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Gabapentin is a prescription medication approved by the FDA for the treatment of neuropathic pain (postherpetic neuralgia) and seizure disorders. Why is gabapentin controlled in some states? Gabapentin is structurally and pharmacologically related to pregabalin (Lyrica, Lyrica CR), which is a Schedule V drug and controlled federally in all states. Gabapentin is a controlled substance in states like Michigan and Kentucky, while others have mandated reporting rules. Learn about its risk for abuse here. Abstract The abuse potential of gabapentin is well documented; with gabapentin having been noted as an agent highly sought after for use in potentiating opioids. When combined with opioids, the risk of respiratory depression and opioid-related mortality increases significantly. In the US, gabapentin was approved by the Food and Drug Administration as a non-controlled substance. To date, and in (a) This chapter may be cited as the “Rhode Island Controlled Substances Act”, and shall be so interpreted and construed as to effectuate its general purpose. (b) The general purposes of this chapter are as follows: (1) To establish a more rational system of regulating substances which may pose a danger to the public health; Controlled Substances The federal government, through the Controlled Substances Act makes classified drugs, substances, and certain chemicals used to make drugs, into five distinct categories or schedules depending upon the drug’s acceptable medical use and the drug’s abuse or dependency potential. Only practitioners with a Utah Controlled Substance license and a DEA registration may issue prescriptions for Gabapentin or order the direct administration or dispensing of Gabapentin to a patient. Gabapentin is used to treat many conditions, including seizures and pain conditions. Gabapentin is not a controlled substance on a federal level but is controlled in some states, which limits the number of prescription refills and how it is reported. Gabapentin can be dangerous when used in combination with other substances, particularly opioids. January 2025 According to Rhode Island General Law, the Director of the Rhode Island Department of Health (RIDOH) recognizes the current version of Title 21 of the Code of Federal Regulations (CFR) as the most updated list of controlled substances in Rhode Island. Understand Rhode Island’s controlled substance laws, including classifications, penalties, enforcement, and legal requirements for possession and distribution. Title 21 Food and Drugs Chapter 28 Uniform Controlled Substances Act Article II Standards and Schedules R.I. Gen. Laws § 21-28-2.02 § 21-28-2.02. Schedules of controlled substances — Establishment. (a) There are established five (5) schedules of controlled substances, to be known as schedules I, II, III, IV, and V. In March 2017, the Rhode Island Department of Health (RIDOH) amended regulatory changes for opioid use and the management of acute pain in the Rules and Regulations for Pain Management, Opioid Use, and the Registration of Distributors of Controlled Substances in Rhode Island [216-RICR-20-20-4]. Gabapentin, originally developed to treat epilepsy, has gained popularity as a medication for neuropathic pain and other conditions. However, its increasing use has raised concerns about potential misuse and addiction. As a result, various states have begun to classify gabapentin as a controlled substance. Understanding the legal status of gabapentin across different jurisdictions is crucial With mounting evidence of misuse and abuse of gabapentin use, certain states have implemented regulations or policies to limit or monitor the use of the drug, especially given its potential to enhance the effects of opioids. Some experts and nonprofit groups have called for national reclassification of gabapentin as a controlled substance. The Rhode Island Prescription Drug Monitoring Program (PDMP) collects data for controlled substance prescriptions (Schedules II - V, or opioid antagonists) into a centralized database. Mission To promote the safe prescribing and dispensing of controlled prescription drugs through data collection and healthcare professional education. What we do Collect and analyze data on dispensed prescriptions for Schedule II-V medications and opioid antagonists via the Rhode Island Prescription Drug Monitoring Program. Provide education to healthcare professionals including safe opioid Gabapentin is not classified as a controlled substance on the federal level. However, there are growing concerns about the potential risks. Here’s what to know. Offenses and Penalties R.I. Gen. Laws § 21-28-4.01 § 21-28-4.01. Prohibited acts A — Penalties. [As amended by P.L. 2021, ch. 100, § 1 and P.L. 2021, ch. 101, § 1.] (a) (1) Except as authorized by this chapter, it shall be unlawful for any person to manufacture, deliver, or possess with intent to manufacture or deliver a controlled substance. Background and Purpose In Rhode Island, after seeing a decrease by 8.3% from 2016 to 2019, accidental drug overdose deaths increased by 25%, from 308 in 2019 to 384 in 2020. Illicit drugs and controlled substance prescriptions have both contributed to drug overdose deaths in our state. Gabapentin, initially developed for epilepsy, is now widely used for nerve pain and other off-label applications. Rising prescription rates have sparked discussions about whether it should be classified as a controlled substance due to concerns over misuse and dependency. Due to concerns about the potential misuse of gabapentin, some states have classified the drug as a controlled substance. Other states have put stricter measures in place to monitor possible misuse of gabapentin.
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