The dangers of gabapentin: What you need to know

May 13, 2021
Drs. Tom Viola and Pamela Maragliano-Muniz discuss the contraindications of gabapentin, what to be cautious about with the anesthetics we use in dentistry, and three questions to ask your patients.

About three years ago, Dr. Tom Viola wrote an article for DentistryIQ titled, “Gabapentin: The most dangerous drug in America?” Is it indeed the most dangerous drug, and if so, why?

The way gabapentin is misused—or misprescribed—can be a significant problem. It originally started out as a drug to treat epilepsy. Later, its nerve blockade was found to be useful for neuropathic and chronic pain. But gabapentin has its limits as an analgesic.

What other medications would you prescribe along with gabapentin? What is the appropriate dose, and how much is too much?

In this episode of Medical History Mysteries, Drs. Tom Viola and Pamela Maragliano-Muniz discuss the contraindications of gabapentin, what to be cautious about with the anesthetics we use in dentistry, what the FDA says about pain relievers, and the three questions you should ask your patients at every visit.

Editor’s note: This article first appeared in Through the Loupes newsletter, a publication of the Endeavor Business Media Dental Group. Read more articles and subscribe to Through the Loupes.

About the Author

Pamela Maragliano-Muniz, DMD

Pamela Maragliano-Muniz, DMD, is the chief editor of DentistryIQ and editorial co-director of Through the Loupes. Based in Salem, Massachusetts, Dr. Maragliano-Muniz began her clinical career as a dental hygienist. She went on to attend Tufts University School of Dental Medicine, where she earned her doctorate in dental medicine. She then attended the University of California, Los Angeles, School of Dental Medicine, where she became board-certified in prosthodontics. Dr. Maragliano-Muniz owns a private practice, Salem Dental Arts, and lectures on a variety of clinical topics. You may contact her at [email protected].

Related:

Pamela Maragliano-Muniz, DMD, named chief editor of DentistryIQ

About the Author

Tom Viola, RPh, CCP

With more than 30 years’ experience as a board-certified pharmacist, clinical educator, professional speaker, and published author, Tom Viola, RPh, CCP, has earned the reputation as the go-to specialist for making pharmacology practical and useful for dental teams. He is the founder of Pharmacology Declassified and is a member of the faculty of more than 10 dental professional degree programs. Viola has contributed to several professional journals and pharmacology textbooks, and currently serves as a consultant to the American Dental Association’s Council on Scientific Affairs.