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Gabapentin misuse and dependence risk — GPhC CRA MCQ

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ModerateCNS TherapeuticsGabapentin misuse and dependence riskGPhC CRA

A patient requests an early supply of gabapentin 300 mg capsules, saying he lost the previous box twice this month. The prescription is not yet due and the prescriber is closed. What is the most appropriate action?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: B — Assess the request carefully and contact the prescriber before supply where possible

Gabapentin is a controlled drug in Schedule 3 and has recognised misuse and dependence risks. Repeated early requests require professional judgement, documentation and liaison with the prescriber where possible. Emergency supply rules and clinical appropriateness still need to be satisfied. Substitution with another neuropathic pain medicine is not a pharmacist-led equivalent switch.

Reference: https://www.pharmacyregulation.org/students-and-trainees/pharmacist-education-and-training/registration-assessment