Can You Become Addicted to Gabapentin?

A woman takes a pill with a glass of water, symbolizing the struggle with addiction and the journey to recovery.
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Gabapentin, also known by brand names like Neurontin, is a prescription medication used to treat neuropathic pain, epilepsy, and other neurological conditions. While it is not classified as a controlled substance, there has been growing concern about the potential for gabapentin misuse and addiction. Studies show that frequent use of gabapentin can lead to physical dependence, which is why the medication should be closely monitored by a doctor. There are also adverse side effects that can occur, such as nausea, blurred vision, dizziness, and cold or flu-like symptoms.

If you or a loved one is currently taking gabapentin for legitimate reasons, it’s important to be aware of the potential risks of this medication. And, if you suspect that someone is misusing gabapentin, it’s even more important to know about the risks of misuse and addiction, as gabapentin can be addictive to some individuals.

What is Gabapentin?

Gabapentin is an anticonvulsant medication that was originally developed to treat seizures, but it is more commonly used to manage nerve pain, such as that caused by shingles, diabetic neuropathy, or fibromyalgia. The medication works by altering the way nerves send messages to the brain, helping to reduce pain or prevent seizures.

Gabapentin is also used off-label to treat anxiety, restless leg syndrome, and migraines. Since many people who take gabapentin are treating chronic symptoms, this medication is often used for long-term purposes. This is why it’s especially important to be aware of the potential risks of misuse and addiction.

Is Gabapentin Addictive?

While gabapentin was initially thought to have a low risk of addiction, there is increasing evidence that some individuals may misuse or develop a dependency on the medication. Gabapentin is not an opioid or stimulant, which are more commonly associated with substance use disorders, but it still has the potential for abuse. The risk is higher when the medication is combined with other substances or taken in higher doses.

Here’s how gabapentin can contribute to a substance use disorder:

  • Euphoric effects. When taken in large doses, gabapentin can produce feelings of euphoria, relaxation, and sedation. These effects can make the medication appealing for recreational use, even though it’s not its intended purpose.
  • Tolerance. Over time, some people who take gabapentin regularly may develop a tolerance, meaning they need higher doses to achieve the same effects. This can lead to misuse as individuals may start taking more than prescribed to get relief or experience greater side effects.
  • Dependence. Long-term use of gabapentin can lead to physical dependence, where the body becomes accustomed to the medication. Withdrawal symptoms can occur if the medication is stopped, which can lead to compulsive use.

Who Is at Risk for Gabapentin Misuse?

Gabapentin misuse can happen in several different ways. First, some people use gabapentin recreationally to experience euphoria or to enhance the effects of other drugs like opioids. This is dangerous because combining gabapentin with other substances can increase the risk of respiratory depression, overdose, or death.

Second, individuals with a history of substance use may be prone to misuse gabapentin due to its euphoric effects and the way that it can enhance substances like alcohol and opioids. Lastly, people who take gabapentin to manage chronic pain or nerve pain may increase their dose without medical guidance when they feel the medication is no longer working for them. This can lead to misuse and addiction.

Signs of Gabapentin Addiction

Gabapentin addiction shows up in behavioral, physical, and psychological ways. The signs to watch for include:

  • Taking more than prescribed. If you find yourself taking more gabapentin than prescribed or using it more frequently, this could be a sign of misuse.
  • Doctor shopping. Seeking prescriptions from multiple doctors or trying to refill your prescriptions can be a sign of addiction.
  • Using gabapentin recreationally. Are you using gabapentin to relax, get high, or cope with stress? Any time you use gabapentin outside of its intended purpose, this is considered misuse.
  • Withdrawal symptoms. If you experience anxiety, nausea, insomnia, or other withdrawal symptoms when you try to stop taking gabapentin, this means that your body has become dependent on the medication.
  • Neglecting responsibilities. Addiction usually leads to neglect of personal and professional responsibilities, as it takes up time and impairs functioning,

Seeking Help for a Gabapentin Addiction

Even though gabapentin can be safe when taken as directed, it can be habit-forming. Knowing this information can guide your conversations with your doctor and encourage you to use the medication responsibly. If, at any time, you believe that you or a loved one is dealing with a gabapentin addiction, contact Pura Vida Recovery. We work with all types of addictions, and we can help you determine the right level of care for your needs.