Therapeutic drug monitoring of gabapentin

the applicability in patients with neuropathic pain

Autores

  • Priscila A. Yamamoto Department of Drugs and Pharmaceuticals, School of Pharmaceutical Sciences, São Paulo State University (UNESP), Araraquara, SP, Brazil; School of Pharmaceutical Sciences of Ribeirão Preto, University of São Paulo (USP), Ribeirão Preto, SP, Brazil https://orcid.org/0000-0002-2805-7960
  • Jhohann R. L. Benzi School of Pharmaceutical Sciences of Ribeirão Preto, University of São Paulo (USP), Ribeirão Preto, SP, Brazil https://orcid.org/0000-0001-6986-6193
  • Fabíola Dach Department of Neurosciences and Behavioral Sciences, Ribeirão Preto Medical School, University of São Paulo (USP), Ribeirão Preto, SP, Brazil
  • Natalia V de Moraes Department of Drugs and Pharmaceuticals, School of Pharmaceutical Sciences, São Paulo State University (UNESP), Araraquara, SP, Brazil https://orcid.org/0000-0002-4389-058X

DOI:

https://doi.org/10.1590/s2175-97902022e191073

Palavras-chave:

Gabapentin, Therapeutic drug monitoring, Neuropathic pain

Resumo

Gabapentin is an antiepileptic drug prescribed for several neuropathic pain conditions. This study aimed to evaluate gabapentin (GAB) trough plasma concentration range and the applicability of therapeutic drug monitoring in patients with neuropathic pain. Fifty-three patients with neuropathic pain, aged 20 to 75, received gabapentin as treatment for at least 7 days. Gabapentin plasma concentration was sampled before GAB administration and quantified by liquid chromatography with a UV detector. GAB trough plasma concentration ranged between 0.40 and 11.94 µg/mL in patients with chronic neuropathic pain. No differences were observed in terms of GAB plasma concentrations between responsive and non-responsive patients. Our data suggest that the reference ranges suggested in the literature for patients with epilepsy should not be used for patients with neuropathic pain. Therapeutic drug monitoring of GAB was shown to be an important tool to assess treatment adherence.

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Publicado

2022-11-23

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Original Article

Como Citar

Therapeutic drug monitoring of gabapentin: the applicability in patients with neuropathic pain. (2022). Brazilian Journal of Pharmaceutical Sciences, 58. https://doi.org/10.1590/s2175-97902022e191073

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