We report 7 children who received gabapentin (GBP) as adjunctive medic
ation and subsequently developed behavioral side effects. These behavi
oral changes consisted of intensification of baseline behaviors as wel
l as new behavioral problems. Behaviors that parents considered most t
roublesome were tantrums, aggression directed toward others, hyperacti
vity, and defiance. All behavioral changes were reversible and were ma
naged by dose reduction or discontinuation of GBP. All children had ba
seline attention deficit hyperactivity disorder and developmental dela
ys.