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Very few people taking gabapentin have serious problems. Call a doctor straight away if you have a serious side effect, including: thoughts of harming or killing yourself - a small of people taking gabapentin have had suicidal thoughts, which can happen after only a week of treatment yellowing of your skin or whites of your eyes - these may be warning s of jaundice unusual bruises or bleeding - these may be warning s of a blood disorder long-lasting stomach pain, feeling sick or vomiting - these may be warning s of an inflamed pancreas muscle pain or weakness and you're having dialysis treatment because of kidney failure hallucinations In rare cases, it's possible to have a serious allergic reaction anaphylaxis to gabapentin. These aren't all the side effects of gabapentin. For a full list, see the leaflet inside your medicines packet.
Why is gabapentin a controlled drug
From topeople tried to commit suicide using gabapentin nearly 42, times, and thousands more abused or misused the substance. In most cases—nearly 70 percent—the poisoned individuals took a combination of gabapentin and other drugs.
Meanwhile, the majority of the poison cases involving baclofen were suicide attempts. Many chronic-pain patients rely on it to maintain functionality.
But when used in high wgy, or in combination with opioids or benzodiazepines, it can be risky. When patients stop taking these drugs abruptly, they can experience withdrawal symptoms.
Just as opioids were used to get recreationally high and potentially cause overdose, it appears that their replacements sometimes are as well. In fact, Reynolds and her co-authors write that people often take gabapentin and baclofen in combination with benzodiazepines, such as Xanax, or with opioids, in order to increase their intoxicating effect. Gabapentin is often prescribed in combination with opioids, in order to enhance their pain-relieving potential, and this combo can be especially dangerous.
Reynolds and others say patients who are prescribed drugs like gabapentin and baclofen should be screened for substance-abuse disorders, mood disorders, and suicidal ideation. And patients who are taking gabapentin should avoid mixing it with other drugs, especially depressants such as ia and opioids. Some states have started treating gabapentin as a serious drug, rather than the chronic-pain equivalent of gummy vitamins.
KentuckyId, and Michigan have reclassified gabapentin as a Schedule 5 controlled substance. Several other states have mandated the reporting of gabapentin prescriptions to prescription-drug-monitoring databases. Baclofen, however, remains unscheduled.
A review published last year found that gabapentin is ineffective for treating gabapenti pain. Read: How back pain took over the world But that still leaves unresolved the devilish problem of lower-back and neck pain, a major cause of disability in Western nations. Now that narcotics, non-narcotics, and so many other treatments have been tried and failed, many doctors are left scratching their head. In the old days, he prescribed his pain patients opioids, but he has cut back on them after seeing how deadly and addictive they can be.
Cannabinoids, the compounds derived from marijuana, can work for some people, but not everyone.
Williams says the medical community should take a closer look at non-pill remedies such as physical therapy and psychotherapy. But for many, they might be a better option than yet another pill that has yet another pathway to abuse.