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Illicit Use of Gabapentin May Reveal More About the Drug’s Benefits Than Its Liabilities

Received: 17 October 2022    Accepted: 2 November 2022    Published: 10 November 2022
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Abstract

The anticonvulsant gabapentin is now one of the most commonly prescribed drugs in America. However, after nearly three decades of steady growth in popularity, the drug is becoming as controversial as it is popular. Although gabapentin was initially approved for the adjunctive treatment of partial seizures, its use has gradually expanded to an ever-increasingly number of disorders, including neuropathic pain, restless leg syndrome, generalized anxiety disorder, bipolar disorder, treatment-resistant depression, post-traumatic stress disorder, chronic insomnia, various substance use disorders, chronic insomnia, diabetic neuropathy, postoperative analgesia, tension headache, migraine headache, fibromyalgia, irritable bowel syndrome, hot flashes, essential tremor, nausea and vomiting, interstitial cystitis, overactive bladder, pruritus, chronic cough, and persistent hiccups. However, in addition to its prescription use, gabapentin is now becoming increasingly popular among illicit users, a phenomenon that appears to be the primary basis of the growing controversy around the drug. This article will explore both the benefits and liabilities of gabapentin in an effort to dispel the myths and clarify the facts about the drug. It will also compare the benefits of gabapentin to other anticonvulsants, analgesics, and psychotropic drugs in an effort to arrive at a more accurate risk-benefit assessment of gabapentin’s use. With an ever-increasing amount of information being uploaded to the internet, it is especially important for those who have the most experience prescribing and researching gabapentin to tease out the misinformation and provide the medical community and the public with the most accurate possible understanding of the drug. Only then will we be able to take the greatest advantage and avoid the most harm in relation to this inexpensive and widely-prescribed pharmacological resource. Those interested in addition evidence-based information on gabapentin are directed to the article, Gabapentin: The Popular but Controversial Anticonvulsant Drug May Be Zeroing in on the Pathophysiology of Disease.

Published in American Journal of Internal Medicine (Volume 10, Issue 6)
DOI 10.11648/j.ajim.20221006.11
Page(s) 114-121
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Gabapentin, Neurontin®, Anxiety, Mood Swings, Chronic Pain, Drug Withdrawal, Neuronal Hyperexcitability, Mood Stabilizers

References
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Cite This Article
  • APA Style

    Michael Raymond Binder. (2022). Illicit Use of Gabapentin May Reveal More About the Drug’s Benefits Than Its Liabilities. American Journal of Internal Medicine, 10(6), 114-121. https://doi.org/10.11648/j.ajim.20221006.11

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    ACS Style

    Michael Raymond Binder. Illicit Use of Gabapentin May Reveal More About the Drug’s Benefits Than Its Liabilities. Am. J. Intern. Med. 2022, 10(6), 114-121. doi: 10.11648/j.ajim.20221006.11

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    AMA Style

    Michael Raymond Binder. Illicit Use of Gabapentin May Reveal More About the Drug’s Benefits Than Its Liabilities. Am J Intern Med. 2022;10(6):114-121. doi: 10.11648/j.ajim.20221006.11

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  • @article{10.11648/j.ajim.20221006.11,
      author = {Michael Raymond Binder},
      title = {Illicit Use of Gabapentin May Reveal More About the Drug’s Benefits Than Its Liabilities},
      journal = {American Journal of Internal Medicine},
      volume = {10},
      number = {6},
      pages = {114-121},
      doi = {10.11648/j.ajim.20221006.11},
      url = {https://doi.org/10.11648/j.ajim.20221006.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajim.20221006.11},
      abstract = {The anticonvulsant gabapentin is now one of the most commonly prescribed drugs in America. However, after nearly three decades of steady growth in popularity, the drug is becoming as controversial as it is popular. Although gabapentin was initially approved for the adjunctive treatment of partial seizures, its use has gradually expanded to an ever-increasingly number of disorders, including neuropathic pain, restless leg syndrome, generalized anxiety disorder, bipolar disorder, treatment-resistant depression, post-traumatic stress disorder, chronic insomnia, various substance use disorders, chronic insomnia, diabetic neuropathy, postoperative analgesia, tension headache, migraine headache, fibromyalgia, irritable bowel syndrome, hot flashes, essential tremor, nausea and vomiting, interstitial cystitis, overactive bladder, pruritus, chronic cough, and persistent hiccups. However, in addition to its prescription use, gabapentin is now becoming increasingly popular among illicit users, a phenomenon that appears to be the primary basis of the growing controversy around the drug. This article will explore both the benefits and liabilities of gabapentin in an effort to dispel the myths and clarify the facts about the drug. It will also compare the benefits of gabapentin to other anticonvulsants, analgesics, and psychotropic drugs in an effort to arrive at a more accurate risk-benefit assessment of gabapentin’s use. With an ever-increasing amount of information being uploaded to the internet, it is especially important for those who have the most experience prescribing and researching gabapentin to tease out the misinformation and provide the medical community and the public with the most accurate possible understanding of the drug. Only then will we be able to take the greatest advantage and avoid the most harm in relation to this inexpensive and widely-prescribed pharmacological resource. Those interested in addition evidence-based information on gabapentin are directed to the article, Gabapentin: The Popular but Controversial Anticonvulsant Drug May Be Zeroing in on the Pathophysiology of Disease.},
     year = {2022}
    }
    

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    T1  - Illicit Use of Gabapentin May Reveal More About the Drug’s Benefits Than Its Liabilities
    AU  - Michael Raymond Binder
    Y1  - 2022/11/10
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    AB  - The anticonvulsant gabapentin is now one of the most commonly prescribed drugs in America. However, after nearly three decades of steady growth in popularity, the drug is becoming as controversial as it is popular. Although gabapentin was initially approved for the adjunctive treatment of partial seizures, its use has gradually expanded to an ever-increasingly number of disorders, including neuropathic pain, restless leg syndrome, generalized anxiety disorder, bipolar disorder, treatment-resistant depression, post-traumatic stress disorder, chronic insomnia, various substance use disorders, chronic insomnia, diabetic neuropathy, postoperative analgesia, tension headache, migraine headache, fibromyalgia, irritable bowel syndrome, hot flashes, essential tremor, nausea and vomiting, interstitial cystitis, overactive bladder, pruritus, chronic cough, and persistent hiccups. However, in addition to its prescription use, gabapentin is now becoming increasingly popular among illicit users, a phenomenon that appears to be the primary basis of the growing controversy around the drug. This article will explore both the benefits and liabilities of gabapentin in an effort to dispel the myths and clarify the facts about the drug. It will also compare the benefits of gabapentin to other anticonvulsants, analgesics, and psychotropic drugs in an effort to arrive at a more accurate risk-benefit assessment of gabapentin’s use. With an ever-increasing amount of information being uploaded to the internet, it is especially important for those who have the most experience prescribing and researching gabapentin to tease out the misinformation and provide the medical community and the public with the most accurate possible understanding of the drug. Only then will we be able to take the greatest advantage and avoid the most harm in relation to this inexpensive and widely-prescribed pharmacological resource. Those interested in addition evidence-based information on gabapentin are directed to the article, Gabapentin: The Popular but Controversial Anticonvulsant Drug May Be Zeroing in on the Pathophysiology of Disease.
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