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This is not the first prescribed medication to be reclassified in this way. Tramadol , a synthetic opiate, was made a class C drug in 2014. The circumstances leading up to this change were very similar to the concerns relating to gabapentin, namely an increase in prescriptions, which was accompanied by a rise in fatalities. Since the reclassification of tramadol, deaths have fallen as have the number of prescriptions. By this measure, it would appear that the reclassification decision for tramadol was a success. Shifting use Banning or restricting the supply of drugs, whether they are legal or illegal, can produce unintended consequences.
One of these is displacement, where tightening up access to one substance shifts use onto another. It is possible that this has happened with tramadol given the rise in use of gabapentin and pregabalin — as it became harder for people to obtain, they found gabapentin and pregabalin easier to get hold of, so they became desirable alternatives. This suggests that the new restrictions on gabapentin may move the problem onto another drug, although it is likely that it will be the same group of higher risk people who are most affected. Data showing a very high level of drug-related deaths and hospitalisations suggests that we are failing to make much of an impact.
Most people who use these drugs know the risks they face, so thinking we can simply educate or arrest our way out of this problem is unlikely to be successful. People are often attracted to using these drugs to alleviate a range of problems beyond the physical, they are often trying to mitigate psychological pain and social problems. Accessing support for such issues has become increasingly difficult.
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Before taking this medicine You should not use gabapentin if you are allergic to it. To make sure this medicine is safe for you, tell your doctor if you have ever had: Some people have thoughts about suicide while taking this medicine. Your doctor should check your progress at regular visits. Your family or other caregivers should also be alert to changes in your mood or symptoms. It is not known whether this medicine will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant. Seizure control is very important during pregnancy, and having a seizure could harm both mother and baby. Do not start or stop taking gabapentin for seizures without your doctor's advice, and tell your doctor right away if you become pregnant.
Gabapentin can pass into breast milk, but effects on the nursing baby are not known. Tell your doctor if you are breast-feeding. How should I take gabapentin? Take gabapentin exactly as prescribed by your doctor. Follow all directions on your prescription label. Do not take this medicine in larger or smaller amounts or for longer than recommended. Although not as popular as other illicit drugs, there were particular concerns about their use in prisons, where there was a high number of prescriptions, as well in some parts of the UK such as Northern Ireland. Accompanying this was an alarming rise in deaths associated with their use.
Gabapentin and pregabalin deaths compared to prescriptions. Open prescribing One reason these drugs are particularly harmful is through the practice of combining them with other drugs to amplify the desired effects. For example, using gabapentin and pregabalin with heroin can increase their euphoric effects. This increases the risk of respiratory failure, which underpins many heroin overdose deaths. Be sure to let any doctor or dentist know that you are taking Neurontin. Neurontin is in pregnancy category C, which means that we do not know if Neurontin will harm an unborn baby. Neurontin can pass into breast milk, so you should not breast-feed while taking Neurontin.
If you have a history of heart attack, stroke or heart disease you should tell your doctor before taking Neurontin. If you are pregnant, think you may be pregnant, or are breast-feeding you should not take Neurontin. Be sure that you keep your regular appointments with your doctor while you are taking Neurontin, and tell your family to be alert to any behavior changes you may have. If you have any concerns about your history of depression or mood disorders talk to your doctor before starting treatment with Neurontin. You should avoid taking an antacid within 2 hours before or after you take Neurontin, because antacids may make it harder for your body to properly absorb Neurontin.
Be aware that Neurontin may cause blurred vision and cause your reaction time to be impaired. Take care to have someone with you when you are driving and first start taking Neurontin, until you know how you will react to this medication.
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