Positives

• Some patients say gabapentin, even at 300 mg at night, helps them settle down enough to sleep, lowers the sense of internal overdrive, and makes the day more manageable after they adapt to it. Reddit.

Negatives

• Drugs.com reviews for off-label neuropathic pain average just 6.1/10 across 204 patient reviews, with 32% calling their experience negative; many patients on the high 1800-3600 mg/day dose say they only hit modest pain reduction at best Drugs.com.
• Patients nicknamed it “moron-tin” for the cognitive fog it adds on top of Long COVID brain fog; one said 300 mg knocked them out completely while another reported spontaneous weight gain, leg and abdominal swelling, and worsened acne forcing them to stop Phoenix Rising.

Hurdles & Side Effects

• Even when gabapentin helps at first, patients still worry about tolerance or symptom breakthrough, including pain flaring back to 9/10 without any dose change. Reddit.