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Gabapentin: Is it the new Xanax?

Gabapentin, also known by the brand name Neurontin, has been showing up more and more lately in the news. This anti-seizure drug is now being associated with illegal street drugs such as heroin and also abused prescription medications such as oxycontin, opana, oxycodone, morphine, dilaudid and others. Like Xanax, Gabapentin is being found in drug overdoses and drug-related arrests.

It’s not just for seizures.

Gabapentin happens to be very interesting prescription medication because of the many uses that it has besides what the FDA has approved it for. It is used to treat neuropathic pain and other forms of chronic pain. Interestingly, it has been found to be useful in making opioid withdrawal more tolerable. In fact, some doctors have prescribed gabapentin in the transition after finishing buprenorphine treatment.

Gabapentin is not Xanax

Xanax is a drug with at least a moderate potential for abuse. It is a tranquilizer that is very sedating and, at high doses can cause sleepiness, amnesia, and slowed motor reflexes. Well Gabapentin can also cause sleepiness, it does not have nearly the same potential for abuse as Xanax. However, some lawmakers have expressed concerns and would like to limit the use of Gabapentin. For example, Kentucky has already made Gabapentin a controlled drug.

why is Gabapentin being associated with heroin and other opioids and opiates?

It’s hard to say why Gabapentin is being found to be associated with Heroin on the streets. Gabapentin was not typically thought of as a drug that people take to get high. We now know that some people do misuse it, most often together with opioids. It’s possible that Gabapentin increases the potency of other drugs when taken in combination. another possibility is it it has been used by drug addicts on the streets in attempt to reduce drug use.

There’s a reason why prescription drugs require a doctor’s prescription.

Gabapentin is a medication with many uses. As with any prescription medication, it also has potentially dangerous side effects. While its abuse potential is lower than that of Xanax, gabapentin can be misused, and several states now treat it as a controlled drug. The more serious danger is in combination. The FDA now warns of serious breathing problems when gabapentin is taken with opioids or other drugs that slow breathing, and in older adults and people with lung disease.

This article is educational. It is not medical advice, and reading it does not create a doctor-patient relationship. Decisions about starting, continuing, or tapering any medication should be made with your own physician.

It can also cause physical dependence, which is not the same as addiction. A person who has taken gabapentin every day should not stop it suddenly, and should work with their doctor to come off of it gradually.

Dr. Mark Leeds

Mark Leeds, D.O. is an osteopathic physician and deprescribing specialist providing concierge telemedicine care in Florida, focused on helping patients safely taper benzodiazepines and other psychiatric medications. A member of the medical advisory board of the Benzodiazepine Information Coalition (BIC) and host of The Rehab Podcast on the Mental Health News Radio Network, Dr. Leeds offers individualized, patient-directed care through weekly one-on-one video appointments. His practice prioritizes dignity, respect, and collaboration, treating each patient as a partner in building a treatment plan tailored to their unique needs and goals.