Gabapentin in the management of restless legs syndrome (RLS) has been evaluated in small controlled trials, demonstrating benefits compared with placebo. Gabapentin enacarbil is FDA-approved for the treatment of RLS .
The American Academy of Sleep Medicine (AASM) guidelines regarding RLS management consider gabapentin effective based on low-level evidence and note that patients with pain symptoms appeared to benefit most.
The benefit-risk ratio is unclear. The European Federation of Neurological Societies/European Neurological Society/European Sleep Research Society (EFNS/ENS/ESRS) Task Force guidelines consider gabapentin effective for short-term management and possibly effective for long-term management of RLS.
Additional study is needed to establish optimal dosing. Based on the International Restless Legs Syndrome Study Group, European Restless Legs Syndrome Study Group, and RLS Foundation (IRLSSG/EURLSSG/RLS-F) guidelines for the prevention and treatment of dopaminergic augmentation in restless legs syndrome, α2δ ligands (eg, gabapentin) are effective and should be considered for the initial treatment of patients with RLS due to their minimal risk of augmentation.
Additionally, patients who experience augmentation on dopaminergic agents may benefit from a switch to α2δ ligands (eg, gabapentin). However, the guidelines note that long-term studies are needed.
Gabapentin is used with other medications to prevent and control seizures. It is also used to relieve nerve pain following shingles (a painful rash due to herpes zosterinfection) in adults. Gabapentin is known as an anticonvulsant or antiepileptic drug.
OTHER USES: This section contains uses of this drug that are not listed in the approved professional labeling for the drug but that may be prescribed by yourhealth care professional. Use this drug for a condition that is listed in this section only if it has been so prescribed by your health care professional.
Gabapentin may also be used to treat other nerve pain conditions (such as diabetic neuropathy, peripheral neuropathy, trigeminal neuralgia) and restless legs syndrome.
Gabapentin can also be used to treat following health conditions:
- Alcohol Withdrawal
- Benign Essential Tremor
- Bipolar Disorder
- Burning Mouth Syndrome
- Cluster-Tic Syndrome
- Diabetic Peripheral Neuropathy
- Hot Flashes
- Lhermitte’s Sign
- Nausea/Vomiting, Chemotherapy Induced
- Neuropathic Pain
- Occipital Neuralgia
- Periodic Limb Movement Disorder
- Peripheral Neuropathy
- Postherpetic Neuralgia
- Postmenopausal Symptoms
- Pudendal Neuralgia
- Reflex Sympathetic Dystrophy Syndrome
- Restless Legs Syndrome
- Small Fiber Neuropathy
- Transverse Myelitis
- Trigeminal Neuralgia