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Based on the authors’ findings, 22 states and federal districts had strengthened regulations on gabapentin. Of these, 68.2% enrolled gabapentin into their prescription drug monitoring program and 31.8% reclassified gabapentin as a Schedule V controlled substance (C-V). Two other states were in discussions on increased action on gabapentin misuse. 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. 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 is a controlled substance in states like Michigan and Kentucky, while others have mandated reporting rules. Learn about its risk for abuse here. 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. 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 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. state of Tennessee. If valid refills remain on prescriptions dated before July 1, 2018, they are able to be filled for 6 months, but should be reported to the CSMD and follow other policies on filling of controlled substances. Prescriptions dated on or after July 1, 2018, should be treated as controlled substance prescriptions and contain all The federal government does not classify gabapentin as a controlled substance, but several states have changed its status to help curb abuse. What is gabapentin used for? Gabapentin is a prescription anticonvulsant medicine approved to treat partial seizures and for the management of postherpetic neuralgia (shingles nerve pain) in adults. 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 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. Gabapentin is not currently listed as a controlled substance under the Controlled Substances Act of 1970. Individuals at the highest risk for abusing gabapentin include those with opioid abuse, mental illness, or previous history of prescription drug abuse. 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? Although the anticonvulsant is not considered a controlled substance, some state legislation focuses on monitoring the use of or reclassifying it. The FDA approved gabapentin in 1993 as a non-controlled substance and it has remained a non-controlled substance at the federal level. 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). Gabapentin is a crystalline substance and freely soluble in water, alkaline and acidic Gabapentin is not currently listed as a controlled substance under the Controlled Substances Act of 1970. Individuals at the highest risk for abusing gabapentin include those with opioid abuse, mental illness, or previous history of prescription drug abuse. Gabapentin isn’t a controlled substance on the federal level as of 2022. However, several states consider gabapentin a Schedule V controlled substance.[3] In states where gabapentin is controlled, there are stricter laws for prescribing and dispensing it from pharmacies. There are five groups of controlled substances. 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 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 enacted legislation or introduced a bill to schedule gabapentin as a controlled substance or
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