Abstract:
:Gabapentin, a GABA analogue, is a nonopioid prescribed for seizure control and neuralgic pain. Its abuse for recreational purposes has been increasing in recent years as the number of prescriptions also increases. In our series, we review 104 cases of decedents who tested positive for gabapentin in postmortem blood samples and an additional 53 nonfatal cases of motor vehicle drivers suspected of driving under the influence. In 47.1% of the fatality cases, gabapentin was directly involved in death. Most gabapentin fatalities had several other intoxicants present (opioids, over-the-counter medications, antianxiety, and antidepressant medications). In cases in which gabapentin was determined to be a cause of death, the blood concentrations ranged from 1.1 to 134.0 mg/L. Persons who died of a gabapentin-related drug death were prescribed the drug legitimately 91.4% of the time, with 84.2% of those also having a known prior history of abuse or misuse of prescription medications.
journal_name
J Forensic Scijournal_title
Journal of forensic sciencesauthors
Tharp AM,Hobron K,Wright Tdoi
10.1111/1556-4029.14021subject
Has Abstractpub_date
2019-07-01 00:00:00pages
1105-1111issue
4eissn
0022-1198issn
1556-4029journal_volume
64pub_type
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