Neurontin (Gabapentin) Tablet

NEURONTIN notched film-coated tablet To be taken orally.

Active ingredient
Each film tablet contains gabapentin.

Excipients
Poloxamer 407, Copolyvidone, Corn starch, Magnesium stearate, Opadry White YS-1-1811 l(hydroxypropyl cellulose and talc)

1. What NEURONTIN is and what it is used for

    NEURONTIN is in the group of drugs called other antiepileptic drugs. These drugs are used in the treatment of epilepsy and pain due to damage to nerve tissue (neuropathic pain).
    NEURONTIN 600 mg film-coated tablet with notches is available in packages containing 50 tablets, each tablet contains 600 mg of gabapentin. The notch makes it easy to divide the tablet into 2 equal parts.
    NEURONTIN is a drug used in the treatment of various types of epilepsy and pain caused by damage to nerve tissue (neuropathic pain). feeling of pain; It can be defined in various ways such as hot, burning, throbbing, palpitation, fever, stabbing sensation, pain, cramping, pain, tingling, numbness, numbness, stinging and freezing.

2.How to use NEURONTIN?

Use in the elderly

Instructions for proper use and dose/frequency of administration

Always strictly follow your doctor's instructions when using NEURONTIN. If you are unsure, ask your doctor or pharmacist.

Your doctor will determine the appropriate dose for you.

Keep taking NEURONTIN until your doctor tells you not to use it.
Sara (epilepsy):

Use of NEURONTIN in adults and children over 12 years of age:

Take the recommended number of tablets. Your doctor will usually gradually increase your dose. The starting dose will usually be between 300 mg and 900 mg per day. The dose may then be gradually increased to a maximum of 3600 mg per day. Your doctor will tell you to take this dose in 3 divided doses - for example, in the morning, afternoon and evening.
Pain due to nerve tissue damage in adults (neuropathic pain):

Take NEURONTIN tablets as directed by your doctor. Your doctor will usually gradually increase your dose. The starting dose will usually be between 300 mg and 900 mg per day. The dose can then be gradually increased up to a maximum of 3600 mg per day, and your doctor will tell you to take this dose in 3 divided doses - for example morning, afternoon and evening.
Application route and method

NEURONTIN is for oral (oral) use only.

Take NEURONTIN without chewing with a sufficient amount of drink. Tablets can be divided into two equal parts.
different age groups
Use in children

Use of NEURONTIN in children aged 6-12 years:

The dose to be given to your child will be determined by your doctor by calculating your child's weight. The treatment is started with a low starting dose of 10-15 mg/kg given in 3 divided doses per day, and the dose is gradually increased over a period of approximately 3 days.

In children 6 years of age and older, the effective dose of gabapentin is 25-35 mg/kg per day.

The interval between two doses should not exceed 12 hours.

The daily dose of the drug is usually taken in 3 divided doses, eg one morning dose, one afternoon dose, and one evening dose.

NEURONTIN should not be used in children younger than 6 years of age.
Use in the elderly:

If you are over 65 years old and do not have kidney disease, you can use NEURONTIN in its normal dose.
Special use cases
Kidney failure:

If you have kidney problems or have your blood cleaned (hemodialysis), your doctor may prescribe you a different dosage schedule or dose.
Liver failure:

No studies have been conducted in patients with liver problems.

If you have the impression that the effect of NEURONTIN is too strong or weak, talk to your doctor or pharmacist.
If you use more NEURONTIN than you should

If you have used more than you should use from NEURONTIN, talk to a doctor or pharmacist.

Doses higher than recommended; may cause an increase in undesirable effects such as loss of consciousness, dizziness, double vision, difficulty in speaking, drowsiness and diarrhoea. Call your doctor immediately or go to the emergency department of the nearest hospital.

Take all unused tablets with you, together with their boxes and leaflets, so that the hospital can easily determine which drugs you are taking.
If you forget to use NEURONTIN

If you forget to take a dose and it is not time for your next dose, take your medicine as soon as you remember.

Do not take a double dose to make up for forgotten doses.
Effects that may occur when treatment with Neurontin is discontinued

Keep using NEURONTIN unless your doctor tells you otherwise. If it is decided to discontinue your treatment, this should be done gradually and over a period of at least one week.

There is an increased risk of seizures, pain and discomfort if you stop taking Neurontin suddenly or without telling your doctor.

3. What are the possible side effects?

Like all medicines, there may be side effects in people who are sensitive to the substances contained in NEURONTIN.
If any of the following occur, stop using NEURONTIN and IMMEDIATELY inform your doctor. Although these side effects are rare, they can be serious.
Swelling of the lips and face, skin rash and redness and/or hair loss (these may be signs of a serious allergic reaction)

Persistent abdominal pain, nausea and vomiting (these may be signs of acute pancreatitis (sudden pancreatitis))

NEURONTIN; can cause serious and life-threatening allergic reactions that can affect other parts of your body, such as your skin, liver or blood cells. When you have such allergic reactions, you may or may not have a rash on your skin. Such a situation may require hospitalization or discontinuation of your NEURONTIN treatment. If you show any of the following symptoms, tell your doctor immediately:

- skin rash

- Hives Fever

Swelling of the glands and the swelling does not go away

- Swelling of lips and tongue

- Yellowing of the skin or white part of the eye Abnormal bruising or bleeding

severe fatigue or weakness

- Unexpected pain in the muscles Frequent infection

These symptoms may be the first signs of serious reactions. Your doctor will decide whether to continue treatment with NEURONTIN.
If you are undergoing a blood purification procedure (hemodialysis), tell your doctor if you feel muscle pain and/or weakness.

If any of the following side effects become serious or if you notice any of the side effects not listed in the leaflet, inform your doctor or pharmacist.
Other side effects are defined as shown in the following categories:

Very common: May occur in at least 1 in 10 patients.

Common: less than 1 in 10 patients, but more than 1 in 100 patients.

Uncommon: less than 1 in 100 patients, but more than 1 in 1,000 patients. Rare: less than 1 in 1,000 patients.

Very rare: less than 1 in 10,000 patients Not known: Cannot be estimated from the available data
Very common side effects:
dizziness
lack of coordination
viral infection
feeling drowsy
feeling tired
Fire
Common side effects:
Severe spasms or rapid contractions of the face, trunk, or arms or legs (convulsions)
jerky movements
speech difficulties
Loss of memory
Shake
difficulty sleeping
Headache
skin sensitivity
decreased sensation
coordination difficulties
unusual eye movements
Increase, decrease or loss of reflexes
lung inflammation
respiratory tract infection
Urinary tract infection
Infection
Inflammation in the ear
Low white blood cell (leukocyte) counts
Anorexia
increased appetite
anger towards others
confusion
changes in mood
Depression
anxiety/worry
state of irritability
difficulty thinking
blurred vision
double vision
Dizziness due to balance disorder (vertigo)
high blood pressure
Facial flushing or enlarged blood vessels
difficulty breathing
Bronchitis
Throat ache
Cough
runny or dry nose
Vomiting
Nausea
dental problems
gingivitis
Diarrhea
kami pain,
Indigestion
Constipation
Sand in the mouth or throat
Gas (flatulence)
Percent bloating
bruising
Debris
Itching
acne (pimples)
Joint pain
muscle pain
Back pain
viewings
Erection difficulty (hardening problem)
Swelling in legs and arms
difficulty walking
Weakness
pain
feeling uncomfortable
flu-like symptoms
decrease in white blood cells
weight gain
Accidental injury, bone fracture, abrasion

In addition, aggressive behavior, staccato and jerky movements have been widely reported in studies conducted in children.
Uncommon side effects:
Allergic reactions such as hives
decrease in movement
very fast heartbeat
Swelling that can be seen on the face, body and arms
Abnormal results in blood test, indicating liver problem
mental disorder
Fall
Increased blood sugar level (usually observed in diabetics)
Infrequent side effects:
Loss of consciousness
Decreased blood sugar level (usually observed in diabetics)
The following adverse reactions have been reported after market release:
Decrease in blood clotting cells (platelets)
daydreaming (hallucinations)
Problems with abnormal movements such as stiffness, writhing and jerky movements
Tinnitus (tinnitus)
Co-occurrence of a group of side effects such as swelling of the lymph nodes (differentiated by small swellings under the skin), fever, rash and inflammation of the liver.
Inflammation of the liver, yellowing of the skin and eyes (jaundice)
Inflammation with swelling and redness on the skin and around the eyes (Stevens-Johnson Syndrome)
Hypersensitivity condition (erythema multiforme), which usually resolves spontaneously, causing lace-like redness on the hands, face and feet.
Sudden deterioration of skeletal muscle tissue due to damage to muscle tissue (rhabdomyolysis)