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Opioids are powerful drugs that relieve pain. Learn their medical uses and side effects, plus factors that may increase opioid use disorder risk. Gabapentin is a prescription medication for nerve pain and seizure disorders, not an opiate or a narcotic. Learn about its mechanism, side effects, drug interactions, and potential for abuse and addiction. Gabapentin is an anticonvulsant medicine that can treat some types of nerve pain, but it is not an opioid or painkiller. Learn about its uses, side effects, interactions, and the FDA alert on serious breathing problems with gabapentin and other drugs. American Family Physician Community Blog on the topic, Substituting gabapentin for opioids has significant downsides, written by Kenny Lin, MD, MPH. Opioids are a broad group of medicines used to relieve pain. Although these medicines are effective, they can lead to addiction. Take them only as directed. Gabapentin is not an opioid. Understand the differences between gabapentin and opioids, including how they work, their uses, risks, and when each may be appropriate for pain management. Gabapentin is not an opioid, but it may be used as an alternative to opioids for some types of pain. Learn how gabapentin and opioids differ in FDA-approved uses, controlled substance status, and potential side effects. First, gabapentin can be used as a pain reliever, and the primary use of opioids in a medical setting is to relieve pain. Gabapentin can also lead to sedation, which is a major side effect of opioids. Growing evidence of misuse and overdoses involving gabapentin—often in conjunction with opioids—is drawing attention to substantial off-label prescribing of the anticonvulsant drug. Many people who abuse gabapentin do so because, at higher doses (800mg or higher), it may create a euphoric-like high that isn’t detected on drug tests. Oftentimes, people who abuse gabapentin take it along with opioid painkillers to produce the desired effect. This is a potentially dangerous, even fatal, combination. Gabapentin is approved for the treatment of nerve pain such as postherpetic neuralgia but is neither an opioid nor a painkiller. Gabapentin isn't a narcotic, but it is a controlled substance in some states. Here's what you should know before using it. Gabapentin or pregabalin (Lyrica, Lyrica CR) can increase the euphoria (“high”) felt when combined with opioids, including fentanyl, codeine, oxycodone, hydrocodone, and heroin. Is Gabapentin Considered a Narcotic? From a scientific standpoint, gabapentin is not a narcotic, as it does not bind to opioid receptors or produce the same effects as opioid medications. Instead, it belongs to the anticonvulsant class of medications and works through different mechanisms in the nervous system. Opiates and opioids with chemical structures indicated. Many classical opiates are also referred to as opioids in modern nomenclature. Opioids include opiates, an older term that refers to such drugs derived from opium, including morphine itself. [24] Opiate is properly limited to the natural alkaloids found in the resin of the opium poppy although some include semi-synthetic derivatives. [24 Prescription opioid use is highly associated with risk of opioid-related death, with 1 of every 550 chronic opioid users dying within approximately 2.5 years of their first opioid prescription. Although gabapentin is widely perceived as safe, No, gabapentin is not classified as a narcotic (opioid). It is an anticonvulsant and nerve pain medication that is primarily used to treat seizures and neuropathic pain (pain caused by nerve damage), such as that from shingles or diabetic neuropathy. Learn about the health effects of opioid use. Opioids are a class of natural, semi-synthetic, and synthetic drugs. These include both prescription medications used to treat pain and illegal drugs like heroin. Opioids are addictive. Gabapentin is commonly used to treat some types of nerve pain but is classified as an anticonvulsant medicine, not as an opioid or painkiller. Gabapentin is used to treat postherpetic neuralgia, a type nerve pain that can occur due to an outbreak of shingles, and restless legs syndrome (RLS), an uncomfortable urge to move your legs around Avoid combining gabapentin with other central nervous system (CNS) depressants like alcohol or benzodiazepines Avoid taking gabapentin if you have a history of substance use disorder You should never combine gabapentin with opioids, which can be extremely dangerous. An opioid overdose is more likely if you use opioids with gabapentin.
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