Gabapentin isn’t a controlled substance or narcotic on the federal level, but several states have passed laws to make it a Schedule V controlled substance. Gabapentin has risks and adverse effects, especially when combined with some other substances. Pregabalin is controlled in Schedule V of the Federal Controlled Substances Act . Although not controlled federally, some States also list gabapentin as a Schedule V controlled substance because of its abuse potential as a non-opioid pain reliever . iii At least 26 States and the District of Columbia have Gabapentin closely resembles pregabalin, a schedule V drug under the Controlled Substances Act in its chemical structure and pharmacological activity. The chemical structure of gabapentin is derived from the addition of a lipophilic cyclohexyl group to the backbone of gamma-aminobutyric acid (GABA). At the national level, gabapentin is not classified as a controlled substance under the Controlled Substances Act (CSA). This means it is not subject to the stringent regulations that apply to opioids or benzodiazepines, which are categorized based on their potential for abuse, medical use, and safety. Schedule-V controlled substance and mandated reporting to PDMP. The State of Kentucky is, and to date, remains, the only state to have reclassified gabapentin as a Schedule-V controlled substance. 21 Effective July 1, 2017, the prescribing of gabapentin is limited to authorized practitioners, defined as practitioners registered with the US DEA. 21 Thus, mid-level practitioners, specifically Gabapentin is not currently listed as a controlled substance under the Controlled Substances Act of 1970.11 Several state boards of pharmacy, as outlined in Supplemental Table 2 and Figure 1, have independently reclassified gabapentin under state pharmacy rules as a Schedule V drug. Other states have required gabapentin use to be monitored At the federal level, gabapentin is not on any of the schedules of controlled substances. This means that it is just an ordinary prescription drug, one that authorities assume that no one would want to use outside of its intended purpose, rather like Synthroid or metformin. Though Gabapentin is not a controlled substance at the federal level, Alabama joins a growing list of states that have reclassified the drug as a controlled substance in the past year. The reclassification will require licensees carrying the drug to conduct an inventory of all Gabapentin products by the close of business on November 17, 2019. The Federal Drug Administration approved ketamine as a general anesthetic in 1970. Over the past decade, use of the controlled substance ketamine has expanded into other clinical areas, including pain management outside the surgical setting and refractory depression. Gabapentin is not currently listed as a controlled substance under the Controlled Substances Act of 1970. 11 Several state boards of pharmacy, as outlined in Supplemental Table 2 and Figure 1, have independently reclassified gabapentin under state pharmacy rules as a Schedule V drug. Other states have required gabapentin use to be monitored Is gabapentin a controlled substance? Gabapentin isn’t classified as a controlled substance by the federal government. However, some states recognize it as a Schedule V controlled substance and regulate its use. This is because of the growing concerns about misuse and abuse of the drug. 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. Discover the current status of gabapentin scheduling as a controlled substance across the US and the PDMP requirements for each state. Valuable insights for healthcare providers. Pharmacies are required to monitor the gabapentin inventory more closely and follow controlled substance requirements for storage and disposal and must also follow federal limitations on refill and partial fill rules for gabapentin. 36. Is Gabapentin a Controlled Substance in Tennessee and does it require a DEA to prescribe? Gabapentin is a Schedule V Controlled Substance in Tennessee and therefore should be treated just like any other Schedule V Controlled Substance. 37. I suspect my healthcare practitioner is engaged in TennCare fraud, waste, or abuse. What do I do? While gabapentin is NOT considered as a controlled substance on a federal level, there are some states that reclassified the drug as a controlled substance. The five states that have reclassified gabapentin as a controlled substance are Kentucky, Virginia, West Virginia, Michigan, and Tennessee. States are now taking action to track gabapentin use through prescription monitoring programs, and some states have reclassified it as a Schedule V controlled substance. This commentary summarizes gabapentin's abuse potential, identifies state-level actions regarding gabapentin monitoring, and discusses possible clinical implications and ways 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. The FDA approved gabapentin in 1993 as a non-controlled substance and it has remained a non-controlled substance at the federal level. The drug was created as an anticonvulsant and used to treat seizure disorders.
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