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[Dysphagia] Neurontin etc



Neurontin has a not totally undeserved reputation of beign realtively free
of side effects. Not exactly or entirely true, obviously!

Given that anybody can get any side effect listed on anything, not to
mention the ones not listed :-), overall Neurontin is tolerated well by
the vast majority who get it. I have had many people on very high doess
with no side effects, and it is probably the single most effective agent
out there for neuropathic pain. It is only an adjunct for seziures though
in general.

Bear in mind my population is mostly younger people with physical
disabilities. I have not personally had anyone with dysphagia attributable
to Neurontin, though have had several on Baclofen; have had 3-4 who are
sedated on it and have to limit dose and 1-2 who stopped taking it. I
curently have a young man on 900 mg TID currently wtih no problems,
reducing it even to 800 brought back some pain and spasm in an affected
extremity related to transverse myelitis.

Someday perhaps there will be some science in regards to side effects
beyond "one man's wonder drug is another man's poison."

Vikki Stefans, M.D., pediatric physiatrist (rehab doc for kids) at UAMS
and Arkansas Children's Hospital.  Working Mom of Sarah T. and Michael C.,
and wife of Henry Stefans. Every mom is a working mom!- OK, dads too.

On Tue, 10 Aug 2004, Irene Campbell-Taylor wrote:

> Neurontin has one of the worst adverse side effects profiles arouund.
> Number one =96 like many antileptics- is ataxia. Followed by, among
> others:  Visual disturbances of all kinds, amnesia, vomiting,
> dysarthria, xerostomia, dysarthria, fatigue, headache and on and on.
> These are particularly prominent in the elderly and those who are
> neurologically vulnerable. Irene



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