Conversation: The conversation between human and AI assistant.
[|Human|] Hi. I haven been taking 300 mg Gabapentin once per day for fibromyalgia since Nov 20th 2017. My doctor just upped my dose last week to 300 mg gabapentin twice per day. I have suddenly been feeling very suicidal and depressed. I know it s this medicine. Can I just stop taking it or do i need to taper off. If so, how?
[|AI|]  Hi sir/madam have gone through your question and understand your concerns. In my opinion, I feel that you're suffering from fibromyalgia with depressive episode rather than fibromyalgia alone. I see similar cases many a time. Regarding treatment with gabapentin, gabapentin has got nothing to do with suicidal ideas and depression. Its recommended dose is 900-1800 per day. So, your still in safe zone pertaining to its side effects. Its most side effects are minor like ataxia, fatigue, daytime somnolence which are dose related. In my opinion, I would recommend you to start tablet pregabalin 150 mg three times a day for fibromyalgia and SSRI or SARI Chat Doctor. Non-pharmacological management include graded exercise therapy (GET), massage for trigger points are mostly choose for fibromyalgia and cognitive behavioral therapy for depressive episode.