Gabagamma 300.

Gabagamma 300 is used to relieve epilepsy symptoms in the form of seizures, as well as complex neuropathies. It is recommended for use by adults and children over 12 years of age.

Indications Gabagamma 300.

Gabagamma 300 is prescribed by the attending physician to patients (children over 12 years old and adults) with a history of epilepsy with paracetamol seizures, both as a separate drug and in combination therapy. Also, indications for use are diabetic neuropathies of various localizations and neuralgia after herpes as a painkiller. The drug Gabagamma 300 is prescribed by a neurologist or therapist. In pharmacies, this drug can be purchased only with a prescription.

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Release form

The drug Gabagamma 300 is available in yellow gelatin capsules. The capsules are enclosed in blisters of 10 pieces each. In pharmacies, you can find cardboard packages with 20, 50 or 100 capsules (respectively 2.5 or 10 blisters). The capsules contain a white powder containing 100 mg of the active substance - gabapentin. Among the excipients there is lactase, which should be taken into account by patients with lactase deficiency.

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Pharmacodynamics

The active substance (gabapentin) of the drug Gabagamma 300 is similar in structure to the neurotransmitter gamma-aminobutyric acid, but its mechanism of action is completely opposite to drugs acting on GABA receptors. A detailed study of the principle of action of the active substance revealed that gabapentin does not have GMAKergic properties (unlike other antiepileptic drugs - valproate, barbiturates), and its action consists in binding to the subunits of calcium channels, thus reducing the flow of calcium ions and neutralizing neuropathic pain. Gabapentin also increases the amount of gamma-aminobutyric acid, reduces damage and death of neurons, suppresses the release of monoamine neurotransmitters.

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Pharmacokinetics

The peak concentration of the drug Gabagamma 300 in the blood plasma occurs after 2-3 hours. A decrease in the absorption of gabapentin is noted with an increase in the dosage (at a normal therapeutic dosage, its absorption is approximately 60%). The dependence of the elimination of the drug Gabagamma 300 on the dosage used has not been identified and is approximately 5-7 hours. The drug is excreted by the kidneys in a completely unchanged form. The absorption of the active substance gabapentin does not depend on the consumption of food, fats and other types of nutrients. In human blood, namely plasma, gabapentin is in a free state. The rate of elimination of the drug from the blood plasma depends on creatinine clearance. This is why Gabagamma 300 should be prescribed with caution to elderly people and people with chronic or acute renal failure.

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Dosing and administration

The drug Gabagamma 300 is prescribed after or during meals with a small amount of liquid. The dosage should be increased gradually over several days until it reaches a therapeutically effective level. Cancellation or switching to another drug should also be done gradually so as not to cause a sudden onset of attacks.

Use of Gabagamma 300 for neuropathic pain

Gabagamma 300 is usually taken throughout the day at equal intervals and in equal doses. Therapy begins with a clinically effective dosage of 900 mg per day (1 tablet 3 times a day). If the result is not achieved, the dosage is increased until the clinical symptoms disappear, but not more than 3600 mg per day.

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Use of Gabagamma 300 in epileptic seizures

In case of epileptic disease, the clinically effective dose is from 900 mg to 3600 per day. The dosage is selected individually. Treatment also begins gradually, increasing the dose daily. It should be taken into account that for maximum effectiveness, the drug should be taken with a time interval of no more than 12 hours, in order to avoid seizures.

To prescribe Gabagamma 300 to patients with renal insufficiency, creatinine levels should be monitored in the laboratory. If the clearance is below 30 ml per minute, the drug is prescribed in a minimum dosage of 600 mg per day every other day.

Use Gabagamma 300. during pregnancy

The use of the drug Gabagamma 300 during pregnancy and breastfeeding has not been studied, therefore, to prevent negative effects on the fetus, women in this position should avoid this drug. When breastfeeding, the drug should be taken only if absolutely necessary and after consultation with a specialist. It is advisable to stop breastfeeding during treatment.

Contraindications

Since the drug is excreted by the kidneys, it should be prescribed with caution in dialysis, to people with one kidney, and to patients with acute inflammatory kidney diseases (pyelonephritis, glomerulonephritis). It is highly inadvisable to prescribe the drug for acute pancreatitis. If there is intolerance to any component of the drug Gabagamma 300 (including lactase deficiency), its use should be discontinued. The use of the drug by patients with severe mental disorders may cause deterioration of the condition.

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Side effects Gabagamma 300.

The drug Gabagamma 300 has a number of side effects that affect almost all major systems of the body, which are inherent in most antiepileptic drugs.

Common side effects may include blood pressure changes (increase or decrease), increased heart rate, digestive disorders (diarrhea, constipation, nausea, vomiting), liver pain, jaundice (increased liver enzymes), joint pain, muscle pain, insomnia, nervousness, speech impairment, drowsiness, depression, general weakness, shortness of breath, cough, difficulty breathing. Also, hearing and vision may decrease in general. Due to increased kidney function, the likelihood of inflammatory processes in them increases significantly, chronic diseases may worsen.

Blood laboratory tests may show thrombocytopenia or leukopenia. Purpura, rashes, and erythema may appear on the skin.

Overdose

In case of overdose of the drug Gabagamma 300, symptoms from the central nervous system occur, namely dizziness, double vision, drowsiness, fainting, liturgical sleep. Severe diarrhea may also occur. In case of overdose, urgent gastric lavage is performed followed by the intake of sorbents, namely activated carbon, smecta or enterosgel.

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Interactions with other drugs

If you take Gabagamma 300 with morphine at the same time, the concentration of the active substance increases by 44%.

The interaction of Gabagamma 300 with other antiepileptic drugs has not been determined, which allows it to be taken in combination with other drugs.

When taking Gabagamma 300 simultaneously with hormonal oral contraceptives containing ethinyl estradiol and norethindrone, no change in the pharmacokinetics of either class of drugs was detected.

If you take Gabagamma 300 simultaneously with sorbents, a 20% decrease in gabapentin absorption is observed.

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Storage conditions

The packaging indicates the following storage conditions for the drug Gabagamma 300 at a temperature of up to +25 and air humidity of no more than 75%.

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Special instructions

• when combining therapy with the drug Gabagamma 300 with other antiepileptic drugs, the level of protein in the urine may increase;
• Gabagamma 300 is not effective in absence epilepsy;
• Since the drug Gabagamma 300 affects psychomotor reactions, you should refrain from driving a car or operating other devices that require precise reactions while taking it.

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Shelf life

It is necessary to strictly observe the storage rules and the expiration date of the drug, after which it is strictly prohibited to use it. The shelf life is indicated on the packaging and is no more than 3 years.

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