Horizant vs Gabapentin

HorizantGabapentin
Prodrug of gabapentin

Class

Anticonvulsant, neuropathic pain agent
Moderate-to-severe restless legs syndrome (RLS) - Postherpetic neuralgia (in adults)

FDA Approved Uses

Postherpetic neuralgia - Epilepsy (adjunctive therapy) - Neuropathic pain associated with diabetic peripheral neuropathy
Extended-release tablets

Formulation

Capsules, tablets, oral solution
600 mg

Dosage Forms

100 mg, 300 mg, 400 mg, 600 mg, 800 mg
Prodrug that is converted to gabapentin, which binds to the ?2? subunit of voltage-gated calcium channels

Mechanism of Action

Similar to Horizant; directly binds to the ?2? subunit of voltage-gated calcium channels
Dizziness - Somnolence - Headache - Nausea - Fatigue - Insomnia

Side Effects

Dizziness - Somnolence - Headache - Fatigue - Nausea - Insomnia
Once or twice daily depending on the indication

Administration

Three times a day or as prescribed
Improved bioavailability due to extended-release formulation

Absorption/Bioavailability

Variable, 27-60% (decreases with increasing dose)
Antacids containing aluminum or magnesium - Alcohol can increase the risk of CNS depression

Drug Interactions

Antacids containing aluminum or magnesium - Alcohol can increase the risk of CNS depression - Other CNS depressants
Generally more expensive due to brand status

Cost

Less expensive, available as generic
Not recommended for patients who need to sleep during the daytime, as it could impair their ability to operate machinery or perform hazardous tasks - Should not be used in patients who require sleep during the daytime

Special Considerations

Dose needs adjustment in renal impairment - Withdrawal should be gradual to avoid adverse effects

Coupon code

CMP30

Coupon code

Coupon code

CMP30

FAQ

How much gabapentin is in Horizant?

Horizant contains gabapentin enacarbil, a prodrug of gabapentin. Each 600 mg tablet of Horizant, once metabolized, is equivalent to about 600 mg of gabapentin. This formulation allows for an extended-release, providing a controlled conversion to gabapentin in the body.

Can Horizant cause weight gain?

Weight gain is not commonly reported as a side effect of Horizant. However, like its counterpart gabapentin, individual responses can vary. If you're experiencing unusual weight changes while taking Horizant, consult your healthcare provider for personalized advice.

How does Horizant make you feel?

Horizant can help alleviate symptoms of RLS and nerve pain, making you feel more comfortable and less distressed by these conditions. However, it may cause side effects such as dizziness and drowsiness, which could affect your overall feeling of alertness and well-being.

Is gabapentin good for anxiety?

Gabapentin is often prescribed off-label for anxiety due to its calming effect on the nervous system. It is particularly noted for easing anxiety that accompanies other conditions like bipolar disorder or epilepsy. Consult with a healthcare professional to determine if it's suitable for your specific anxiety symptoms.