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Gabapentin isn’t a controlled substance according to the federal government. But several states have passed their own laws classifying gabapentin a schedule V (schedule 5) controlled substance. Combining gabapentin and opioids can be extremely dangerous. §60A-2-212. Schedule V. (a) Schedule V shall consist of the drugs and other substances, by whatever official name, common or usual name, chemical name, or brand name designated, listed in this section. Gabapentin, a Schedule V drug in the Commonwealth, had previously been considered a “drug of concern” in Virginia. The 2019 Virginia General Assembly passed HB2557, which classified gabapentin as a Schedule V controlled substance as of July 1, 2019. In 2017 and 2018, Kentucky, Tennessee, and West Virginia passed laws classifying gabapentin as a Schedule V drug due to abuse potential, risk of overdose, and death. 24–28 In contrast, between 2016 and 2018, Kansas, Massachusetts, Minnesota, Nebraska, New Jersey, North Dakota, Ohio, Virginia, and Wyoming required gabapentin to be included in Any compound, mixture, or preparation containing limited quantities of any of the following narcotic drugs, which also contains one or more nonnarcotic active medicinal ingredients in sufficient proportion to confer upon the compound, mixture, or preparation, valuable medicinal qualities other than those possessed by the narcotic drug alone: However, due to a spike in gabapentin-related fatalities, Ohio, Kentucky and West Virginia have moved to list the drug as a controlled substance at the state level. Other states are recognizing the growing abuse problem with gabapentin and have, at the very least, mandated that it be included in their prescription drug monitoring programs. The 2019 Virginia General Assembly recently passed a new bill that will classify gabapentin as a Schedule V substance starting July 1, 2019. Currently, gabapentin is classified as a Schedule VI drug of concern. In seven states, gabapentin is classified as a schedule V controlled substance (including AL, KY, MI, ND, TN, VA, and WV). Twelve states have not classified gabapentin as a controlled substance, but require gabapentin dispensing must be reported to their PMP (including CT, DC, IN, KS, MA, MN, NE, NJ, OH, OR, UT, and WY). As of September 2022, gabapentin was classified as a controlled substance in Alabama, Kentucky, Michigan, North Dakota, Tennessee, Virginia, and West Virginia. 6,7 Adding gabapentin to the list of controlled substances has required providers to have a Drug Enforcement Administrationregistration number to prescribe it, adding another layer of Virginia (VA) Reporting 44: Gabapentin must be reported within 24 hours or the dispenser’s next business day. The program also requires non-resident pharmacies to report dispensing of gabapentin to Virginia residents. Exemptions 45: Gabapentin (Neurontin) is not a narcotic or federally controlled substance by the DEA as of November 2022, but it is classified as a Schedule V controlled substance in certain states. A BILL to amend and reenact §§ 54.1-3454 and 54.1-3456.1 of the Code of Virginia, relating to Drug Control Act; Schedule V; gabapentin. On July 1, 2019, veterinary establishments that possess gabapentin must take a complete and accurate inventory of this drug at the opening of business in accordance with §54.1-3404 and maintain compliance with 18VAC150-20-190 for a Schedule V controlled substance. In Virginia, gabapentin is classified as a Schedule V controlled substance under section 54.1-3454. This classification places it among substances with a lower potential for abuse relative to those in Schedules I through IV. B. Prescribers' orders, whether written as chart orders or prescriptions, for Schedules II, III, IV, and V controlled drugs to be administered to (i) patients or residents of long-term care facilities served by a Virginia pharmacy from a remote location or (ii) patients receiving parenteral, intravenous, intramuscular, subcutaneous or The Code of Virginia states the following: § 54.1-2519. Definitions. "Covered substance" means all controlled substances included in Schedules II, III, and IV; controlled substances included in Schedule V for which a prescription is required; naloxone; and all drugs of concern that are required to be reported to the Prescription West Virginia; Several other states require gabapentin prescriptions to be monitored, allowing authorities to detect potential misuse: Campbell L, et al. (2021). Gabapentin controlled The exact mechanisms through which gabapentin exerts its analgesic and antiepileptic actions are unknown however, according to ; information on the FDA-approved label for the gabapentin, gabapentin has no effect on GABA binding, uptake or degradation. In, vitro studies have shown that gabapentin binds to auxiliary α2-δ subunits of voltage- WV Board of Pharmacy 1207 Quarrier Street, 4th Floor Charleston, WV 25301 Phone: 304-558-0558 Fax: 304-558-0572 Email: Contact Form | boardofpharmacy@wv.gov
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