Spinal Cord Series and Cases, 2018 · DOI: https://doi.org/10.1038/s41394-018-0038-y · Published: January 1, 2018
This study investigates the impact of gabapentin, a common medication for neuropathic pain, on cognitive functions like memory, attention, and executive function in individuals with spinal cord injury (SCI). The research involved administering neuropsychological tests to SCI patients before, one week after, and four weeks after starting gabapentin therapy to observe any changes in their cognitive performance. The preliminary findings suggest that gabapentin may be associated with a decline in cognitive function shortly after starting the medication, although further research is needed due to limitations such as small sample size and lack of a control group.
Healthcare providers should be aware of the potential negative effects of gabapentin on cognitive function in SCI patients.
Clinicians should engage in shared decision-making with patients, discussing the benefits and risks of gabapentin, including potential cognitive decline.
Diminished cognition could impact a patient’s ability to participate and learn during rehabilitation, potentially affecting long-term functional outcomes and independence.