Long-Term Use of Gabapentin for Anxiety and Panic Attacks: Myths and Realities

Managing anxiety and panic attacks can be a challenging and daunting task. Many individuals look for quick solutions, often turning to medications like Gabapentin, which is commonly prescribed for neuropathic pain and epilepsy but may be used off-label for anxiety. However, the question remains: is it a safe and effective long-term solution when taken alongside SSRIs (Selective Serotonin Reuptake Inhibitors), the most frequently prescribed antidepressants for anxiety?

Understanding Anxiety and Panic Attacks

Anxiety and panic attacks are typically triggered by a sudden hit of adrenaline, which can be exacerbated by various factors. For some, the adrenaline response is skewed due to a condition called Neurologically Mediated Hypotension (NMH). Symptoms of NMH can include dizziness, lightheadedness, and fainting, which can mimic anxiety and panic attacks. It's important to understand that these symptoms are physiologically driven rather than psychological, as is often the case with anxiety. The NASA Lean Test is a simple method to determine if you have NMH, which involves lying down at a 45-degree angle and watching for the onset of dizziness or lightheadedness.

The Controversy Surrounding Gabapentin for Anxiety

Research and clinical trials have shown that Gabapentin does not significantly improve anxiety symptoms. In fact, the pharmaceutical company that manufactures Gabapentin faced legal action and lost millions due to misleading claims that it could treat anxiety. Studies have demonstrated that Gabapentin is more effective in managing neuropathic pain than anxiety, and other pharmacological and non-pharmacological interventions may be more appropriate for anxiety.

Alternative Options for Managing Anxiety

While Gabapentin may not be the solution for anxiety and panic attacks, there are several other options that can be explored. Firstly, nutritional supplements like Beta-Sitosterol have shown promise in reducing anxiety levels. Additionally, Sylank or Semax, which are Russian biological peptides, can be highly effective in managing anxiety symptoms. These supplements should be obtained from reputable sources and are not a substitute for medical advice.

Seeking the Right Medical Care and Treatment

It's crucial to seek the right medical care and treatment for anxiety and panic attacks. Start by consulting with a doctor who understands the physiological causes of anxiety, like Dr. Jacob Teitelbaum, who has written extensively on the topic. His books, “From Fatigued to Fantastic” and “You Can Recover From Long COVID,” provide protocols for addressing the underlying causes of anxiety without relying solely on medication. Additionally, approaches such as cognitive-behavioral therapy (CBT) and mindfulness practices can be highly effective in managing anxiety and panic attacks.

The Role of SSRIs in Anxiety Management

Selective Serotonin Reuptake Inhibitors (SSRIs) are widely used in the treatment of anxiety, but they are not always the most effective or long-term solution. SSRIs can have significant side effects when taken long-term, and in some cases, they may not significantly improve anxiety symptoms. Instead of relying solely on SSRIs, consider alternative treatments like Gabapentin alongside SSRIs for a more balanced approach. However, it's important to be cautious when compounding multiple psychotropic medications as this can be a dangerous game.

In conclusion, while Gabapentin may not be the ideal option for managing anxiety and panic attacks in the long-term, there are other effective alternatives. Understanding the underlying physiology and seeking the right medical care and treatment can significantly improve outcomes for those struggling with these conditions.

Beware of gaslighting and continue to seek reputable medical advice.