UMEM Educational Pearls

 

Non-opioid medications such as gabapentin are frequently prescribed for the management of pain. 

A retrospective study of the National Poison Data System (data collected by the U.S. Poison Centers) from 2013 – 2017 showed increasing trend of gabapentin exposure.

Gabapentin exposure increased between 2013 and 2017 by:

  • Total exposure: 72.3% 
  • Isolated intentional suicide attempt: 80.5%
  • Isolated exposure: 67.1%
  • Isolated intentional abuse/misuse: 119.9%

5 most commonly co-ingested substances with gabapentin

  • Sedative-hypnotic: 22.9%
  • Antidepressant: 12.7%
  • Antihypertensive: 9.9%
  • Opioid: 9.0%
  • Antipsychotics: 6.3%

16.7% of the isolated gabapentin exposure required hospitalization.

 

Conclusion:

  • Gabapentin abuse/misuse and ingestion with self-harm intent is increasing in the U.S.