Sunny Pseudo said...
but it was explained to me that gabapentin is not a rescue drug and has to be taken every day, and needs to be taken in larger doses to have any effect.
For what it's worth, that's what I was told too. When beginning it, for a few days after I increased up to the level that would eventually work for me, I noticed a sort of up-and-down curve, where pain would get worse as the drug was wearing off for an hour before the next dose, and would stay worse until it gradually faded over the next hour as the new dose was getting in my system again.
After a few days, the pain control was steady. So it wouldn't work as a rescue drug really, but it did still work somewhat even before stabilizing to an every-day same-dosage schedule.
I started at 1 x300 mg a day and worked up to 3 x300 mg, spending a few days at each level, and at that latter dosage, got acceptable pain control, so have stayed there for now. The doctor said it's lower than he would expect for the dosage to work, but since it does, we're happy. I guess everybody's different, and it just pays to work up slow and see how it goes, as far as help vs side effects.