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Asthma/breathing difficulty

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Question
I am 31 years and was using gabapentin 300 mg at night for sleeping trouble due to some nerve pain..after 6 months of its regular use I got sneezing continuously and cough frequently...and at ninth month I got wheezing at times and now i got chest pain and difficulty in breathing..now I stopped the drug...whether all these are side effects due to the drug which I have taken..can it be cured?

Thanks in advance!

Answer
Hello Karthika,
 I apologize for the delayed response.

After checking 3 professional resources regarding the potential for gabapentin being a trigger for these symptoms, it was only mentioned in one of the programs, and a very low percentage of patients. Nasal symptoms, like runny nose was a possibility, which can lead to post-nasal drip and cough, but due to the lack of a clear association, your doctor should do a full workup with:
1) blood tests: looking for elevated eosinophyls or neutrophils,
2) RAST test: looks for allergic issues
3) lung function testing: spirometry with reactivity challenge to see if you are having a reactive airway disorder, such as asthma.

This would b e a starting point.

Some additional things would be helpful to know:
1) besides the nerve pain, do you have any other medical condition for which you are treated?
2) besides the gabapentin, is there any other meds you take on a regular basis?
3) do you smoke, or live/work around others that smoke?
4) what type of work are you employed in, and are you exposed to any chemicals in that workplace?

Let me know about these, and I may be able to guide you further.

Sincerely,

Marc

Asthma

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Marc Rubin, RPh Asthma Educator

Expertise

I have worked directly with patients as well as caregivers for over 30 years. Have made presentations throughout Illinois educating school nurses as well as the teaching and coaching staff of public schools about asthma, and how they should respond to these students needs. Presented a public education program on asthma through the US Department of Public Health. Specialize in helping guide asthmatic patients to take control of their disease in order to live a near-normal, fully active life.

Experience

Practicing pharmacist for 40 years, specializing in asthma and COPD for 12 years. Developed nationwide education to nurses, teachers and athletic coaches regarding asthma and exercise induced bronchospasm. In addition, and closer to home. my daughter has asthma, and my son has exercise induced bronchospasm. In addition, I serve on the boards and committees of a number of asthma organizations: Sports, Exercise and Fitness Committee of AAAAI, Population Health Committee and Sports Medicine Committee of ACAAI, Sports Medicine Committee of the World Allergy Association. Board of Directors of the Chicago Asthma Consortium, Board of Directors of the Christopher D. Redding Youth Asthma Foundation, as well as the advisory board of a medical education company, Emmi Solutions. Directly involved in the creation of public education programs for asthma, COPD and diabetes.

Organizations
American Academy of Allergy, Asthma and Immunology / Sports Medicine Committee, American College of Allergy, Asthma and Immunology / Population Health Committee and Sports Medicine, American College of Chest Physicians, American Thoracic Society. World Allergy Association, Chicago Asthma Consortium / Professional Development Committee, Christopher D. Redding Youth Asthma Foundation, and Respiratory Health Association of Metropolitan Chicago: Development Committee for AE-C prep class, and presenter.

Publications
AAAAI PowerPoint on the new guidelines for EIB (Exercise Induced Bronchospasm), AAAAI Powerpoint on Asthma in School Setting for Teachers and Coaches, Annals of Allergy, Asthma and Immunology: Transition guide for teens with food allergies or asthma going out of the home to live independantly.

Education/Credentials
BScPharm, RPh, (NAECB Certified asthma educator in 2002), NIPCO Certified Respiratory Care Pharmacist

Past/Present Clients
Emmi Solutions, Chicago Next Level Health, Chicago

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