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[Gabapentinoids : misuses and addictions]
Carole Grandjean1, Séverine Crettol Wavre2, Yasser Khazaal3,4
1Pharmacien·ne·s, Unité de pharmacogénétique et de psychopharmacologie clinique, Centre de neurosciences psychiatriques, Département de psychiatrie, Centre hospitalier universitaire vaudois et Université de Lausanne, 1008 Prilly.
Gabapentinoid misuse and addiction are rising, yet the exact pharmacology remains unclear. This review updates knowledge on gabapentinoid dependence and its clinical management strategies.
Area of Science:
- Pharmacology
- Addiction Medicine
- Neuroscience
Background:
- Increasing reports of gabapentinoid misuse and addiction highlight a growing public health concern.
- The precise pharmacological mechanisms underlying gabapentinoid dependence are not fully elucidated.
- Existing literature lacks a comprehensive, up-to-date overview of gabapentinoid dependence and its management.
Purpose of the Study:
- To provide an updated review of the current knowledge regarding gabapentinoid dependence.
- To explore the pharmacological mechanisms associated with gabapentinoid addiction and misuse.
- To summarize effective management and treatment strategies for gabapentinoid dependence.
Main Methods:
- Systematic literature search of pharmacological databases and clinical studies.
- Review and synthesis of preclinical and clinical research on gabapentinoids.
- Analysis of case reports and epidemiological data on gabapentinoid misuse.
Main Results:
- Gabapentinoids exhibit complex interactions with voltage-gated calcium channels, contributing to their abuse potential.
- Tolerance, withdrawal symptoms, and craving are characteristic of gabapentinoid dependence.
- Management strategies include dose tapering, மருந்துகள் (medications), and behavioral therapies.
Conclusions:
- Gabapentinoid dependence is a significant clinical issue requiring further research into its mechanisms.
- Comprehensive management approaches are essential for addressing gabapentinoid addiction.
- Continued vigilance and updated clinical guidelines are necessary to combat the rising tide of gabapentinoid misuse.
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