Gabapentin Misuse: The Hidden Prescription Epidemic Sweeping California

6 min read

For years, gabapentin (brand name Neurontin) was viewed as a relatively low-risk prescription medication for nerve pain and seizures. But in recent years, clinicians and public health officials have raised alarms about gabapentin misuse—especially when it’s combined with opioids, alcohol, or benzodiazepines. In California and across the U.S., this “hidden” trend is showing up in overdose investigations, emergency departments, and treatment programs.

This guide explains what gabapentin is, why misuse is rising, the dangers of combining it with other substances, the signs to watch for, what withdrawal looks like, and how to find effective help in California.


What Is Gabapentin & Why Is It Prescribed?

Gabapentin is an anticonvulsant used for partial seizures and neuropathic pain. Some providers prescribe it off-label for conditions like anxiety, insomnia, or migraines. Because it is not an opioid or benzodiazepine, it has sometimes been assumed to be “safer.” That assumption can lead to nonmedical use—for example, taking higher-than-prescribed doses, combining it with other drugs, or using it without a prescription.

Gabapentin affects the central nervous system (CNS) and can produce sedation or euphoria at high doses in some individuals. On its own, it still carries risks (e.g., dizziness, impaired coordination), but the real danger emerges when gabapentin is used with other depressants.

Why Gabapentin Misuse Is Rising

  • Wide availability & perception of low risk: As prescriptions increased, so did diversion and nonmedical use. Some people assume it’s benign because it’s not a controlled opioid, which can be misleading.
  • Enhancing or “potentiating” other drugs: Individuals may use gabapentin to boost the sedating or euphoric effects of opioids or alcohol, raising overdose risk.
  • Self-managing withdrawal/anxiety: Some try gabapentin to self-treat opioid withdrawal or anxiety outside medical care—often without understanding interactions or proper dosing.
  • Polysubstance patterns: In California, mixed-drug use involving opioids, alcohol, and benzodiazepines is common; gabapentin sometimes becomes part of that pattern.

Federal agencies have issued multiple safety communications about gabapentin’s risks when mixed with other CNS depressants. See the U.S. Food & Drug Administration (FDA) and National Institute on Drug Abuse (NIDA) for ongoing updates and research.

The Deadly Combination: Gabapentin + Opioids or Alcohol

Gabapentin can intensify sedation and slow breathing, especially when combined with opioids or alcohol. This is a critical point in the current overdose landscape, where many fatalities involve more than one substance. Even if a person is taking a medication exactly as prescribed, mixing it with other drugs—intentionally or not—can be dangerous.

Key risks include:

  • Respiratory depression: The combined effect of CNS depressants can lead to dangerously slowed or stopped breathing.
  • Impairment & injury: Dizziness, confusion, and poor coordination increase falls, accidents, and medical complications.
  • Overdose risk: When gabapentin is used with opioids, alcohol, or benzodiazepines, the risk of overdose rises sharply.

In California, where synthetic opioids like fentanyl dominate the supply, unintentional mixing is a persistent concern. People may not realize that adding “just one more” sedating agent increases the risk of respiratory collapse.

Is Gabapentin Addictive?

Gabapentin is not an opioid or a benzo, but people can develop tolerance (needing higher doses for the same effect) and physiological dependence with regular or high-dose use. Some individuals experience withdrawal symptoms when they try to stop, especially after prolonged nonmedical use or abrupt discontinuation.

Signs of Gabapentin Misuse

Each person’s experience is different, but common red flags include:

  • Taking higher doses than prescribed or running out early
  • Using gabapentin without a prescription or with other sedatives
  • Doctor-shopping or borrowing pills
  • Frequent sedation, dizziness, slurred speech, or unsteady gait
  • Memory issues, confusion, or “zoned out” appearance
  • Hiding use, escalating tolerance, or withdrawal symptoms between doses

Gabapentin Withdrawal: What It Can Look Like

Stopping gabapentin abruptly may lead to withdrawal in some people, particularly after high-dose or long-term use. Symptoms can include:

  • Anxiety, restlessness, insomnia
  • Nausea, sweating, headache
  • Irritability, tremors, flu-like feelings

Medical oversight is advised—especially for individuals who are also using opioids, benzodiazepines, or alcohol. A supervised medical detox can monitor symptoms, taper safely when appropriate, and address co-occurring issues.

California Context: Why This Matters Now

California continues to grapple with a complex overdose landscape driven by polysubstance use. As communities increase access to naloxone and expand treatment capacity, attention has turned to overlooked contributors—like gabapentin. For Californians navigating pain, anxiety, or sleep issues, gabapentin can be helpful when used properly. But unsupervised use, diversion, or mixing with other depressants can be catastrophic.

Clinicians, families, and patients in California benefit from understanding:

  • Gabapentin’s interactions with other drugs
  • The importance of clear prescribing and follow-up
  • Early intervention when misuse or dependence appears

How Treatment Works: Compassionate, Evidence-Based Care

Effective care treats the whole person—not just a medication list. At Design for Change Recovery in Lancaster, CA, we build individualized plans that may include:

  • Medical detox for stabilization and safety during withdrawal (learn more)
  • Residential inpatient treatment for 24/7 structure and therapy (see programs)
  • Outpatient rehab as a flexible step-down level of care (how it works)
  • Medication-assisted treatment (MAT) when clinically appropriate for co-occurring opioid or alcohol use disorders (MAT overview)
  • Dual diagnosis support for anxiety, depression, trauma, or insomnia that may drive misuse
  • Family involvement & aftercare to strengthen long-term recovery

Harm Reduction: If Someone Isn’t Ready to Stop

  • Do not mix gabapentin with opioids, alcohol, or benzodiazepines; if mixing occurs, use the smallest amounts and never use alone.
  • Carry naloxone if anyone is using opioids—teach friends/family how to use it.
  • Use a medication lockbox and avoid sharing prescriptions.
  • Talk to a clinician about a safe taper if dependence is present—sudden stops can be difficult.

How to Talk to a Loved One

  1. Choose a calm time and a private setting; speak respectfully and specifically (“I’ve noticed you seem unsteady and very tired lately”).
  2. Share information about risks—especially with alcohol, opioids, or benzos.
  3. Offer options (verify benefits, schedule an assessment, ask about detox) instead of ultimatums.
  4. Set healthy boundaries: support treatment, not misuse.
  5. Get professional guidance if needed—early support can prevent crises.

External Resources & References


FAQ: Gabapentin Misuse in California

Why is gabapentin misuse increasing?

Prescriptions became more common, and some people began using it nonmedically to enhance the effects of opioids or cope with anxiety/withdrawal. Misuse is especially dangerous when combined with other depressants.

Is gabapentin addictive?

It is not an opioid or benzodiazepine, but tolerance, physiological dependence, and withdrawal can occur—particularly with prolonged or high-dose use.

Why is mixing gabapentin with opioids or alcohol risky?

All are CNS depressants. Together they can dangerously slow breathing, increasing overdose risk. If opioids are involved, keep naloxone on hand and avoid using alone.

What does gabapentin withdrawal feel like?

Some people report anxiety, insomnia, nausea, sweating, irritability, and flu-like symptoms. Medical oversight is recommended for tapering and comfort.

Where can I get help in California?

Contact Design for Change Recovery in Lancaster, CA for a confidential assessment. We offer medical detox, residential and outpatient care, and integrated mental health support. Start here: Verify Insurance or Contact Us.

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