Gabapentin-Induced Severe Vivid Nightmares: A Case Series and Brief Review.
Jamal Hasoon, Anvinh Nguyen, Negaar Ada Safabakhsh et al.
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Case in brief
Two patients treated with gabapentin for spinal pain syndromes developed severe vivid nightmares, an underreported psychiatric side effect. Upon discontinuation of gabapentin and transitioning to pregabalin, both patients experienced resolution of their nightmares. This case highlights the impact of gabapentin on sleep quality and the importance of monitoring psychiatric side effects in patients.
Diagnostic / clinical pearl
Clinicians should be aware that gabapentin can cause severe vivid nightmares, which may affect patient quality of life and adherence to treatment.
Why it matters
Recognizing this potential side effect is crucial for managing patients on gabapentin, ensuring timely intervention and alternative treatment options.