Introducing solids to your baby can be an exciting milestone for both you and your little one. However, it’s sometimes a daunting task, especially for new parents.
Here’s a general guide to starting solids to help build your confidence as you begin this new phase.
When to introduce solids
Experts and the National Health and Medical Research Council guidelines recommend introducing solids to your baby when they are around 6 months old.1,2
At this age, your baby’s digestive system is ready to handle solid foods. Your baby also has a greater need for specific nutrients that milk alone may not provide, such as iron.
Signs that your baby is ready for solid foods include:
Sitting up without head and back support
Showing an interest in the food the rest of the family is eating
Keen to explore textured foods without gag reflex reaction
Being able to pick up and put food in their mouth
Opening their mouth when you offer them a spoonful of food
Should you keep breastfeeding or formula feeding while introducing solids?
National Health and Medical Research Council guidelines advise you to continue breastfeeding or formula feeding your baby while introducing solids, until at least 12 months of age.1
Breast milk or formula should still be the main source of nutrition for your baby as you introduce solids. You can gradually reduce the amount of milk they consume as they start to eat a wider variety of solid foods. If formula feeding, follow the feeding guide on the can.
By the time your baby is 12 months old, they should be eating around three meals a day, in addition to breast milk or infant formula.3
Introducing water and cow’s milk
Once your baby is 6 months old, you can introduce small amounts of water, on top of their regular formula or breast milk. This is more for practice than for hydration. Offer your baby cooled, boiled water in a cup or sippy cup, rather than a bottle.3
Cow’s milk does not have the right blend of nutrients for babies under 12 months. It cannot be used as a replacement for breast milk or formula until your baby is 12 months.4
From around 8 months onward, you can include cow’s milk as an ingredient with some of the foods you prepare for your little one, and you can offer dairy products such a cheese or yoghurts.4
How to start incorporating solids
into a baby’s feeding routine
Introduce solids to your baby gradually, one food at a time. This can help you discover possible food allergies. Start with foods that are rich in iron, such as iron-fortified rice cereal.
Here are some tips to get started:1,5
Start with a small amount of smooth food, such as a teaspoonful of rice cereal, and gradually increase the quantity as your baby gets used to eating solids.
Offer single-ingredient foods, such as finely mashed banana or sweet potato, to help you work out any possible food allergies.
Avoid adding salt, sugar, honey, or spices to your baby’s food.
As they adjust to eating solids, offer a variety of flavours and textures, such as mashed, pureed, small chunky and finger foods, to help develop their oral motor skills.
What if your baby has feeding problems?
Babies with feeding problems such as food allergies or lactose intolerance may have trouble tolerating certain solid foods. It’s possible these foods could further impact their condition.1
It’s best to talk with a healthcare professional about what kinds of foods work best for babies who have feeding problems.
Introducing food allergens
It’s always best to check with your healthcare professional before introducing foods that can cause an allergic reaction.
Allergy specialists recommend that you introduce food allergens from around 6 months (not before 4 months) and before 12 months of age. This may decrease the risk of your child developing an allergy to certain foods.5
Try introducing small amounts of food that might cause allergies — such as peanuts, eggs, soy and fish — one at a time. You can start by applying a small quantity on the inner lip to observe possible reactions to that specific food. It’s good to try the new solid foods during the day, rather than at night, so you can watch your child and respond if they have an allergic reaction.5
If your family and baby has a history of food allergies (such as cow’s milk protein allergy), you should be cautious when transitioning to solids and introducing new foods. Talk with your healthcare professional for more advice.
Infant Feeding Guidelines: information for health workers. National Health and Medical Research Council (NHMRC). Published 2012. Accessed Oct 2024. https://www.nhmrc.gov.au/about-us/publications/infant-feeding-guidelines-information-health-workers
Infant and young child feeding. World Health Organization. Published 2021. Accessed Oct 2024. https://www.who.int/news-room/fact-sheets/detail/infant-and-young-child-feeding
Introducing solids: why, when, what & how. Raising Children Network. Published 2023. Accessed Oct 2024.https://raisingchildren.net.au/babies/breastfeeding-bottle-feeding-solids/solids-drinks/introducing-solids
Introducing solid foods for babies. Better Health Channel. Published 2021. Accessed Oct 2024. https://www.betterhealth.vic.gov.au/health/healthyliving/eating-tips-for-babies
Infant Feeding and Allergy Prevention. Australasian Society of Clinical Immunology and Allergy (ASCIA). Published 2023. Accessed Oct 2024. https://www.allergy.org.au/patients/fast-facts/infant-feeding-and-allergy-prevention
Novalac specialty formulas are evidence-based formulas. Each formula is specially designed to provide young children with the nutrition they need while assisting in the management of feeding conditions.
From feeding difficulties to digestive concerns, some infants and toddlers experience challenges that can affect their daily nutritional intake and overall comfort. Explore the causes and get practical tips to help manage common feeding problems and support your little one’s wellbeing.
Please take a moment to read this important message.
If you are able to breastfeed, breastfeeding is best for babies. Breastfeeding has many benefits, such as protecting your baby from infection while their immune system develops. It is important that you eat a healthy, balanced diet in preparation for and during breastfeeding.
Infant formula is designed to replace breast milk when an infant is not breastfed. Combining breast and bottle feeding in your baby’s first weeks of life may reduce your supply of breast milk and reversing a decision not to breastfeed is difficult. The social and financial implications of using infant formula should be considered when choosing a method of feeding.
Always follow the manufacturer’s instructions when preparing and using infant formula, including proper sterilisation of bottles and using boiled water. Improper use of an infant formula may make your baby ill.
We recommend that you consult your doctor, midwife, or health care professional for advice about feeding your baby.
Gabapentin in Australia: A Doctor’s Review of a Nerve-Calming Option That May Restore Your Sleep, Comfort and Quality of Life
AIDA framework:Attention — understanding your pain. Interest — how gabapentin works. Desire — what it may do for you and how to manage common concerns. Action — the next step to take with your GP.
Attention: If you are over 30, living with nerve pain is exhausting — and you are not alone
Many Australians over 30 know the feeling: burning, tingling, stabbing or electric-shock pain that ordinary painkillers do not seem to touch. It may come after shingles, with diabetes, from a long-term back or neck problem, after surgery, or with conditions like sciatica, fibromyalgia or restless legs. It can wake you at night, make you irritable, affect your concentration at work, and leave you too tired to enjoy family or social life.
Patients often tell me they have tried paracetamol, ibuprofen, or even stronger pain medicines without real relief. That is because nerve pain is different. Gabapentin is not a typical painkiller — it works on the nervous system itself. For many people, that difference matters enormously.
Interest: What is gabapentin and how does it work?
Gabapentin was originally developed to treat epilepsy, but in Australia it is now widely prescribed for neuropathic pain — pain caused by damaged or overactive nerves. It does not simply mask pain; it helps calm overactive nerve signalling in the brain and spinal cord.
Think of it like turning down the volume on a noisy nerve pathway. If your nerves are firing too many pain signals, gabapentin may reduce that excessive activity. This can lead to less pain, better sleep, improved mood and a greater ability to move, work and enjoy daily life.
Gabapentin is a prescription-only medicine in Australia. It is TGA-approved and may be PBS-subsidised for certain types of epilepsy and neuropathic pain. Your GP will confirm whether you are eligible for a PBS prescription.
What are the different strengths of gabapentin available in Australia?
Gabapentin comes in several strengths, which allows your doctor to tailor the dose to your age, kidney function, condition and tolerance. Below is a quick reference table.
Gabapentin strengths commonly available in Australia
Strength
Common form
How it is often used
100 mg
Capsule
Starting dose; useful for older adults or people with kidney sensitivity
300 mg
Capsule
Common maintenance dose; often used two or three times daily
400 mg
Capsule
Flexible dosing for neuropathic pain
600 mg
Tablet
Higher dose when lower strengths are not enough
800 mg
Tablet
Higher maintenance; usually divided across the day
Important: Never change your dose without speaking to your doctor. Gabapentin must be started low and increased gradually. Your doctor will find the lowest effective dose for you.
How should I take gabapentin tablets?
This is one of the most common questions I hear. Correct dosing helps you get the benefit while reducing side effects.
Start low, go slow: Many doctors start with a small evening dose, such as 100 mg to 300 mg at night. This helps your body adjust while you sleep.
Swallow the tablet or capsule whole with a glass of water. Do not crush or chew it.
With or without food: Gabapentin can be taken with or without food, but taking it with food may reduce stomach upset in some people.
Space doses evenly: If you take gabapentin multiple times a day, try to space the doses evenly. For example, morning, afternoon and bedtime.
Do not stop abruptly: Stopping suddenly can cause withdrawal symptoms, rebound pain, anxiety or sleep problems. Your doctor will usually reduce the dose gradually over at least one week.
If you miss a dose: Take it as soon as you remember unless it is almost time for the next dose. Do not double the dose.
Store below 25°C in a dry place, away from children.
Desire: Addressing your real concerns so you can feel confident
Many people delay trying gabapentin because they have heard worrying things about side effects. Below are honest answers to the questions I hear most often from Australian patients over 30.
Can gabapentin cause constipation?
Yes, gabapentin can cause constipation in some people, especially at higher doses or if you take other medicines that slow the bowel. It is not the most common side effect, but it can happen.
What you can do:
Drink at least 2 litres of water daily.
Eat 25–30 grams of fibre from vegetables, fruit, oats, legumes and wholegrains.
Stay active — even a daily 20–30 minute walk helps keep the bowel moving.
If constipation becomes bothersome, your doctor may suggest a stool softener or adjust the dose.
Can gabapentin affect blood glucose levels?
Gabapentin is not a diabetes medicine and does not directly control blood sugar. Most people do not experience significant changes in blood glucose levels. However, any medicine that affects sleep, pain and stress can indirectly influence blood sugar control, especially if you have diabetes.
My advice: If you have diabetes or pre-diabetes, monitor your blood glucose more closely when starting gabapentin or changing the dose. Report any unusual high or low readings to your GP. Gabapentin should never replace your diabetes treatment.
Can I take gabapentin if I have Raynaud’s disease?
In many cases, yes — but gabapentin is not a treatment for Raynaud’s disease itself. Raynaud’s causes cold-induced spasms of blood vessels, usually in the fingers and toes, leading to colour changes, coldness and discomfort.
Gabapentin can sometimes cause fluid retention or swelling in the hands and feet, so your doctor may want to monitor your circulation. If gabapentin is being used for nerve-related pain in your hands or feet, it may actually improve your comfort — but if you notice worsening colour changes, persistent coldness, or skin ulcers, tell your doctor promptly. Always make sure your GP knows you have Raynaud’s before starting.
Can gabapentin be used for anxiety in children?
This is a sensitive and important question. In Australia, gabapentin is not approved for anxiety in children and is not a first-line treatment. It may occasionally be used off-label by a child psychiatrist or paediatrician for severe anxiety when standard treatments have not worked, or when there are co-occurring neurodevelopmental conditions. This must only happen under specialist supervision.
For parents: Never give gabapentin prescribed for an adult to a child. If you are worried about your child’s anxiety, start with a GP and ask for referral to a paediatrician or child psychologist/psychiatrist. There are safer, evidence-based options available first.
Can gabapentin cause vivid dreams?
Yes, gabapentin can cause vivid dreams or unusual dreams, especially during the first few weeks or after a dose increase. These dreams may feel very real and can sometimes be unpleasant. For most people, they settle as the brain adjusts to the medicine.
Helpful tips:
Take your evening dose 1–2 hours before bed rather than immediately at bedtime.
Avoid alcohol, as it can make vivid dreams worse.
Increase the dose slowly as directed by your doctor.
If nightmares or disturbed sleep persist, speak to your GP — a dose adjustment may help.
Can gabapentin cause coordination problems?
Yes, coordination problems are one of the more common early side effects. People may feel clumsy, unsteady, dizzy or drowsy, especially when starting treatment or increasing the dose. Gabapentin slows down some nerve pathways, which can affect balance and reaction time.
Safety advice:
Do not drive, operate machinery, or make important decisions until you know how gabapentin affects you.
Avoid alcohol — it greatly increases dizziness and unsteadiness.
If you are over 60, falls are a real concern. Use handrails, remove trip hazards and wear supportive footwear.
Most coordination problems improve within days to weeks. If they persist, your doctor may lower the dose or change the schedule.
Quick reference table: common concerns at a glance
Concern
Quick answer
Practical tip
Constipation
Can occur, especially at higher doses
Increase water, fibre and exercise; ask your doctor about stool softeners
Blood glucose
Usually no significant change; monitor if diabetic
Check BGLs more often when starting or changing dose
Raynaud’s disease
Often possible to use cautiously
Monitor fingers and toes; tell your GP about colour changes
Anxiety in children
Not approved for this use; off-label only under specialist
See a paediatrician or child psychiatrist; never use adult medicine in children
Vivid dreams
Can occur early on
Take evening dose earlier; avoid alcohol; usually settles
Coordination problems
Common early side effect
Avoid driving until stable; reduce fall risks; improve with time
Action: Take the next step toward relief
If you have been living with nerve pain, poor sleep, or restless nights, gabapentin may be worth discussing with your doctor. It is not for everyone, but when it works, it can make a significant difference to your daily comfort, mood and independence.
Because gabapentin is a prescription-only medicine in Australia, you cannot buy it over the counter at a pharmacy. You need a valid prescription from an Australian-registered doctor or nurse practitioner. This protects you — your prescriber will assess your health, check your kidney function, review your other medicines, and tailor the dose to your needs.
Your next step:
Book a GP appointment.
Write down your symptoms: when they occur, what makes them worse, and how they affect your sleep and daily life.
Ask your doctor: “Could gabapentin be suitable for my nerve pain or sleep problems?”
If prescribed, start low, follow the dosing plan, and keep a simple diary of your pain, sleep and side effects to review at your follow-up.
You do not have to accept a life ruled by nerve pain or sleepless nights. Talk to your GP today about whether gabapentin is an option worth trying for you.
Disclaimer: This article is for general educational purposes only and does not replace individual medical advice. Gabapentin is a prescription-only medicine in Australia. Only a qualified Australian doctor or nurse practitioner can determine whether it is appropriate for your specific condition. Always follow your prescriber’s instructions and read the Consumer Medicines Information (CMI) provided with your medicine.