gabapentin controlled substance in north carolina gabapentin weakness in legs dogs

Gabapentin isn’t considered a controlled substance by the federal government. But several states have passed their own laws limiting the prescribing and sale of it. Eight states have made gabapentin a schedule V controlled substance. North Carolina Gov. Roy Cooper has signed into law the Opioid and Substance Use Action Plan, which will require veterinarians to report gabapentin use, although the medication is not a scheduled drug. The law goes into effect for pharmacies on March 1, 2024, and for veterinarians on March 1, 2025. The increased regulation of gabapentin in North Carolina has introduced legal frameworks to address its misuse. Though not a controlled substance, gabapentin’s inclusion in the CSRS imposes legal responsibilities on healthcare providers and pharmacies. The North Carolina Controlled Substance Reporting System statute provides (GS § 90-113.73(d)) an express exemption for Schedule V non-narcotic, non-anorectic controlled substance samples: “A dispenser shall not be required to report instances in which a Schedule V non-narcotic, non-anorectic Schedule V controlled substance is provided While gabapentin remains a non-controlled substance, Session Law 2023-65 Part XI Section 11.1 G.S. 90-113.73(b) adds it to the medications recorded in NC CSRS because it may cause a level of sedation in patients that puts them at increased risk of overdose when taken with opioids. The NC Department of Health and Human Services (NCDHHS) has 2. When will the veterinary state license failover for Gabapentin reporting in North Carolina be available? • The veterinary state license failover for Gabapentin dispensation reporting to the NC CSRS will launch on January 8th, 2025. 3. Do I have to report direct administrations of Gabapentin? • No, Gabapentin is not a controlled substance in North Carolina. 3. Why is Gabapentin included in the NC CSRS if it isn’t a controlled substance? • There is evidence that Gabapentin, when taken with opioids, can increase the risk of unintended overdose. In determining that a substance comes within this schedule, the Commission shall find: a high potential for abuse, no currently accepted medical use in the United States, or a lack of accepted safety for use in treatment under medical supervision. The following controlled substances are included in this schedule: (1) Opiates. 2. Is Gabapentin a controlled substance in North Carolina? • No, Gabapentin is not a controlled substance in North Carolina. 3. Why is Gabapentin included in the NC CSRS if it isn’t a controlled substance? • There is evidence that Gabapentin, when taken with opioids, can increase the risk of unintended overdose. Statutory Changes: Updated on March 2025. S.L. 2023-65 amended G.S. 90-113.73(b) Adds Gabapentin to the list of substances to be reported into the CSRS, by dispensers, effective March 1, 2024; this law requires veterinarians to report prescriptions of Gabapentin effective March 1, 2025. 2. When will the veterinary state license failover for Gabapentin reporting in North Carolina be available? • The veterinary state license failover for Gabapentin dispensation reporting to the NC CSRS will launch on January 8th, 2025. 3. Do I have to report direct administrations of Gabapentin? 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). Gabapentin has been used in an extralabel manner to treat a spectrum of conditions in animals, including pain management. The state of North Carolina plans to make reporting mandatory for the usage of a medication frequently employed for pain management in animals, with implementation expected in approximately one year. In North Carolina, a new state law has added the anticonvulsant and nerve pain medication gabapentin to the list of drugs that are tracked through the state's prescription drug management system, the NC Controlled Substances Reporting System. § 90‑93. Schedule V controlled substances. (a) This schedule includes the controlled substances listed or to be listed by whatever official name, common or usual name, chemical name, or trade name designated. In determining that a substance comes within this schedule, the Commission shall find: a low potential for abuse 2. Is Gabapentin a controlled substance in North Carolina? • No, Gabapentin is not a controlled substance in North Carolina. 3. Do Gabapentin dispensations have to be reported to the Controlled Substance Reporting System? • Yes, beginning March 1, 2024, Gabapentin dispensations are required to be reported by dispensers. 4. While gabapentin remains a non-controlled substance, Session Law 2023-65 Part XI Section 11.1 G.S. 90-113.73(b) adds it to the medications recorded in NC CSRS because it may cause a level of sedation in patients that puts them at increased risk of overdose when taken with opioids. In accordance with a new state law, the anticonvulsant and nerve pain medication gabapentin will soon be added to the list of drugs tracked through the state’s prescription drug management program (PDMP), the NC Controlled Substances Reporting System (NC CSRS). Is Gabapentin a controlled substance in North Carolina? • No, Gabapentin is not a controlled substance in North Carolina. 3. Do Gabapentin dispensations have to be reported to the Controlled Substance Reporting System? • Yes, beginning March 1, 2024, Gabapentin dispensations are required to be reported by dispensers. 4. Pharmacists and pharmacies continue to contact Board staff to inquire whether gabapentin has become a CS under North Carolina law. The confusion is entirely understandable. As the Drug Control Unit’s FAQs document explains, gabapentin is not a CS under North Carolina (or federal) law. Nonetheless, its dispensing must be reported to the CSRS.

gabapentin controlled substance in north carolina gabapentin weakness in legs dogs
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