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Gabapentin – or Neurontin – is a medication commonly used to treat nerve pain and seizures. However, the drug can have potentially harmful effects when combined with other opioids. Michigan joins a growing number of states that have scheduled Gabapentin as a controlled substance. Gabapentin is classified as a controlled substance in several states due to its potential for misuse and abuse. Gabapentin, originally developed to treat epilepsy, has gained popularity as a medication for neuropathic pain and other conditions. Michigan joins a growing number of states that have scheduled Gabapentin as a controlled substance. “Using a data-driven approach, we identified Gabapentin as an emerging threat in our state and took necessary action to protect Michigan residents,” said LARA Director Orlene Hawks. 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 GABA. Gabapentin is not a narcotic or federally controlled substance, but it is classified as a Schedule V drug in certain states due to its potential for abuse and diversion. Learn which states control gabapentin, why it is regulated, and how it can interact with opioids and other drugs. Gabapentin is a controlled substance in states like Michigan and Kentucky, while others have mandated reporting rules. Learn about its risk for abuse here. Gabapentin’s regulatory status varies by state. Some states classify it as a Schedule V controlled substance due to concerns about misuse and its involvement in the opioid crisis. Others do not schedule it but require mandatory reporting to state prescription drug monitoring programs (PDMPs) to track prescribing and dispensing. 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. 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 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. 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 Gabapentin isn’t a narcotic or federally controlled substance, but it is regulated and recognized as a controlled substance in certain states. Gabapentin is approved by the Food and Drug 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). 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. Gabapentin is not currently listed as a controlled substance under federal law. However, some states classify gabapentin as a Schedule V substance or a drug of concern and mandate reporting to PMP. Furthermore, other states are considering similar actions due to increasing evidence of associated risks. In the state of Kentucky, prescribers without a DEA license are unable to prescribe gabapentin after it was classified as a Schedule V controlled substance. 38 This licensing requirement is part of the state’s Controlled Substances Act which had the greatest impact on mid-level practitioners who may not have a DEA license. Kentucky , any new orders for Gabapentin issued by a practitioner WITHOUT a Utah. Controlled Substance license and a DEA registration will not be valid and MAY NOT be administered or dispensed. Prescription orders (including refills) issued for Gabapentin prior to May 1 , 2024, will not be. aected. It is not legal to distribute Gabapentin samples in Utah. To date, seven US states (AL, KY, MI, ND, TN, VA, and WV) have classified gabapentin as a controlled substance. In a petition filed with the DEA and the US Food and Drug Administration (FDA) in February, the nonprofit advocacy group Public Citizen called for making that regulation federal, in an effort to stop increasing abuse and diversion. Presently, seven states have classified gabapentin as a Schedule V controlled substance, and 12 others, New Jersey included, require that gabapentin prescriptions be reported in the PDMP system. Every time a prescription for gabapentin is filled out, it will automatically be added to the database.
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