I'm new here...My wife was taking Gabapentin for cramps and such related to her ALS, and in the past few months, her coughing and choking became unbearable, and very hard to recover from. She thought she should try NOT taking it for a week and see what happens. The doctors at Mayo didn't have any real ideas for these coughing fits except taking more doses... Well, after stopping use, her coughing is minimal, and she's way more alert. not so lethargic. We know everyone is different, but Gabapentin wasn't best for her.