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While gabapentin is not yet an FDA-approved treatment for alcoholism, a number of studies support the its use withdrawal and cravings: In a 12-day study detoxifying with either gabapentin or lorazepam (a benzodiazepine prescribed with the brand name Ativan), the former was less likely to drink – and had less craving, anxiety, and sedation. Is gabapentin an effective treatment for alcohol use disorder (AUD)? Gabapentin treatment avoided more heavy drinking days (> 5 standard drinks/day) than placebo (27% vs 9%). Gabapentin can be a second-line, off-label option to treat AUD. However, there is mixed evidence and concerns about abuse-misuse, and drug-related harms. Gabapentin is effective at reducing drinking among people with alcohol use disorder (AUD) and strong withdrawal symptoms, according to a study published in JAMA Internal Medicine. Evidence from single-site studies lend support to the safety and efficacy of gabapentin as a novel treatment for alcohol use disorder, with unique benefits for alcohol-related insomnia and negative affect, relative to available treatments. Gabapentin can reduce your desire to drink and can help you stop drinking. Gabapentin may also help improve symptoms of anxiety and difficulty sleeping that may occur when stopping alcohol use. How does gabapentin work? • Gabapentin works on your brain to reduce your desire to drink alcohol. Conducted by scientists supported by the National Institute on Alcohol Abuse and Alcoholism (NIAAA), part of the National Institutes of Health, the study found that alcohol dependent patients using gabapentin were more likely to stop drinking or refrain from heavy drinking than those taking placebo. Gabapentin is efficacious for the treatment of acute alcohol withdrawal symptoms 29,30 and also provides short-term relapse prevention after medicated alcohol detoxification, 31 perhaps by an effect on sleep normalization. 32,33 Post hoc analysis has shown effectiveness of treatment with gabapentin, in combination with flumazenil 34 or Gabapentin is an anticonvulsant that may help reduce symptoms and cravings of alcohol withdrawal, but it is not FDA-approved for this use. Learn how gabapentin works, how it compares with benzodiazepines, and what side effects and interactions it can cause. Evidence from single-site studies lend support to the safety and efficacy of gabapentin as a novel treatment for alcohol use disorder, with unique benefits for alcohol-related insomnia and negative affect, relative to available treatments. Gabapentin is an off-label medication for alcohol use disorder, sold under the brand names Neurontin, Gralise, and Horizant, among others. The medication was originally developed to treat epilepsy and is now FDA-indicated for a variety of additional uses, including the treatment of conditions like postherpetic neuralgia and restless leg syndrome. Abstract Background and Aims: Studies of the efficacy of gabapentin for treating alcohol use disorder (AUD) have yielded mixed findings. The aims of our study were to estimate gabapentin’s effects on six alcohol-related outcomes, test potential moderators, examine publication bias, and evaluate the quality of the studies. Gabapentin has been shown to be safe and effective for mild alcohol withdrawal but is not appropriate as mono-therapy for severe withdrawal owing to risk of seizures. During early abstinence, gabapentin may improve sleep, cravings, and mood—factors associated with relapse. Gabapentin is being used recreationally to achieve or Gabapentin, an anticonvulsant medication, has been proposed as a treatment for alcohol use disorder (AUD). A multisite study tested gabapentin enacarbil extended-release (GE-XR; 600 mg/twice a day), a prodrug formulation, combined with a computerized behavioral intervention, for AUD. Find out what you need to know about gabapentin for alcohol withdrawal and discover the pros, cons, risks, and benefits, and how it may affect health. Fatigue: Mixing alcohol and gabapentin causes extreme weakness, which can significantly impair a person’s quality of life. Respiratory depression: When combined, alcohol and gabapentin may heighten each other’s side effects and cause life-threatening respiratory depression. Overdose: Alcohol and gabapentin are depressants, and mixing the
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