Evidence map›Paper›PMID 42155429›Full record

ArticleDrug and alcohol dependence2026

Impact of schedule V controlled substance classification of gabapentin on adult gabapentin-involved overdose rates, West Virginia, 2016-2019: A controlled time series analysis.

Katherine Gora Combs, Juan M Hincapie-Castillo, Nabarun Dasgupta, Rachel Vickers-Smith, Alan Kinlaw, Gordon S Smith, Stephen W Marshall

Abstract read
In one paragraph

Article in Drug and alcohol dependence, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Katherine Gora CombsDepartment of Epidemiology, UNC Gillings School of Global Public Health, 135 Dauer Drive, 2101 McGavran-Greenberg Hall, CB #7435, Chapel Hill, NC 27599-7435, USA; UNC Injury Prevention Research Center, 725 Martin Luther King Jr. Blvd, CB# 7505, Chapel Hill, NC 27599-7505, USA. Electronic address: kgoracombs@unc.edu.
Juan M Hincapie-CastilloDepartment of Epidemiology, UNC Gillings School of Global Public Health, 135 Dauer Drive, 2101 McGavran-Greenberg Hall, CB #7435, Chapel Hill, NC 27599-7435, USA; UNC Injury Prevention Research Center, 725 Martin Luther King Jr. Blvd, CB# 7505, Chapel Hill, NC 27599-7505, USA.
Nabarun DasguptaUNC Injury Prevention Research Center, 725 Martin Luther King Jr. Blvd, CB# 7505, Chapel Hill, NC 27599-7505, USA.
Rachel Vickers-SmithDepartment of Epidemiology and Environmental Health, UK College of Public Health, 111 Washington Avenue, Lexington, KY 40536, USA.
Alan KinlawDivision of Pharmaceutical Outcomes and Policy, UNC Eshelman School of Pharmacy, 301 Pharmacy Lane, CB #7355, Chapel Hill, NC 27599-7355, USA.
Gordon S SmithDepartment of Epidemiology and Biostatistics, WVU School of Public Health, One Medical Center Drive, P.O. Box 9190, Morgantown, WV 26506-9190, USA.
Stephen W MarshallDepartment of Epidemiology, UNC Gillings School of Global Public Health, 135 Dauer Drive, 2101 McGavran-Greenberg Hall, CB #7435, Chapel Hill, NC 27599-7435, USA; UNC Injury Prevention Research Center, 725 Martin Luther King Jr. Blvd, CB# 7505, Chapel Hill, NC 27599-7505, USA.

Funding

Impact of state-level gabapentin schedule V controlled substance classification on utilization and fatal overdoseR36DA062854 · NIDA · UNIV OF NORTH CAROLINA CHAPEL HILL · PI GORA COMBS, KATHERINE NICOLE · 2025 to 2025
$54k
NIDA NIH HHS R36 DA062854
6 · The paper itself

Abstract

objectiveAssess the association between West Virginia's classification of gabapentin as a schedule V controlled substance and fatal overdoses involving gabapentin, relative to a control state.

methodsUsing a controlled interrupted time series design, we modeled a segmented linear regression using Newey-West standard errors to estimate the immediate and trend changes in gabapentin-involved fatal overdoses among adults in West Virginia associated with gabapentin's scheduling in June 2018. Data from North Carolina (no gabapentin scheduling) was used as a control to account for potential secular changes. Quarterly rates were computed from 2016 to 2019.

resultsThe introduction of West Virginia's policy was associated with an immediate decrease in the rate of gabapentin-involved fatal overdoses (drop of 0.39 overdoses per 100,000 adults) in West Virginia relative to North Carolina (95% CI: -0.75, -0.03). There was no evidence to suggest a change in trend relative to North Carolina (0.02 overdoses per 100,000 adults per quarter; 95% CI: -0.06, 0.10).

conclusionsClassifying gabapentin as a schedule V controlled substance was associated with an immediate decrease in the rate of gabapentin-involved fatal overdoses in West Virginia, relative to North Carolina. POLICY IMPLICATIONS: Combined with broader efforts to address overdose deaths, scheduling gabapentin is a potential supply-side intervention that may contribute to reductions in gabapentin involvement in fatal overdoses.

Indexed as

Drug OverdoseGabapentinAdultFemaleHumansInterrupted Time Series AnalysisNorth CarolinaWest VirginiaGabapentinControlled substanceGabapentinOverdoseToxicology

Identifiers

PMID42155429
PMCPMC13233091

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.