Gabapentin

Class

Anticonvulsant

Therapeutic Effects

Decreased neuropathic pain or seizures

Mechanism of Action

The exact mechanism of action is unknown. It is structurally similar to GABA, but does not act on GABA receptors or influence GABA.

Indications

Gabapentin is used for partial seizures and neuropathic pain.

Nursing Considerations Across the Lifespan

Use in pediatric patients with epilepsy, 3-12, is associated with the occurrence of central nervous system-related adverse events

This drug can cause harm to the fetus of pregnant women.

In elderly patients, peripheral edema and ataxia tended to increase in incidence with age.

Adverse effects

 Increased suicidal ideation
 Immediately report fever, rash, and/or lymphadenopathy
 CNS depression: dizziness, somnolence, and ataxia

Client teaching

Wear an emergency ID tag

Avoid driving and activities that require alertness

Patients, family, and caregivers should also monitor for
suicidality.

Taper dose; do not stop abruptly