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The reclassification of pregabalin and gabapentin to Schedule 3 of the Misuse of Drug Regulations 2001 from 1 April 2019 will affect vets. These schedule 3 drugs: will be exempt from safe custody 4.11 There are five schedules of controlled drugs under the Misuse of Drugs Regulations 2001, each subject to a variety of different controls, including, for example: schedule 1 - possession requires a Home Office licence; schedule 2 - drugs obtained and supplied must be recorded in a register for each drug; schedule 2 and 3 - prescriptions are Gabapentin is usually used to manage chronic pain, especially nerve-related pain. It is also used (primarily in cats) to relieve anxiety associated with veterinary procedures, travel, and other fear-generating situations. Gabapentin can also be used as an additional medication in seizure management. Controlled drugs are listed in Schedules 1 to 5 of the Misuse of Drugs Regulations 2001 (MDR) - which categorises the drugs based on therapeutic usefulness and potential harm caused by misuse. Schedule 2 CDs include veterinary medicines that are subject to the most restrictions. This is because they are highly addictive and may be subject to abuse. Schedule 1 (I) drugs, substances, or chemicals are defined by the federal government as drugs with no currently accepted medical use and a high potential for abuse. Schedule 1 (I) drugs are the most dangerous drugs of all the drug schedules with potentially severe psychological or physical dependence. Examples of Schedule (1) I Substances: Heroin 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. Talk to your healthcare provider about the risks of gabapentin before taking it. The use of gabapentin in veterinary medicine has increased dramatically in the last several years. Despite its popularity, there is a narrow indication of its use in veterinary patients. There is also growing evidence that gabapentin is being diverted for recreational drug use, sometimes with fatal consequences. As a result, Medication and supplements should only be given to your pet under the direct instruction of your veterinarian. Schedule III in KY (902 KAR 55:015). Schedule IV federally. Phenobarbital & noncontrolled active ingredient; 2285 III; N Quadrapax, Phenohydro, PB Hyos elixir; Schedule III in KY (schedule IV federally). Some products with no significant potential for abuse ; specifically exempted (see 902 KAR 55:045/CFR 1308.32). Link to current list Combining gabapentin with other anxiety reliever drugs such as clonazepam or diazepam can also increase sedation. Gabapentin is also often combined with trazadone to reduce situational anxiety and pain in stressful situations such as veterinary visits, hospitalization, or post-surgery recovery. April 2023 By Dr. Natalie Young, PharmD, BCSCP, FACVP The Use of Controlled Substances in Veterinary Medicine In this VETgirl online veterinary continuing education blog, Dr. Natalie Young, PharmD, BCSCP, FACVP reviews the use of controlled substances in veterinary medicine. Read on to find out best practices and legal compliance with prescribing and dispensing controlled When prescribing gabapentin for veterinary patients, the clinician should determine what type of pain is being experienced, if the medication will be beneficial, and assess if there is a better treatment option that should be prescribed instead. The Schedules relate to the drugs’ therapeutic usefulness, the need for legitimate access, and the potential harm caused by their misuse. In short, Schedule 1 CDs are subject to the most restrictions and Schedule 5 CDs are subject to the least. Veterinary medicines include CDs in Schedules 2, 3, 4 and 5. Q: I have received a vet prescription for gabapentin which is written on normal vet headed notepaper, is this legal? A: Yes it is acceptable. Veterinary prescriptions for a schedule 2 or 3 controlled drug do not have to be on a standardised FP10PCD form, however certain legal requirements must be present for it to be legally valid. Pregabalin, a newer drug comparable to gabapentin, has been designated schedule V at the federal level, indicating improved understanding of the addictive potential compared with when gabapentin was approved. Australian Veterinary Association GUIDELINES FOR PRESCRIBING, AUTHORISING AND DISPENSING VETERINARY MEDICINES NOTE Version 4 February 2005 Updated September 2008, September 2009, & October 2013 One of the most commonly cited uses of gabapentin in veterinary medicine is for treating acute post-operative pain. 5 Considering the mechanism of action of gabapentin and its impact on pain signaling, it is unlikely that gabapentin will be an effective analgesic in this context. Inflammation is the most common component of acute post-operative Gabapentin dosage varies widely and the drug can be administered to effect. Some animals may require continuous administration for weeks to months before their pain resolves. The dose must be tapered down to avoid rebound pain. Gabapentin is most commonly used in veterinary medicine to relieve chronic pain and in some pets, to reduce fear and anxiety associated with veterinary appointments. Gabapentin may be used alone or in combination with other drugs. Gabapentin is available as capsules, tablets and as an oral solution. 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.
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