Reactions 1704, p168 - 2 Jun 2018 Cognitive impairment and activities of daily living impaired: case report A 64-year-old woman developed cognitive and activities of daily living impairment during treatment with gabapentin for fibromyalgia. The woman presented with a two year history of progressive cognitive decline, which limited her ability to perform instrumental activities of daily living and activities of daily living. She had been receiving gabapentin 300mg TID [route not stated] for two years. Significant attention deficits and executive function by history resulted in the loss of employment as a social worker and driver’s license. Examination revealed montreal cognitive assessment (MoCA) score of 22/30. Two months later, evaluation by a geriatric team showed good recall of recent and distant events. MoCA score was 25/30 with loss of points for sentence repetition, naming and recall. The woman’s therapy with gabapentin was stopped. At two week follow-up, MoCA was 29/30, and her impaired cognition and impaired function resolved. At two month follow-up, her condition sustained. Author comment: "Gabapentin is prescribed for numerous pain syndromes yet has been shown to have little benefit when compared to placebo in the treatment of chronic pain, and is associated with a wide range of adverse effects including cognitive impairment." "This case demonstrates the serious implications of adverse medication effects with gabapentin resulting in significant cognitive and functional impairment." Lantz N, et al. A downward spiral: Dementia or drugs?. Journal of the American Geriatrics Society 66 (Suppl. 2): S264, Apr 2018. Available from: URL: http:// doi.org/10.1111/jgs.15376 [abstract] - USA 803323438 0114-9954/18/1704-0001/$14.95 Adis © 2018 Springer International Publishing AG. All rights reserved Reactions 2 Jun 2018 No. 1704
Reactions Weekly – Springer Journals
Published: Jun 2, 2018
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