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Apparently being sold for misuse at the moment???? Could anybody shed some light as to why and possible side effects please? I will post if any clients decides to tell me why!!
 
Posts: 30 | Location: west midlands | Registered: 09 August 2009Reply With QuoteReport This Post
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I've heard of a few cases of this and I assume it came from people going to pain clinics and being given this for nerve pain. I believe it gives a feeling of euphoria - loads of side-effects though should you get them.
 
Posts: 2564 | Location: Barnsley Yorkshire | Registered: 01 June 2004Reply With QuoteReport This Post
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In the words of one prisoner... "I don't want any of that stuff, makes you feel drunk"
This attitude is highly atypical in prison, though, where generally it is very popular, I guess for the very same reason.
 
Posts: 184 | Location: Harrogate | Registered: 04 March 2003Reply With QuoteReport This Post
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ahhhhh this explains a lot... presume it beats 'hooch' thanks for the ideas
 
Posts: 30 | Location: west midlands | Registered: 09 August 2009Reply With QuoteReport This Post
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on the benzo site it is moted that it is another benzo in disguise... not only giving a similar effect, but having problems with stopping it
 
Posts: 158 | Location: West Yorkshire | Registered: 04 December 2006Reply With QuoteReport This Post
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I have heard it is misused in prisons but sometimes as a last resort when no opiates are available, or in conjunction with other substances. It possibly eases the pain of withdrawal if postings I have read on the internet are to be believed

I blame the neurologists too

Some people on admission to prison will claim they are on it, (also often claim they are on clonazepam!) or will inflate the dose they are actually on. Always necessary to confirm with GP before blindly prescribing
 
Posts: 15 | Location: Northern | Registered: 24 September 2007Reply With QuoteReport This Post
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gabapentin has become a major drug of abuse in the prisons - usually requested as a form of analgesia for musculoskeletal pain.
 
Posts: 179 | Location: Leeds | Registered: 22 March 2006Reply With QuoteReport This Post
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None of my mainstream colleagues are aware of this. Nor was I until very recently. As the SMMGP is sort of an offshoot of the RCGP, should the RCGP be involved in notification of their members? There are, of course, other methods to inform GPs but who actually gets this started?
 
Posts: 72 | Location: Bradford, UK | Registered: 13 November 2007Reply With QuoteReport This Post
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It's certainly well known that it's being abused across the prison estate. It's an interesting point that there is little awareness of the issue amongst GPs at large. I hadn't given it much thought up to now.

I'm not sure that the RCGP would get involved through any direct notifications. But perhaps an article for RCGP news or one of the rags might be an option to help disseminate info.
 
Posts: 13 | Location: N Lancs | Registered: 22 March 2009Reply With QuoteReport This Post
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Don't forget to fill out yellow cards, the drug company has no data on this surprisingly.
 
Posts: 2564 | Location: Barnsley Yorkshire | Registered: 01 June 2004Reply With QuoteReport This Post
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Hmm, yes. One could imagine that a line or two in the BNF (if there is sufficient concern) would be just about the best way to get a message over.
 
Posts: 13 | Location: N Lancs | Registered: 22 March 2009Reply With QuoteReport This Post
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This is a really good point as quite often i hear about medication being sold and want to know the misuse potential, ie the effects on somebody who doesn't actually need the medication, this surprisingly is quite difficult to find.
 
Posts: 30 | Location: west midlands | Registered: 09 August 2009Reply With QuoteReport This Post
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outreach workers and needle exchange workers are often quite good on this sort of thing
 
Posts: 555 | Location: Hebden Bridge | Registered: 02 May 2007Reply With QuoteReport This Post
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I have recently been taking gabapentin for nerve pain ( brachial neuritis ) and can vouch for both its slightly "spaced out" effects and its efficacy at relieving a pretty unpleasant and constant nerve pain. Nothing else worked, though I stopped short of trying Subutex patches. Everyone I work with knows how highly I rate it !
My GP was aware of its effect on mood and told me to start low and increase it slowly - he was also aware of the potential for misuse. It is prescribed for various nerve pains eg shingles, trapped nerves, cancer-related pains involving nerves, probably because it can work very well, but I haven't heard of it being recommended for musculoskeletal pain.
As some people need pretty high doses the amounts prescribed can be large. I wonder if it can add to risk of DRD if mixed w sedatives, or is it not a resp depressant ?
An article on this relatively new drug would be really useful as we also see increasing numbers of people on it who have been in prison with back pain ? trapped nerves, and prostatitis too. It ties in with managing pain and substance / analgesic / OTC med misuse, which I notice is being covered at this years RCGP conference. Guess we need a firm diagnosis and monitoring of dose - effect, and joint working with physicians / pain specialists / GP's / physio's - even psychologists if clients will engage. Are there any Nurse Specialists in pain management yet ? They might have an in -depth but holistic approach ....
 
Posts: 246 | Location: West Yorks | Registered: 28 May 2006Reply With QuoteReport This Post
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folks just on the point of letting RCGP etc know, there's the training in York run by RCGP/NTA on presrcribed and OTC meds abuse. I'm doing a bit on abuse in prisons with Susi Harris and Chris Ford contributing from community perspective so yes we'll get the news out and if successful no doubt run again..
 
Posts: 179 | Location: Leeds | Registered: 22 March 2006Reply With QuoteReport This Post
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RCGP Secure environments group has started to look at this on a formal basis.
It remains a significant problem in prisons, generally though, from my experience, it is a medication offenders come in on. Sometime large doses for pain syndromes diagnosed and managed by neurologists or pain specialists. The balance between appropriate use and it's potential for diversion is difficult.
 
Posts: 7 | Location: North West | Registered: 06 February 2010Reply With QuoteReport This Post
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Presumably the same issue as regards pregabalin? Big Pharma are pushing the latter, so no doubt anybody prescribing the former will be considered desperately old-fashioned and a "bad doctor" very soon.
 
Posts: 72 | Location: Bradford, UK | Registered: 13 November 2007Reply With QuoteReport This Post
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is anyone aware if we have any studies yet on longterm effects of overuse of these 2 drugs?
 
Posts: 184 | Location: Harrogate | Registered: 04 March 2003Reply With QuoteReport This Post
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just opened the bmj and seen a ref to a Lancet study implicating gabapentin in suicide risk. orig study in JAMA2010;303:1401-9.
 
Posts: 184 | Location: Harrogate | Registered: 04 March 2003Reply With QuoteReport This Post
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Absolutely right. Pregabalin is the preferred species in N I prisons.

quote:
Originally posted by Jim Newmark:
Presumably the same issue as regards pregabalin? Big Pharma are pushing the latter, so no doubt anybody prescribing the former will be considered desperately old-fashioned and a "bad doctor" very soon.
 
Posts: 13 | Location: Belfast | Registered: 12 February 2004Reply With QuoteReport This Post
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