Gabapentin Addiction: Risks Associated With Gabapentin Abuse

Gabapentin addiction has become a growing concern, with recent studies showing a significant increase in misuse and dependency. Approximately 1.1% of the population has abused gabapentin at some point, highlighting the urgent need for awareness and intervention.

The risks associated with gabapentin abuse are substantial, ranging from physical health issues to psychological dependence. Understanding these dangers is crucial for preventing addiction and promoting the safe usage of this commonly prescribed medication.

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What is Gabapentin Used For?

Gabapentin (Neurontin) was first created to help control seizures in people with epilepsy. Over time, it has become well-known for effectively treating nerve pain, restless legs syndrome, and some forms of anxiety.

Conditions Treated By Gabapentin

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Nerve Pain

Gabapentin is effective in easing nerve pain caused by conditions like shingles (postherpetic neuralgia) or diabetic neuropathy.

restless legs

Restless Legs Syndrome

Gabapentin can help with restless legs syndrome (RLS), a condition where people feel uncomfortable sensations and have a strong urge to move their legs.

Body Tremors

Seizures

Gabapentin is used alongside other treatments for epilepsy to help control seizures that aren’t fully managed by other medications.

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Anxiety Disorders

While gabapentin isn’t officially approved for anxiety, some doctors prescribe it off-label to help manage anxiety symptoms, especially when other treatments haven’t worked.

Forms and Dosage

Gabapentin usually comes in oral capsules, tablets, or liquid. For treating nerve pain or controlling seizures, the usual dosage ranges from 300 mg to higher amounts, based on how the patient responds to the medication.

Gabapentin Mechanism of Action

Gabapentin works by altering how nerves send messages to the brain. It binds to a specific type of calcium channel on nerve cells, reducing the release of neurotransmitters involved in transmitting pain signals and seizure activity. This action helps stabilize nerve cell activity and diminish abnormal electrical impulses, thereby controlling seizures and reducing pain.

Gabapentin for Anxiety

Some studies and clinical experience suggest that gabapentin may be beneficial for patients with anxiety disorders. It is believed to affect neurotransmitter systems that regulate mood and anxiety, providing relief for some individuals.

However, healthcare providers should closely monitor its use for treating anxiety. Those taking the drug for this purpose are at risk of dependence and other potential side effects associated with gabapentin.

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How is Gabapentin Addictive?

Even though gabapentin can be helpful, there is a risk of abuse and addiction. This risk is higher if people use the medication in ways not prescribed or in larger doses than recommended.

Addiction can happen when people misuse gabapentin to feel euphoric or to self-medicate for mental health issues. This is often due to how the drug affects the brain’s reward system. Over time, dependence can develop, leading to withdrawal symptoms if the medication is stopped.

Risk Factors of Gabapentin Dependence

High Drug Doses

Long-Term Use

Pre-Existing Addiction Issues

Is Gabapentin a Narcotic?

Gabapentin is not classified as a controlled substance or narcotic. However, because it has the potential for abuse and addiction, some experts suggest it should be more tightly regulated. Even though it’s not a narcotic, gabapentin can still alter mood and perception, which might lead to substance use problems.

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Unlike narcotics, which are opioids and work directly with the brain’s opioid receptors, gabapentin affects the brain in different ways but can still lead to psychological dependence in some people. Misusing gabapentin can have serious consequences, including:

drunk man with bottle of alcohol and pills

Long-term misuse can lead to both physical and psychological dependence, making recovery difficult and increasing the risk of relapse.

person sitting on the floor and battling insomnia

Stopping gabapentin suddenly can cause symptoms like anxiety, agitation, and insomnia. It’s best to reduce the dose gradually with medical guidance to avoid these effects.

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Abuse can affect coordination, raising the risk of accidents.

a person showing difficulty breathing

Misuse or high doses can lead to breathing issues, especially if combined with other drugs that depress the central nervous system.

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Misusing gabapentin can worsen existing mental health issues, causing mood swings, confusion, and problems with thinking.

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Taking too much gabapentin can cause severe drowsiness, dizziness, and even coma.

How is Gabapentin Misused?

Inappropriate Use

Some individuals might take higher doses of gabapentin than prescribed to experience more pronounced effects, such as increased sedation or a sense of euphoria.

Combining with Other Substances

Mixing gabapentin with alcohol or other drugs can amplify its effects, but it also presents serious risks. Combining these substances can result in severe respiratory depression, excessive sedation, and other harmful outcomes.

Recreational Use

Gabapentin is sometimes used recreationally for its sedative effects, especially when combined with other substances.

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Gabapentin is an effective medication for treating various conditions, but it can pose risks if misused. Although it is not highly addictive, dependence can develop, particularly with misuse or high doses. Recognizing the signs of gabapentin dependence, understanding its potential risks, and exploring treatment options are essential for managing and preventing addiction.

If you or someone you know is facing gabapentin addiction, seeking help and support is vital. Hart Rehab, a respected addiction treatment facility in Scottsdale, Arizona, provides personalized treatment plans tailored to each individual. Contact our team to discuss recovery options and take the first step toward regaining control of your life.

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  • Studies have shown a significant rise in gabapentin misuse, with a 64% increase in prescription-related abuse cases between 2013 and 2018.
  • Research indicates that approximately 1% of people prescribed gabapentin may develop a dependence or addiction to the medication.
  • About 30% of individuals who misuse gabapentin combine it with other central nervous system depressants, such as alcohol or opioids, which heightens the risk of severe side effects and overdose.

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