Gralise

Generic name: Gabapentin
Drug class: Gamma-aminobutyric acid analogs

Usage of Gralise

Gralise is a prescription medicine that affects chemicals in the body that are involved in some types of pain.

Gralise is used in adults to treat pain from damaged nerves (neuropathic pain) that follows healing of shingles (a painful rash that comes after a herpes zoster infection).

It is not known if Gralise is safe and effective in people with seizure problems (epilepsy).

Gralise is not interchangeable with other gabapentin products.

Gralise side effects

Get emergency medical help if you have signs of an allergic reaction to Gralise: hives; difficult breathing; swelling of your face, lips, tongue, or throat.

Seek medical treatment if you have a serious drug reaction that can affect many parts of your body. Symptoms may include: skin rash, fever, swollen glands, muscle aches, severe weakness, unusual bruising, upper stomach pain, or yellowing of your skin or eyes.

Report any new or worsening symptoms to your doctor, such as: mood or behavior changes, anxiety, panic attacks, trouble sleeping, or if you feel impulsive, irritable, agitated, hostile, aggressive, restless, hyperactive (mentally or physically), depressed, or have thoughts about suicide or hurting yourself.

Call your doctor at once if you have:

weak or shallow breathing;

blue-colored skin, lips, fingers, and toes;

confusion, extreme drowsiness or weakness;

problems with balance or muscle movement;

unusual or involuntary eye movements; or

increased seizures.

Gabapentin can cause life-threatening breathing problems. A person caring for you should seek emergency medical attention if you have slow breathing with long pauses, blue colored lips, or if you are hard to wake up. Breathing problems may be more likely in older adults or in people with COPD.

Common Gralise side effects may include:

fever, chills, sore throat, body aches, unusual tiredness;

jerky movements;

headache;

double vision;

swelling of your legs and feet;

tremors;

trouble speaking;

dizziness, drowsiness, tiredness;

problems with balance or eye movements; or

nausea, vomiting.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Before taking Gralise

You should not use Gralise if you are allergic to gabapentin.

To make sure Gralise is safe for you, tell your doctor if you have ever had:

breathing problems or lung disease, such as chronic obstructive pulmonary disease (COPD);

kidney disease (or if you are on dialysis);

diabetes;

depression, a mood disorder, or suicidal thoughts or actions;

a drug addiction;

a seizure (unless you take Gralise to treat seizures);

liver disease;

heart disease; or

(for patients with RLS) if you are a day sleeper or work a night shift.

Some people have thoughts about suicide while taking this medicine. Stay alert to changes in your mood or symptoms. Report any new or worsening symptoms to your doctor.

It is not known whether this medicine will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant.

If you are pregnant, your name may be listed on a pregnancy registry to track the effects of gabapentin on the baby.

It may not be safe to breastfeed while using this medicine. Ask your doctor about any risk.

Relate drugs

How to use Gralise

Usual Adult Dose for Postherpetic Neuralgia:

-Gralise should be titrated to 1800 mg orally once daily with the evening meal. -Recommended titration schedule: Day 1: 300 mg orally with the evening meal Day 2: 600 mg orally with the evening meal Days 3 through 6: 900 mg orally with the evening meal Days 7 through 10: 1200 mg orally with the evening meal Days 11 through 14: 1500 mg orally with the evening meal Day 15: 1800 mg orally with the evening meal COMMENT: -Gralise is not interchangeable with other gabapentin products because of differing pharmacokinetic profiles that affect the frequency of administration.

Warnings

Avoid driving or hazardous activity until you know how Gralise will affect you. Dizziness or drowsiness can cause falls, accidents, or severe injuries.

Gabapentin can cause life-threatening breathing problems, especially if you already have a breathing disorder or if you use other medicines that can make you drowsy or slow your breathing. Seek emergency medical attention if you have very slow breathing.

Some people have thoughts about suicide or behavior changes while taking Gralise. Stay alert to changes in your mood or symptoms. Report any new or worsening symptoms to your doctor.

What other drugs will affect Gralise

Using Gralise with other drugs that make you drowsy or slow your breathing can cause dangerous side effects or death. Ask your doctor before using opioid medication, a sleeping pill, cold or allergy medicine, a muscle relaxer, or medicine for anxiety or seizures.

other drugs may interact with gabapentin, including prescription and over-the-counter medicines, vitamins, and herbal products. Tell your doctor about all your current medicines and any medicine you start or stop using.

Disclaimer

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