Vaccines for Children: List By Age, Benefits, Safety



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Neurontin Tablets

Neurontin Tablets Generic Name & Formulations General Description

Gabapentin 600mg, 800mg; scored.

How Supplied

Caps, tabs—100; Soln—470mL

Storage

Neurontin Tablets and Capsules:

  • Store at 25°C (77°F); excursions permitted between 15°C to 30°C (59°F to 86°F).
  • Neurontin Oral Solution:

  • Store refrigerated, 2°C to 8°C (36°F to 46°F). 
  • Mechanism of Action

    The precise mechanisms by which gabapentin produces its analgesic and antiepileptic actions are unknown. Gabapentin is structurally related to the neurotransmitter gamma-aminobutyric acid (GABA) but has no effect on GABA binding, uptake, or degradation. In vitro studies have shown that gabapentin binds with high-affinity to the α2δ subunit of voltage-activated calcium channels; however, the relationship of this binding to the therapeutic effects of gabapentin is unknown.

    Neurontin Tablets Indications Indications

    Postherpetic neuralgia.

    Neurontin Tablets Dosage and Administration Adult

    300mg once on day 1, twice daily on day 2, and 3 times daily on day 3; may titrate up to usual max 1.8g/day in 3 divided doses (doses up to 3.6g/day have been used without added benefit). Renal dysfunction: CrCl 30–59mL/min: 400–1400mg/day in 2 divided doses; CrCl 15–29mL/min: 200–700mg once daily; CrCl ≤15mL/min: 100–300mg once daily (see full labeling); hemodialysis: 125–350mg after session.

    Children

    Not established.

    Neurontin Tablets Contraindications

    Not Applicable

    Neurontin Tablets Boxed Warnings

    Not Applicable

    Neurontin Tablets Warnings/Precautions Warnings/Precautions

    Monitor for DRESS/multiorgan hypersensitivity, anaphylaxis, angioedema; discontinue if occurs. Increased risk of suicidal thoughts/behavior. Monitor for worsening of depression, suicidal thoughts/behavior, and/or unusual changes in mood/behavior. Underlying respiratory depression; monitor and consider initiating at a low dose. Avoid abrupt cessation. Renal impairment. Elderly. Pregnancy. Nursing mothers.

    Neurontin Tablets Pharmacokinetics Elimination

    Renal. Half-life: 5–7 hours.

    Neurontin Tablets Interactions Interactions

    Increased risk for serious respiratory depression and sedation when concomitant CNS depressants, opioids (eg, morphine, hydrocodone, oxycodone, buprenorphine). Give 2hrs after antacids. May antagonize hydrocodone. May interfere with some urine protein tests (eg, Multistix-SG).

    Neurontin Tablets Adverse Reactions Adverse Reactions

    Dizziness, somnolence, peripheral edema, nausea, ataxia, amblyopia, thought disorder, abnormal gait, incoordination.

    Neurontin Tablets Clinical Trials

    See Literature

    Neurontin Tablets Note

    Not Applicable

    Neurontin Tablets Patient Counseling

    See Literature

    Neurontin Tablets Generic Name & Formulations General Description

    Gabapentin 600mg, 800mg; scored.

    How Supplied

    Caps, tabs—100; Soln—470mL

    Storage

    Neurontin Tablets and Capsules:

  • Store at 25°C (77°F); excursions permitted between 15°C to 30°C (59°F to 86°F).
  • Neurontin Oral Solution:

  • Store refrigerated, 2°C to 8°C (36°F to 46°F). 
  • Mechanism of Action

    The precise mechanisms by which gabapentin produces its analgesic and antiepileptic actions are unknown. Gabapentin is structurally related to the neurotransmitter gamma-aminobutyric acid (GABA) but has no effect on GABA binding, uptake, or degradation. In vitro studies have shown that gabapentin binds with high-affinity to the α2δ subunit of voltage-activated calcium channels; however, the relationship of this binding to the therapeutic effects of gabapentin is unknown.

    Neurontin Tablets Indications Indications

    Adjunct in partial seizures.

    Neurontin Tablets Dosage and Administration Adult

    Add or remove other AEDs over at least 1 week. Initially 300mg three times daily. Usual range: 900–1800mg/day in 3 divided doses; max 2.4g/day (up to 3.6g/day has been used short-term; see full labeling); max 12 hrs between doses. Renal dysfunction: CrCl 30–59mL/min: 400–1400mg/day in 2 divided doses; CrCl 15–29mL/min: 200–700mg once daily; CrCl ≤15mL/min: 100–300mg once daily (see full labeling); hemodialysis: 125–350mg after session.

    Children

    <3yrs: not established. Give in 3 divided doses; max 12 hrs between doses; titrate over 3 days. 3–11yrs: initially 10–15mg/kg per day. 3–4yrs: titrate to 40mg/kg per day. ≥5yrs: titrate to 25–35mg/kg per day. Max 50mg/kg per day. Renal impairment: not studied.

    Neurontin Tablets Contraindications

    Not Applicable

    Neurontin Tablets Boxed Warnings

    Not Applicable

    Neurontin Tablets Warnings/Precautions Warnings/Precautions

    Monitor for DRESS/multiorgan hypersensitivity, anaphylaxis, angioedema; discontinue if occurs. Increased risk of suicidal thoughts/behavior. Monitor for worsening of depression, suicidal thoughts/behavior, and/or unusual changes in mood/behavior. Underlying respiratory depression; monitor and consider initiating at a low dose. Avoid abrupt cessation. Renal impairment. Elderly. Pregnancy. Nursing mothers.

    Neurontin Tablets Pharmacokinetics Elimination

    Renal. Half-life: 5–7 hours.

    Neurontin Tablets Interactions Interactions

    Increased risk for serious respiratory depression and sedation when concomitant CNS depressants, opioids (eg, morphine, hydrocodone, oxycodone, buprenorphine). Give 2hrs after antacids. May antagonize hydrocodone. May interfere with some urine protein tests (eg, Multistix-SG).

    Neurontin Tablets Adverse Reactions Adverse Reactions

    Somnolence, dizziness, ataxia, fatigue, nystagmus; diplopia, amblyopia, tremor, dysarthria, amnesia, back pain; children also: viral infection, fever, nausea, vomiting, emotional lability, thought disorder, hyperkinesia, hostility.

    Neurontin Tablets Clinical Trials

    See Literature

    Neurontin Tablets Note

    Not Applicable

    Neurontin Tablets Patient Counseling

    See Literature


    Neurontin Oral Soln

    Neurontin Oral Soln Generic Name & Formulations General Description

    Gabapentin 250mg/5mL; strawberry-anise flavor.

    How Supplied

    Caps, tabs—100; Soln—470mL

    Storage

    Neurontin Tablets and Capsules:

  • Store at 25°C (77°F); excursions permitted between 15°C to 30°C (59°F to 86°F).
  • Neurontin Oral Solution:

  • Store refrigerated, 2°C to 8°C (36°F to 46°F). 
  • Mechanism of Action

    The precise mechanisms by which gabapentin produces its analgesic and antiepileptic actions are unknown. Gabapentin is structurally related to the neurotransmitter gamma-aminobutyric acid (GABA) but has no effect on GABA binding, uptake, or degradation. In vitro studies have shown that gabapentin binds with high-affinity to the α2δ subunit of voltage-activated calcium channels; however, the relationship of this binding to the therapeutic effects of gabapentin is unknown.

    Neurontin Oral Soln Indications Indications

    Postherpetic neuralgia.

    Neurontin Oral Soln Dosage and Administration Adult

    300mg once on day 1, twice daily on day 2, and 3 times daily on day 3; may titrate up to usual max 1.8g/day in 3 divided doses (doses up to 3.6g/day have been used without added benefit). Renal dysfunction: CrCl 30–59mL/min: 400–1400mg/day in 2 divided doses; CrCl 15–29mL/min: 200–700mg once daily; CrCl ≤15mL/min: 100–300mg once daily (see full labeling); hemodialysis: 125–350mg after session.

    Children

    Not established.

    Neurontin Oral Soln Contraindications

    Not Applicable

    Neurontin Oral Soln Boxed Warnings

    Not Applicable

    Neurontin Oral Soln Warnings/Precautions Warnings/Precautions

    Monitor for DRESS/multiorgan hypersensitivity, anaphylaxis, angioedema; discontinue if occurs. Increased risk of suicidal thoughts/behavior. Monitor for worsening of depression, suicidal thoughts/behavior, and/or unusual changes in mood/behavior. Underlying respiratory depression; monitor and consider initiating at a low dose. Avoid abrupt cessation. Renal impairment. Elderly. Pregnancy. Nursing mothers.

    Neurontin Oral Soln Pharmacokinetics Elimination

    Renal. Half-life: 5–7 hours.

    Neurontin Oral Soln Interactions Interactions

    Increased risk for serious respiratory depression and sedation when concomitant CNS depressants, opioids (eg, morphine, hydrocodone, oxycodone, buprenorphine). Give 2hrs after antacids. May antagonize hydrocodone. May interfere with some urine protein tests (eg, Multistix-SG).

    Neurontin Oral Soln Adverse Reactions Adverse Reactions

    Dizziness, somnolence, peripheral edema, nausea, ataxia, amblyopia, thought disorder, abnormal gait, incoordination.

    Neurontin Oral Soln Clinical Trials

    See Literature

    Neurontin Oral Soln Note

    Not Applicable

    Neurontin Oral Soln Patient Counseling

    See Literature

    Neurontin Oral Soln Generic Name & Formulations General Description

    Gabapentin 250mg/5mL; strawberry-anise flavor.

    How Supplied

    Caps, tabs—100; Soln—470mL

    Storage

    Neurontin Tablets and Capsules:

  • Store at 25°C (77°F); excursions permitted between 15°C to 30°C (59°F to 86°F).
  • Neurontin Oral Solution:

  • Store refrigerated, 2°C to 8°C (36°F to 46°F). 
  • Mechanism of Action

    The precise mechanisms by which gabapentin produces its analgesic and antiepileptic actions are unknown. Gabapentin is structurally related to the neurotransmitter gamma-aminobutyric acid (GABA) but has no effect on GABA binding, uptake, or degradation. In vitro studies have shown that gabapentin binds with high-affinity to the α2δ subunit of voltage-activated calcium channels; however, the relationship of this binding to the therapeutic effects of gabapentin is unknown.

    Neurontin Oral Soln Indications Indications

    Adjunct in partial seizures.

    Neurontin Oral Soln Dosage and Administration Adult

    Add or remove other AEDs over at least 1 week. Initially 300mg three times daily. Usual range: 900–1800mg/day in 3 divided doses; max 2.4g/day (up to 3.6g/day has been used short-term; see full labeling); max 12 hrs between doses. Renal dysfunction: CrCl 30–59mL/min: 400–1400mg/day in 2 divided doses; CrCl 15–29mL/min: 200–700mg once daily; CrCl ≤15mL/min: 100–300mg once daily (see full labeling); hemodialysis: 125–350mg after session.

    Children

    <3yrs: not established. Give in 3 divided doses; max 12 hrs between doses; titrate over 3 days. 3–11yrs: initially 10–15mg/kg per day. 3–4yrs: titrate to 40mg/kg per day. ≥5yrs: titrate to 25–35mg/kg per day. Max 50mg/kg per day. Renal impairment: not studied.

    Neurontin Oral Soln Contraindications

    Not Applicable

    Neurontin Oral Soln Boxed Warnings

    Not Applicable

    Neurontin Oral Soln Warnings/Precautions Warnings/Precautions

    Monitor for DRESS/multiorgan hypersensitivity, anaphylaxis, angioedema; discontinue if occurs. Increased risk of suicidal thoughts/behavior. Monitor for worsening of depression, suicidal thoughts/behavior, and/or unusual changes in mood/behavior. Underlying respiratory depression; monitor and consider initiating at a low dose. Avoid abrupt cessation. Renal impairment. Elderly. Pregnancy. Nursing mothers.

    Neurontin Oral Soln Pharmacokinetics Elimination

    Renal. Half-life: 5–7 hours.

    Neurontin Oral Soln Interactions Interactions

    Increased risk for serious respiratory depression and sedation when concomitant CNS depressants, opioids (eg, morphine, hydrocodone, oxycodone, buprenorphine). Give 2hrs after antacids. May antagonize hydrocodone. May interfere with some urine protein tests (eg, Multistix-SG).

    Neurontin Oral Soln Adverse Reactions Adverse Reactions

    Somnolence, dizziness, ataxia, fatigue, nystagmus; diplopia, amblyopia, tremor, dysarthria, amnesia, back pain; children also: viral infection, fever, nausea, vomiting, emotional lability, thought disorder, hyperkinesia, hostility.

    Neurontin Oral Soln Clinical Trials

    See Literature

    Neurontin Oral Soln Note

    Not Applicable

    Neurontin Oral Soln Patient Counseling

    See Literature






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