Side Effects

Possible side effects

Like all medicines, this medicine can cause side effects, although not everybody gets them: Contact your doctor immediately if you experience any of the following symptoms after taking this medicine as they can be serious: • severe skin reactions that require immediate attention, swelling of the lips and face, skin rash and redness and/ or hair loss (these may be symptoms of a serious allergic reaction); • persistent stomach pain, feeling sick and being sick as these may be symptoms of acute pancreatitis (an inflamed pancreas). • breathing problems, which if severe you may need emergency and intensive care to continue breathing normally • Gabapentin Milpharm Tablets may cause a serious or lifethreatening allergic reaction that may affect your skin or other parts of your body such as your liver or blood cells. You may or may not have rash when you get this type of reaction. It may cause you to be hospitalized or to stop Gabapentin Milpharm Tablets. Call your doctor right away if you have any of the following symptoms: • skin rash • hives • fever • swollen glands that do not go away • swelling of your lip and tongue • yellowing of your skin or of the whites of the eyes • unusual bruising or bleeding • severe fatigue or weakness • unexpected muscle pain • frequent infections These symptoms may be the first signs of a serious reaction. A doctor should examine you to decide if you should continue taking Gabapentin Milpharm Tablets. If you are on haemodialysis, tell your doctor if you develop muscle pain and/or weakness, Other side effects include: Very common (may affect more than 1 in 10 people): • Viral infection. • Feeling drowsy, dizziness, lack of coordination. • Feeling tired, fever. Common side-effects (may affect up to 1 in 10 people): • Pneumonia, respiratory infections, urinary tract infection, inflammation of the ear or other infections. • Low white blood cell counts. • Anorexia, increased appetite. • Anger towards others, confusion, mood changes, depression, anxiety, nervousness, difficulty with thinking • Convulsions, jerky movements, difficulty with speaking, loss of memory, tremor, difficulty sleeping, headache, sensitive skin, decreased sensation (numbness), difficulty with coordination, unusual eye movement, increased, decreased or absent reflexes. • Blurred vision, double vision. • Vertigo. • High blood pressure, flushing or dilation of blood vessels. • Difficulty breathing, bronchitis, sore throat, cough, dry nose. • Vomiting (being sick), nausea (feeling sick), problems with teeth, inflamed gums, diarrhoea, stomach pain, indigestion, constipation, dry mouth or throat, flatulence. • Facial swelling, bruises, rash, itch, acne. • Joint pain, muscle pain, back pain, twitching. • Difficulties with erection (impotence). • Swelling in the legs and arms, difficulty with walking, weakness, pain, feeling unwell, flu-like symptoms. • Decrease in white blood cells, increase in weight. • Accidental injury, fracture, abrasion. Additionally in clinical studies in children, aggressive behaviour and jerky movements were reported. Uncommon (may affect up to 1 in 100 people): • Agitation (a state of chronic restlessness and unintentional and purposeless motions) • Allergic reactions such as hives. • Decreased movement. • Racing heartbeat. • Difficulty swallowing • Swelling that may involve the face, trunk and limbs. • Abnormal blood test results suggesting problems with the liver. • Fall • Mental impairment • Increase in blood glucose levels (most often observed in patients with diabetes) Rare: (may affect up to 1 in 1,000 people) • Loss of consciousness • Decrease in blood glucose levels (most often observed in patients with diabetes) • Trouble breathing, shallow breaths (respiratory depression) • After marketing Gabapentin the following side effects have been reported: • Decreased platelets (blood clotting cells). • Hallucinations. • Problems with abnormal movements such as writhing, jerking movements and stiffness. • Ringing in the ears. • A group of side effects that could include swollen lymph nodes (isolated small raised lumps under the skin), fever, rash, and inflammation of liver occurring together. • Yellowing of the skin and eyes (jaundice), inflammation of the liver. • Acute kidney failure, incontinence. • Increased breast tissue, breast enlargement. Adverse events following the abrupt discontinuation of gabapentin (anxiety, difficulty sleeping, feeling sick, pain, sweating), chest pain • Breakdown of muscle fibers (rhabdomyolysis) • Change in blood test results (creatine phosphokinase increased) • Problems with sexual functioning including inability to achieve a sexual climax, delayed ejaculation • Low blood sodium level • Anaphylaxis (serious, potentially life threatening allergic reaction including difficulty breathing, swelling of the lips, throat, and tongue, and hypotension requiring emergency treatment) Reporting of side effects If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via Yellow Card Scheme,Website: www.mhra.gov.uk/yellowcard. By reporting side effects you can help provide more information on the safety of this medicine.