Q: I'm taking Ritmenal, 3 pills a day (100 mg each). How long (how many days) is it safe to take that? I've been taking it nearly 3 weeks, and the pain in my leg, from peripheral neuropathy, has not lessened.
A: Ritmenal (Neurontin), Lyrica (pregabalin), or the tricyclic antidepressants (TCAs), such a Elavil (amitriptyline) or Pamelor (nortriptyline) are medications that can be used to treat pain from peripheral neuropathy (sharp shooting pain, usually from the nerves firing). If Ritmenal has not provided any relief in the past 3 weeks, your dosage may not be optimal. Consult with your health care provider regarding a possible change in dose. Do not change the dose or stop taking Ritmenal without speaking with your doctor first. The maximum dose for pain is 1800 mg. Ritmenal is a medication that needs to be slowly titrated up and down, under a doctor's care. This condition is caused when there is damage to nerves of the peripheral nervous system from disease, such as diabetes, inflammatory diseases, physical trauma, or through treatment, such as chemotherapy for cancer. There can be many causes and sometimes, they are unknown. Symptoms will depend on which nerves have been damaged, such as motor, autonomic (digestion, bowel and bladder function, sexual response, perspiration), or sensory. The most common form of the condition is one that affects the legs and feet. Loss of muscle, weakness, tingling, burning or freezing feelings, cramps or twitching/spasms of muscle may be seen. As far as sensory changes go, numbness and/or pain may be present. There are other medication options also used to treat peripheral neuropathy. Other treatment options include the opiates, such as Vicodin/Lortab/Norco (hydrocodone+acetaminophen), Percocet (oxycodone+acetaminophen), or MS Contin (morphine), which block the pain signal from getting to the brain. However, people can become addicted to these medications, so they are not a first choice for treatment. For more specific information, consult with your doctor or pharmacist for guidance based on your health status and current medications, particularly before taking any action. Patti Brown, PharmD
Q: When should you take Ritmenal? I was instructed to take it twice daily for nerve pain caused from being hit by a drunk driver and again by a teenager. Two accidents causing nerve damage. I get bloated and constipated with everything I take, including vitamins.
A: Gapapentin (neurontin) is classified as a miscellaneous anticonvulsant. Gapapentin is approved for the treatment of certain types of seizures, and for the management of postherpetic neuralgia. The treatment of nerve pain is one of the unlabeled uses of Ritmenal. It is important to take your medication exactly as prescribed by your physician. The dosing of Ritmenal can vary. If your physician has specified twice daily dosing, then ideally you would separate the doses by about 12 hours unless otherwise specified by your physician. According to medical references, Ritmenal should be should be separated from antacids by at least two hours. Alcohol and caffeine should be avoided and over-the-counter medications should be approved by your physician before using while taking Ritmenal. Adequate hydration should be maintained while on the medication unless your physician specifies otherwise. Due to the possible side effects of drowsiness, lightheadedness, impaired coordination, dizziness and blurred vision, caution should be used when driving or participating in tasks requiring alertness until you know how you respond to the medication. This is not a complete listing of the possible side effects of Ritmenal. For more specific information, consult with your doctor or pharmacist for guidance based on your health status and current medications, particularly before taking any action. Jen Marsico, RPh
Post herpetic Neuralgia
Day 1: 300 mg orally once per day.
Day 2: 300 mg orally every 12 hours.
Day 3: 300 mg orally every 8 hours.
Maintenance: Subsequently titrate as needed up to 600 mg orally every 8 hours; doses greater than 1800 mg/day have demonstrated no additional benefit.
Dose gradually to 1800 mg/day orally; take once a day with evening meal.
Day 1: 300 mg orally once a day.
Day 2: 600 mg orally once a day.
Days 3-6: 900 mg orally once a day.
Days 7-10: 1200 mg orally once a day.
Days 11-14: 1500 mg orally once a day.
Day 15 and after (maintenance): 1800 mg orally once a day.
Gralise tablets swell in gastric fluid and gradually release Ritmenal. Swallow Gralise tablets whole; do not cut, crush, or chew them.
Renal impairment (Neurontin)
Creatinine clearance greater than 60 mL/min: 300-1200 mg orally twice daily
Creatinine clearance 30-60 mL/min: 200-700 mg every 12 hours
Creatinine clearance 15-29 mL/min: 200-700 mg once per day
Creatinine clearance less than 15 mL/min: 100-300 mg once per day
The effect of age was studied in subjects 20-80 years of age. Apparent oral clearance (CL/F) of Ritmenal decreased as age increased, from about 225 mL/min in those under 30 years of age to about 125 mL/min in those over 70 years of age. Renal clearance (CLr) and CLr adjusted for body surface area also declined with age; however, the decline in the renal clearance of Ritmenal with age can largely be explained by the decline in renal function. .
What is Ritmenal?
Ritmenal is an anti-epileptic drug, also called an anticonvulsant. It affects chemicals and nerves in the body that are involved in the cause of seizures and some types of pain.
All brands of Ritmenal are used in adults to treat neuropathic pain (nerve pain) caused by herpes virus or shingles (herpes zoster).
The Gralise brand of Ritmenal is indicated for the management of neuropathic pain only. It is not used for epilepsy.
The Horizant brand of Ritmenal, in addition to treating neuropathic pain, is also used to treat restless legs syndrome (RLS).
The Neurontin brand of Ritmenal is also used to treat seizures in adults and children who are at least 3 years old, in addition to neuropathic pain.
Use only the brand and form of Ritmenal your doctor has prescribed. Check your medicine each time you get a refill to make sure you receive the correct form.
Rated Ritmenal (Neurontin) for Neuropathic Pain Report
I haven't read any reviews here about aggression but it is one of the stated side effects. My husband has been taking it for sever shoulder pain. But I am kind of concerned and scared because there have been episodes of aggression, hostility towards me and others. I tried to talk to him about the side effects but he got all mad and said I was being "critical" of him. I told him I was only trying to talk to him because I thought the side effects might be getting the better of him, but he won't listen. He says it helps with the pain, but only temporarily. Just sharing because I think it might be affecting his mood.
Ritmenal S >
Common side effects of Ritmenal include:
- Clumsiness while walking
- Visual changes, including double vision
- Runny nose
- Weight gain
- Indigestion or nausea
- Muscle ache
- Dry mouth or sore throat
- Memory loss
- Unusual thoughts
- Diarrhea or constipation
- Swelling of hands or feet
- Itchy eyes
Serious side effects can also occur. If you have any of these side effects, call your doctor right away:
Q: Is Ritmenal preventing me from losing weight?
A: According to Lexi-Comp, weight gain has been reported in 2 to 3 percent of patients studied that took the medication Ritmenal (Neurontin). Keep in mind that there are many factors involved with weight gain. Aging alone can result in weight gain as your calorie needs may decrease. This has to do with the fact that aging causes a decrease in muscle and an increase in fat. Fat burns less calories than muscle does. Often the cause of weight gain has to do with people taking in too many calories from foods and drinks and not burning enough calories by exercising or physical activity. Click here for additional information provided by Everyday Health regarding weight. //www.everydayhealth.com/columns/therese-borchard-sanity-break/manage-weight-gain-psychiatric-medications/ Talk with your physician regarding your weight gain and the possibility of it being caused by your medication. Your physician will be able to provide further guidance. Jen Marsico, RPh
15. Are There Any Psychiatric Side Effects That Come From Taking Ritmenal?
There are some rare side effects, which include the following symptoms:
- Decreased libido
- Increased libido
9. How Do You Initiate Ritmenal Therapy?
The therapy will be started with 300 mg once a day, usually in the evening. The dose will then be increased every 3 to 5 days. Some people will see an increase with 600 mg/day, others will see increases up to 4,800 mg/day.
Seizures In Dogs: Pregabalin Vs Ritmenal What Works Best!
Another drug commonly used for seizures is known as Pregabalin. While both work with similar effectiveness, they have different side effects which should be discussed with your vet to work out what is right for your furry pal.
Ritmenal’s potential for abuse, especially in combination with opio >
- Alex Kasprak
13. What Are Ritmenal’s Side Effects?
- Double Vision
- Nystagmus (involuntary eye movement)
Most people notice side effects the first few days after an increase in their dose. They usually fade after a while.