Detox Los Angeles logo
Login

Prescribed gabapentin for years. Am I dependent or addicted?

Posted by harborlight3387 on August 10, 2026

Original post

I've been on gabapentin for almost 4 years for nerve pain, and along the way it also became something I lean on for anxiety. My dose has crept up a couple of times because it stopped working as well, and if I forget an evening dose I get this crawling, anxious feeling until I take it. I've never taken more than what's prescribed, but I'm starting to wonder if that even matters. Is this dependence, addiction, or is there really a difference at this point?

2 replies

  • mapleridge771
    I had a similar wake up call after my dose had quietly doubled over a couple of years. For me the addiction question came down to whether I was using it only as prescribed or finding reasons to take extra, and honestly for a while I was doing the second one on bad pain days. If that's not you, it sounds more like dependence, which is still serious but usually means working with a doctor on a supervised taper rather than needing a full addiction treatment program. Either way, bringing it up with your prescriber now is going to make whatever comes next a lot safer than waiting.
  • coppercreek9204Marked as the answer
    What you're describing sounds like physical dependence rather than addiction. You're taking it as prescribed, and the issue is your body needing it just to feel normal, not a compulsive drive to use more than directed. Gabapentin dependence is real and can come with rebound anxiety and even seizure risk if it's stopped abruptly after years of higher doses, so this isn't something to handle by cutting back on your own. I brought exactly what you described to my prescriber, the tolerance, the crawling anxious feeling, all of it, and we worked out a gradual, medically supervised reduction plan together. That conversation alone took a lot of the fear out of it for me.

Add your reply

Peer support only, not medical advice. Crisis posts are reviewed first.

In crisis? Tap for 988, LA County helpline, and 911
  • 988 988 Suicide & Crisis LifelineCall or text, 24/7, free and confidential.
  • 1-844-804-7500 LA County Substance Use Helpline24/7 referrals to Los Angeles County treatment and detox.
  • 911 Emergency servicesCall for seizures, unresponsiveness, chest pain, or suspected overdose.
  • Alcohol and benzodiazepine withdrawal can cause seizures. Do not stop either one alone without medical supervision.