What is the recommended dosage in milligrams of Horizant (gabapentin enacarbil) for an adult patient with moderate-to-severe restless legs syndrome (RLS) or primary periodic limb movement disorder (PLMD)?

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Recommended Dosage of Horizant (Gabapentin Enacarbil) for RLS/PLMD

The FDA-approved and guideline-recommended dose of Horizant (gabapentin enacarbil) for moderate-to-severe restless legs syndrome in adults is 600 mg once daily, taken at approximately 5 PM with food. 1

Standard Dosing Protocol

  • Take 600 mg once daily at approximately 5 PM with food - this timing and food requirement are critical for optimal absorption and symptom control during evening hours when RLS symptoms typically worsen. 1

  • The 600 mg dose was specifically approved by the FDA because higher doses (1200 mg) provided no additional benefits in the primary endpoints while causing significantly higher rates of adverse events, particularly somnolence and dizziness. 2, 3

Pre-Treatment Requirements Before Starting Horizant

Before initiating gabapentin enacarbil, you must address these critical factors that can significantly impact treatment success:

  • Check iron studies (morning fasting ferritin and transferrin saturation) - supplement if ferritin ≤75 ng/mL or transferrin saturation <20%, as correcting iron deficiency may reduce or eliminate the need for pharmacotherapy. 1

  • Review and discontinue exacerbating medications including antihistamines, serotonergic agents (SSRIs, SNRIs), antidopaminergics (antipsychotics), alcohol, and caffeine. 1

  • Screen for untreated obstructive sleep apnea, as it can worsen RLS symptoms and increase risk of adverse effects from gabapentin enacarbil. 1

Key Advantages Over Dopamine Agonists

  • Gabapentin enacarbil does not cause augmentation - the paradoxical worsening of symptoms with earlier onset, increased intensity, and anatomic spread that occurs with dopamine agonists like pramipexole and ropinirole. 1, 4

  • The American Academy of Sleep Medicine now strongly recommends alpha-2-delta ligands (including gabapentin enacarbil) as first-line therapy over dopaminergic agents, representing a major shift from older 2009 guidelines. 4, 5

Expected Outcomes and Tolerability

  • In 12-week placebo-controlled trials, gabapentin enacarbil 600 mg significantly improved RLS symptom scores, pain scores, sleep quality, and mood outcomes compared to placebo. 6, 7

  • The most common adverse events are somnolence (21-24%) and dizziness (14-19%), which are typically mild to moderate in severity. 8

  • Responses are sustained in longer-term trials up to 52 weeks, with lower relapse rates compared to placebo. 6

  • No reports of augmentation or QT-interval prolongation have been documented with gabapentin enacarbil. 6

Critical Dosing Caveat

While some research suggests 1200 mg may provide additional benefits for severe sleep disturbances associated with RLS 2, the FDA-approved dose remains 600 mg once daily because the risk-benefit ratio favors the lower dose for the general RLS population. 1, 3 Higher doses should only be considered in consultation with sleep medicine specialists for refractory cases.

Special Population Considerations

  • Pregnancy: Consider pregnancy-specific safety profiles when treating RLS in pregnant women, as gabapentin enacarbil data in pregnancy are limited. 1

  • Renal impairment: Dose adjustment is required for patients with reduced creatinine clearance, though specific dosing for PLMD in renal disease is not well-established. 4

References

Guideline

Gabapentin Enacarbil Dosing for Restless Legs Syndrome

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Guideline

Management of Restless Legs Syndrome (RLS)

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Guideline

Ropinirole Dosing for Restless Legs Syndrome: Critical Warnings and Alternative Treatments

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

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Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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