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Gabapentin Perioperative Continuation — FRCA Final MCQ

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ModerateRegional AnaesthesiaGabapentin Perioperative ContinuationFRCA Final

A patient with chronic pain on long-term gabapentin 900 mg TDS is listed for knee replacement under spinal anaesthesia. His gabapentin should be:

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Correct answer: D — Continued throughout the perioperative period without interruption

Gabapentin must be continued perioperatively — abrupt withdrawal risks seizures, anxiety, and rebound pain even in patients without epilepsy. It also provides useful perioperative analgesic benefit. Doses may need adjustment for renal function changes perioperatively.

Reference: Faculty of Pain Medicine – 2023 – Perioperative management of patients on neuropathic analgesics