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Gabapentin + lidocaine is a fixed-dose combination of two drugs used primarily for the treatment of neuropathic pain, including conditions such as diabetic neuropathy, postherpetic neuralgia, and chronic nerve pain. Gabapentin is an anticonvulsant that works by binding to voltage-gated calcium channels (specifically the alpha 2 delta subunit), reducing neuronal excitability and modulating neurotransmitter release to relieve nerve pain. Lidocaine is a local anesthetic that blocks sodium channels on nerve cell membranes, inhibiting the initiation and conduction of nerve impulses to provide temporary numbing and reduce pain sensation. Together, this combination offers both immediate local analgesia from lidocaine and longer-term modulation of neuropathic pain from gabapentin[1][5][7][8].
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