Treatment of Generalized Anxiety Disorder with Gabapentin

Gabapentin is frequently used in the treatment of anxiety disorders. However, there are no randomized controlled trials on the effectiveness of this medication in generalized anxiety disorder (GAD), and there are only a few case reports. We present a case of a 59-year-old female with a psychiatric h...

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Main Authors: Matej Markota, Robert J. Morgan
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Case Reports in Psychiatry
Online Access:http://dx.doi.org/10.1155/2017/6045017
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author Matej Markota
Robert J. Morgan
author_facet Matej Markota
Robert J. Morgan
author_sort Matej Markota
collection DOAJ
description Gabapentin is frequently used in the treatment of anxiety disorders. However, there are no randomized controlled trials on the effectiveness of this medication in generalized anxiety disorder (GAD), and there are only a few case reports. We present a case of a 59-year-old female with a psychiatric history of GAD. The patient discontinued benzodiazepines after more than 7 years of daily treatment which led to rebound anxiety, benzodiazepine withdrawal symptoms, and suicidal ideation. She was psychiatrically hospitalized and started on gabapentin. Over the next 10 months of outpatient follow-up, she attempted to taper off gabapentin due to personal preference to limit medications. During this time, we observed a clear dose-response pattern of gabapentin on GAD symptoms. In the absence of controlled studies, these findings may offer important information about the effectiveness of gabapentin in GAD.
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spelling doaj-art-9a2f5dc1b8dc4c46bb60d92e111581032025-02-03T01:12:19ZengWileyCase Reports in Psychiatry2090-682X2090-68382017-01-01201710.1155/2017/60450176045017Treatment of Generalized Anxiety Disorder with GabapentinMatej Markota0Robert J. Morgan1Department of Psychiatry and Psychology, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USADepartment of Psychiatry and Psychology, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USAGabapentin is frequently used in the treatment of anxiety disorders. However, there are no randomized controlled trials on the effectiveness of this medication in generalized anxiety disorder (GAD), and there are only a few case reports. We present a case of a 59-year-old female with a psychiatric history of GAD. The patient discontinued benzodiazepines after more than 7 years of daily treatment which led to rebound anxiety, benzodiazepine withdrawal symptoms, and suicidal ideation. She was psychiatrically hospitalized and started on gabapentin. Over the next 10 months of outpatient follow-up, she attempted to taper off gabapentin due to personal preference to limit medications. During this time, we observed a clear dose-response pattern of gabapentin on GAD symptoms. In the absence of controlled studies, these findings may offer important information about the effectiveness of gabapentin in GAD.http://dx.doi.org/10.1155/2017/6045017
spellingShingle Matej Markota
Robert J. Morgan
Treatment of Generalized Anxiety Disorder with Gabapentin
Case Reports in Psychiatry
title Treatment of Generalized Anxiety Disorder with Gabapentin
title_full Treatment of Generalized Anxiety Disorder with Gabapentin
title_fullStr Treatment of Generalized Anxiety Disorder with Gabapentin
title_full_unstemmed Treatment of Generalized Anxiety Disorder with Gabapentin
title_short Treatment of Generalized Anxiety Disorder with Gabapentin
title_sort treatment of generalized anxiety disorder with gabapentin
url http://dx.doi.org/10.1155/2017/6045017
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AT robertjmorgan treatmentofgeneralizedanxietydisorderwithgabapentin