMAGE gabapentin-fig3.jpgIMAGE gabapentin-fig4.jpg
TABLE 1. Controlled PHN Studies: Duration, Dosages, and Number of Patients
Study Study
Duration
Gabapentin
(mg/day)a Target
Dose
Patients
Receiving
Gabapentin
Patients
Receiving
Placebo
a Given in 3 divided doses (TID)
1
8 weeks
3600
113
116
2
7 weeks
1800, 2400
223
111
Total
336
227

Gabapentin tablets are contraindicated in patients who have demonstrated hypersensitivity to the drug or its ingredients.

TABLE 2. Risk by Indication for Antiepileptic Drugs in the Pooled Analysis
Indication Placebo
Patients with
Events Per
1000 Patients
Drug Patients
with Events
Per 1000
Patients
Relative Risk:
Incidence of Events
in Drug
Patients/Incidence
in Placebo Patients
Risk Difference:
Additional Drug
Patients with
Events Per
1000 Patients
 Epilepsy
1
3.4
3.5
2.4
 Psychiatric
5.7
8.5
1.5
2.9
 Other
1
1.8
1.9
0.9
 Total
2.4
4.3
1.8
1.9

Gabapentin is secreted into human milk following oral administration. A nursed infant could be exposed to a maximum dose of approximately 1 mg/kg/day of gabapentin. Because the effect on the nursing infant is unknown, gabapentin should be used in women who are nursing only if the benefits clearly outweigh the risks.

TABLE 3. Treatment-Emergent Adverse Event Incidence in Controlled Trials in Postherpetic Neuralgia (Events in at Least 1% of Gabapentin-Treated Patients and Numerically More Frequent Than in the Placebo Group)
Body System/Preferred Term Gabapentin
N=336
%
Placebo
N=227
%
a Reported as blurred vision
 Body as a Whole
     Asthenia
5.7
4.8
     Infection
5.1
3.5
     Headache
3.3
3.1
     Accidental injury
3.3
1.3
     Abdominal pain
2.7
2.6
 Digestive System
     Diarrhea
5.7
3.1
     Dry mouth
4.8
1.3
     Constipation
3.9
1.8
     Nausea
3.9
3.1
     Vomiting
3.3
1.8
     Flatulence
2.1
1.8
 Metabolic and Nutritional Disorders
     Peripheral edema
8.3
2.2
     Weight gain
1.8
0
     Hyperglycemia
1.2
0.4
 Nervous System
     Dizziness
28
7.5
     Somnolence
21.4
5.3
     Ataxia
3.3
0
     Thinking abnormal
2.7
0
     Abnormal gait
1.5
0
     Incoordination
1.5
0
     Amnesia
1.2
0.9
     Hypesthesia
1.2
0.9
 Respiratory System
     Pharyngitis
1.2
0.4
 Skin and Appendages
     Rash
1.2
0.9
 Special Senses
     Amblyopiaa
2.7
0.9
     Conjunctivitis
1.2
0
     Diplopia
1.2
0
     Otitis media
1.2
0
TABLE 4. Treatment-Emergent Adverse Event Incidence in Controlled Add-On Trials in Patients >12 Years of Age (Events in at Least 1% of Gabapentin Patients and Numerically More Frequent Than in the Placebo Group)
Body System/Adverse Event Gabapentina
N=543
%
Placeboa
N=378
%
a Plus background antiepileptic drug therapy
b Amblyopia was often described as blurred vision.
 Body As A Whole
     Fatigue
11
5
     Weight Increase
2.9
1.6
     Back Pain
1.8
0.5
     Peripheral Edema
1.7
0.5
 Cardiovascular
     Vasodilatation
1.1
0.3
 Digestive System
     Dyspepsia
2.2
0.5
     Mouth or Throat Dry
1.7
0.5
     Constipation
1.5
0.8
     Dental Abnormalities
1.5
0.3
     Increased Appetite
1.1
0.8
 Hematologic and Lymphatic Systems
     Leukopenia
1.1
0.5
 Musculoskeletal System
     Myalgia
2
1.9
     Fracture
1.1
0.8
 Nervous System
     Somnolence
19.3
8.7
     Dizziness
17.1
6.9
     Ataxia
12.5
5.6
     Nystagmus
8.3
4
     Tremor
6.8
3.2
     Nervousness
2.4
1.9
     Dysarthria
2.4
0.5
     Amnesia
2.2
0
     Depression
1.8
1.1
     Thinking Abnormal
1.7
1.3
     Twitching
1.3
0.5
     Coordination Abnormal
1.1
0.3
 Respiratory System
     Rhinitis
4.1
3.7
     Pharyngitis
2.8
1.6
     Coughing
1.8
1.3
 Skin and Appendages
     Abrasion
1.3
0
     Pruritus
1.3
0.5
 Urogenital System
     Impotence
1.5
1.1
 Special Senses
     Diplopia
5.9
1.9
     Amblyopiab
4.2
1.1
 Laboratory Deviations
     WBC Decreased
1.1
0.5
TABLE 5. Treatment-Emergent Adverse Event Incidence in Pediatric Patients Age 3 to 12 Years in a Controlled Add-On Trial (Events in at Least 2% of Gabapentin Patients and Numerically More Frequent Than in the Placebo Group)
Body System/Adverse Event Gabapentina
N=119
%
Placeboa
N=128
%
a Plus background antiepileptic drug therapy
 Body As A Whole
     Viral Infection
10.9
3.1
     Fever
10.1
3.1
     Weight Increase
3.4
0.8
     Fatigue
3.4
1.6
 Digestive System
     Nausea and/or Vomiting
8.4
7
 Nervous System
     Somnolence
8.4
4.7
     Hostility
7.6
2.3
     Emotional Lability
4.2
1.6
     Dizziness
2.5
1.6
     Hyperkinesia
2.5
0.8
 Respiratory System
     Bronchitis
3.4
0.8
     Respiratory Infection
2.5
0.8
TABLE 6. Gabapentin Dosage Based on Renal Function
Renal Function
Creatinine
Clearance
(mL/min)
Total Daily
Dose Range
(mg/day)
Dose Regimen
(mg)
a For patients with creatinine clearance <15 mL/min, reduce daily dose in proportion to creatinine clearance (e.g., patients with a creatinine clearance of 7.5 mL/min should receive
one-half the daily dose that patients with a creatinine clearance of 15 mL/min receive).
b Patients on hemodialysis should receive maintenance doses based on estimates of creatinine clearance as indicated in the upper portion of the table and a supplemental post-hemodialysis dose administered after each 4 hours of hemodialysis as indicated in the lower portion of the table.
≥60
900-3600
300 TID
400 TID
600 TID
800 TID
1200 TID
>30-59
400-1400
200 BID
300 BID
400 BID
500 BID
700 BID
>15-29
200-700
200 QD
300 QD
400 QD
500 QD
700 QD
15a
100-300
100 QD
125 QD
150 QD
200 QD
300 QD
Post-Hemodialysis Supplemental Dose (mg)b
   Hemodialysis
125b
150b
200b
250b
350b
IMAGE gabapentin-fig5.jpgIMAGE gabapentin-fig6.jpg

Manufacturer

Aurobindo Pharma Limited

Active Ingredients

Source

Drugs and Medications [ 110 Associated Drugs and Medications listed on BioPortfolio]

Fanatrex [Fusion Pharmaceuticals LLC]

FANATREX

Gralise [Depomed, Inc.]

These highlights do not include all the information needed to use GRALISE safely and effectively. See full prescribing information for GRALISE. GRALISE™ (gabapentin) tablets Initial U.S. Approval: 1...

Gabapentin [Aurobindo Pharma Limited]

Gabapentin Capsules, USP

Gabapentin [NorthStar Rx LLC]

Gabapentin Capsules, USP

Horizant [GlaxoSmithKline LLC]

These highlights do not include all the information needed to use HORIZANT safely and effectively. See full prescribing information for HORIZANT. HORIZANT (gabapentin enacarbil) Extended-Release Table...

Clinical Trials [ 93 Associated Clinical Trials listed on BioPortfolio]

Gabapentin in the Prevention of Nausea and Vomiting Induced by Chemotherapy

Gabapentin is an antiepileptic drug. Its antiemetic effect is demonstrated after laparoscopic surgery, but it is not yet known whether gabapentin is effective in preventing chemotherapy in...

Efficacy and Safety of Ramelteon Combined With Gabapentin in Treating Patients With Insomnia

The purpose of this study is to determine the efficacy and safety of ramelteon, once daily (QD), taken in combination with Gabapentin for treating insomnia.

Gabapentin Treatment of Alcohol Dependence

This is a study to evaluate the efficacy of the medication gabapentin in treating persons with an alcohol problem.

Gabapentin - A Solution to Uremic Pruritus?

To investigate using the drug gabapentin to relieve the intense pruritic sensation associated with chronic renal failure patients undergoing peritoneal dialysis.

A Polysomnographic Study Of Single-Dose Gabapentin In Transient Insomnia

The purpose of this study is to assess the effect of gabapentin on polysomnographic assessments in transient insomnia induced by a sleep phase advance.

PubMed Articles [ 121 Associated PubMed Articles listed on BioPortfolio]

Impact of concomitant antacid administration on gabapentin plasma exposure and oral bioavailability in healthy adult subjects.

The aim of this open-label, randomized, and 3-period crossover study was to evaluate the influences of concomitant antacid administration on the plasma disposition, intestinal absorption, and urinary...

Gabapentin enacarbil for the treatment of restless legs syndrome (RLS).

Introduction: Gabapentin enacarbil is a new treatment for restless legs syndrome (RLS). It is a prodrug of the anticonvulsant gabapentin. However, unlike gabapentin, gabapentin enacarbil does not dem...

Risk of cancer in patients exposed to gabapentin in two electronic medical record systems.

PURPOSE: High doses of gabapentin were associated with pancreatic acinar cell tumors in male Wistar rats, but there is little published epidemiological data regarding gabapentin and carcinogenicity. W...

Intrathecal gabapentin and clonidine synergistically inhibit allodynia in spinal nerve-ligated rats.

AIMS: The objective of this study was to elucidate the interaction between intrathecally administered gabapentin and clonidine on neuropathic pain associated with allodynia in the spinal nerve ligatio...

Thermal antinociceptive effect of orally administered gabapentin in healthy cats.

Objective-To determine the thermal antinociceptive effect of various single doses of gabapentin administered orally in cats. Animals-6 healthy adult domestic shorthair cats. Procedures-Baseline skin t...

Search BioPortfolio:
Advertisement

Drugs and Medication Quicklinks


Searches Linking to this Drug Record

Advertisement