Chronic back pain
Sciatica
Diabetic neuropathy
Fibromyalgia
Anxiety (in some cases)
It’s estimated that over 50 million prescriptions are written annually in the U.S.—often because it’s non-opioid and considered “safer” than narcotics.
But this study suggests its long-term cognitive risks may be severely underestimated.
⚠️ Why This Matters—Especially for Younger Adults
Dementia is often seen as an “old person’s disease.”
But this research shows that long-term gabapentin use in your 30s, 40s, and 50s may accelerate brain aging—leading to memory lapses, brain fog, and even early-onset cognitive decline.
And the risk isn’t random:
More prescriptions = higher risk.
The study found a clear dose-response relationship: the longer and more frequently gabapentin was used, the greater the cognitive harm.
🩺 What Should You Do If You’re Taking Gabapentin?
✅ Don’t stop suddenly—this can cause seizures or withdrawal.
✅ Talk to your doctor—especially if you’ve been on it long-term. Ask:
“Is gabapentin still the best option for my pain?”
“Are there non-drug alternatives we can try?” (physical therapy, acupuncture, exercise)
“Can we reduce my dose or try a short trial off it?”
“Should I be screened for early cognitive changes?”
✅ Monitor for early signs of cognitive decline:
Forgetting recent conversations
Trouble finding words
Getting lost in familiar places
Decline in work or daily functioning
🌿 Safer Alternatives to Consider (With Your Doctor)
Physical therapy – Gold standard for chronic back pain
Exercise – Walking, swimming, yoga improve pain + brain health
Cognitive Behavioral Therapy (CBT) – Helps reframe pain perception
Topical treatments – Lidocaine patches, capsaicin cream
Other medications – In some cases, low-dose naltrexone or SNRIs (like duloxetine)
🧠 Bonus: Activities that protect the brain—like sleep, Mediterranean diet, and social connection—may also reduce dementia risk.
❤️ A Compassionate Reminder
Chronic pain is real, debilitating, and exhausting.
If gabapentin has given you relief, this news may feel frightening or unfair.
But knowledge is power.
Armed with this information, you can work with your doctor to weigh benefits vs. risks—and explore options that support both your body and your brain.
💛 Final Thought
Pain management shouldn’t come at the cost of your mind.
As this study shows, even “safe” medications can have long shadows—especially when used for years.
So speak up. Ask questions. Advocate for your whole self.
Because your future brain is counting on you.