neurontin or gabapentin has been taken with modafinil and other nootropic stacks

Modafinil with Gabapentin?

I got a strange request today, one that I am unfamiliar with. Someone emailed me today and asked where they could buy Gabapentin as they find it works well with Modafinil.

Reduces stress, anxiety and depression.
Anxiety, is gabapentin the answer?

I have been taking modafinil for many years now, and so have most of my colleagues; not one of us had tried or knew anyone who tried this. I wouldn’t usually write a post about this on the day I received an email, but as I knew little about this strange “stack”, I thought it would be useful to write my findings as I go along as there seemed quite a lot of people were asking questions about it on the forums.

Gabapentin is an anticonvulsant, prescribed to people with nerve pain and people with epilepsy. It is also sold under the brand names of Horizant, Neurontin and Gabarone.

neurontin or gabapentin has been taken with modafinil and other nootropic stacks
Gabapentin aka Neurontin

Many people who had tried it on its own said it relaxed them, relieved them of social anxiety and made them feel more confident and open to people; to the point of feeling as if they were a bit tipsy.

The common side-effects are dizziness, sleepiness and lowering vigilance which is doing the opposite of what Modafinil does, so it seemed an illogical concoction to take.

There are a few people on forums saying they love taking Gabapentin with Modafinil, saying it makes them “feel great” and “feeling carefree” and better than many illicit substances; but they couldn’t really say why, from the way they were talking, and I’ll leave you to make your own judgement.

But they seemed to be coming from people who like to be wasted. The sort of comments you would get from people whos answer to most of their problems is drugs, people who want to escape. I don’t want to be judgemental, but that’s not what I want to be any part of, I will not advocate and certainly not sell anything that I wouldn’t take myself.

Would I or any of my friends recommend you take Gabapentin and Modafinil?

Absolutely NOT!

I base my decisions on logic, not emotion.
When I consider something, I always ask what the downside is?
And then; what’s the upside?

Paul – Dr Modafinil

The downsides to Gabapentin are:

  • Dizziness
  • Fatigue
  • Drowsiness
  • Forgetfulness
  • Ataxia (slurred speech, stumbling, falling, and incoordination – basically feeling drunk)
  • Peripheral edema (swelling of extremities)
  • Nystagmus (uncontrollable eye movement) and tremors.
  • Sexual dysfunction – loss of libido, erectile dysfunction.
  • Suicide
  • Cancer
  • Withdrawal syndrome
  • Abuse and addiction (Studies suggest that about 1.5% of the general population and 25% of addiction facilities attendees have a history of abusing gabapentin. As of 2017, Kentucky becomes the first state in the U.S. to classify gabapentin as a schedule V controlled drug statewide!

There’s a lot more, and many of the above are commonplace, so what about upsides?

The upsides to Gabapentin are:

  • Feeling less anxious

Another issue I foresee with this stack is the quick buildup to tolerance, many people start on 400mg, and within months they’re dialling their daily dose up to 3000mg! No wonder adverse side effects are commonplace and it’s so often abused.

Faye

What’s worrying is in 2016 it was the eleventh most prescribed drug in the United States with over 44 million prescriptions!

I don’t want to criticise people who have prescribed it as it’s not my business to be doing so; Gabapentin is prescribed primarily for treating seizures and neuropathic pain.

However, For the people who get off-label prescriptions who want to complain of my criticisms should bear this in mind. Yes, Gabapentin is commonly prescribed for many off-label uses, such as handling of anxiety disorders, bipolar disorder and insomnia, and yes there are, concerns about the nature of the trials administered and proof for some before-mentioned uses, notably in the instance of its use as a mood stabiliser in bipolar disorder.

Off-label promotion

Although some poor, non-controlled investigations were carried out in the 1990s; most were sponsored by Gabapentin’s manufacturer, suggesting that treatment for bipolar disorder may be promising, further evidence infers that it was not practical. Consequently, corporate acquisitions of the original patent owner, Pfizer acknowledged there were FDA violations regarding the promotion of unproven off-label applications for Gabapentin in the Franklin v. Pfizer case.

Reuters stated on 25th of March 2010, that “Pfizer Violated Federal Racketeering Law by inappropriately promoting the epilepsy drug Gabapentin; under Federal RICO law, penalties are automatically tripled so that the finding will cost Pfizer $141 million.”
The case stemmed from claims of Kaiser Foundation Health Plan Inc. that “it was duped into believing Gabapentin was effective for off-label treatment of bipolar disorder, migraines and other conditions.
Bloomberg reported “during the trial, Pfizer contended that Kaiser physicians carried on prescribing the drug, even following the health insurer sued them in 2005. Kaiser’s website still lists Gabapentin as a drug for neuropathic pain.”

The San Francisco Chronicle reported that off-label prescriptions accounted for approximately 90 % of Neurontin sales!

Yes, off-label prescriptions are standard for many drugs, however, marketing the off-label applications of drugs is not! In 2004, Warner-Lambert (later acquired by Pfizer) agreed to plead guilty for the actions of its Parke-Davis subsidiary and to spend $430 million in penalties to settle civil and criminal charges concerning the marketing of Neurontin concerning off-label purposes. The settlement was one of the highest in U.S. history, and was also the first off-label claim brought successfully under the False Claims Act!

So, in my opinion, don’t work with assumptions, popularity is not an indicator of something being good for you.

There are MANY adverse side effects to Gabapentin!
There are MANY adverse side effects to Gabapentin!

What is a Better Alternative Stack to Modafinil and Gabapentin?

If you are hell-bent on taking Gabapentin with Modafinil and you’ve read this far, there probably isn’t much I can do to help you. But before you willfully take something so toxic, please consider these less noxious and in my opinion more effective natural alternatives!

  • Ashwagandha – Here we go again, I know that I talk about it a lot, but I do so for a reason. I am not even selling it, I am not affiliated with it (I am considering selling it soon if I can supply superior to what’s on offer) so I have nothing to gain from it. But you do!
    Ashwagandha will lower anxiety, but rather than the likely many of the above downsides to Gabapentin listed above. You will get none of these; but you will get about a dozen positive side effects such as increased testosterone, improved mood, muscle growth, more strength, more energy, reduced swelling, lower blood sugar levels, lower stress, lower cortisol levels and decreased the chance of cancer to name a few. So please try this 3000year old health promoting medicine as opposed to the toxic 30year old Gabapentin!
  • Bacopa – This is also listed on my Top 10 Stacks article, and a more detailed post on Bacopa here; I don’t like it as much as Ashwagandha, but some like it more! Many people report how beautifully it works with Modafinil and Armodafinil so please give this a try before anything else!
  • L-Theanine – If Ashwagandha or Bacopa don’t do it for you for whatever reason, give L-Theanine a try! It may not be for you, but it is very natural, very cheap and a lot better for your health than Gabapentin.
  • Phenibut – This is very close to Gabapentin in chemical composition and effects, although I would recommend this over Gabapentin any day of the week, in my experience, it feels better; making me more energetic and less drowsy. There are less serious side effects and another reason which appeals to most, it’s much cheaper, especially as you don’t need a prescription. That being said, this is way further down my list than Ashwagandha and Bacopa!
I hope this has been helpful to you, I have learned a lot from writing this post.

If you have any suggestions for better Gabapentin alternatives, then feel free to Contact Us or leave comments below.

As I have said, I am not aiming this at people who have Gabapentin prescriptions; this is targeted to people who are into modafinil stacks.

Summary
Gabapentin with Modafinil?
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Gabapentin with Modafinil?
Description
Strange request today, one that I am unfamiliar with. Someone emailed me and asked where they could buy Gabapentin as they find it works well with Modafinil.
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Dr Modafinil
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