PMID- 23370075 OWN - NLM STAT- MEDLINE DCOM- 20140228 LR - 20181202 IS - 1536-5409 (Electronic) IS - 0749-8047 (Linking) VI - 29 IP - 9 DP - 2013 Sep TI - Long-term safety of gastroretentive gabapentin in postherpetic neuralgia patients. PG - 770-4 LID - 10.1097/AJP.0b013e31827b32ab [doi] AB - OBJECTIVE: This study evaluated the long-term safety and tolerability of a gastroretentive formulation of gabapentin (G-GR) and its effect on weight gain in postherpetic neuralgia (PHN) patients participating in a 14-week, open-label extension to a 10-week double-blind study. METHODS: Patients with PHN >/= 3 months, who had completed participation in a phase 3 randomized, double-blind, placebo-controlled study of the safety and efficacy of G-GR in PHN, who wished to continue treatment with G-GR, and who the investigator thought would benefit from study participation received G-GR 1800 mg as an asymmetrically divided dose (600 mg AM/1200 mg PM) for an additional 14 weeks. Analyses were performed on safety data from patients who received G-GR for 10 weeks in the randomized controlled study and who then received an additional 14 weeks of G-GR, asymmetrically dosed in the current study. Safety assessments included the incidence and severity of adverse events (AEs), the occurrence of serious AEs, changes in physical and neurological examination findings, clinical laboratory assessments, and changes in weight. RESULTS: Eighty patients treated with G-GR in the randomized, controlled study participated in this 14-week extension study. The incidence of AEs commonly observed with gabapentin (dizziness, somnolence) was low and the frequency, intensity, and severity of AEs did not change with long-term treatment. The mean weight change from baseline in the randomized controlled study to the end of the extension study was +0.76 kg. Weight increase was reported as an AE for 2 (2.5%) patients. CONCLUSIONS: Long-term treatment (up to 24 wk) with G-GR of 1800 mg was well tolerated and associated with little weight gain (< 1 kg) in patients with PHN. No new safety issues emerged with G-GR long-term treatment. FAU - Jensen, Mark P AU - Jensen MP AD - Department of Rehabilitation Medicine, Harborview Medical Center, University of Washington School of Medicine, Seattle, WA 98104, USA. mjensen@uw.edu FAU - Irving, Gordon AU - Irving G FAU - Rauck, Richard AU - Rauck R FAU - Wallace, Mark AU - Wallace M FAU - Sweeney, Mike AU - Sweeney M FAU - Vanhove, Geertrui F AU - Vanhove GF LA - eng PT - Clinical Trial, Phase III PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't PL - United States TA - Clin J Pain JT - The Clinical journal of pain JID - 8507389 RN - 0 (Amines) RN - 0 (Analgesics) RN - 0 (Cyclohexanecarboxylic Acids) RN - 0 (Delayed-Action Preparations) RN - 56-12-2 (gamma-Aminobutyric Acid) RN - 6CW7F3G59X (Gabapentin) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Amines/*administration & dosage MH - Analgesics/*administration & dosage MH - Cyclohexanecarboxylic Acids/*administration & dosage MH - Delayed-Action Preparations MH - Dose-Response Relationship, Drug MH - Double-Blind Method MH - Drug Administration Schedule MH - Female MH - Gabapentin MH - Humans MH - Longitudinal Studies MH - Male MH - Middle Aged MH - Neuralgia, Postherpetic/*drug therapy MH - Pain Measurement MH - Treatment Outcome MH - gamma-Aminobutyric Acid/*administration & dosage EDAT- 2013/02/02 06:00 MHDA- 2014/03/01 06:00 CRDT- 2013/02/02 06:00 PHST- 2013/02/02 06:00 [entrez] PHST- 2013/02/02 06:00 [pubmed] PHST- 2014/03/01 06:00 [medline] AID - 10.1097/AJP.0b013e31827b32ab [doi] PST - ppublish SO - Clin J Pain. 2013 Sep;29(9):770-4. doi: 10.1097/AJP.0b013e31827b32ab.