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Inappropriate Preoperative Gabapentinoid Use Among Patients With Carpal Tunnel Syndrome

  • 6% of patients are prescribed a gabapentinoid prior to surgery
  • Of the patients with preoperative gabapentinoid use, 24% had prolonged gabapentinoid use and 20% of the preoperative gabapentinoid users also filled opioid prescriptions at 91 to 180 days after carpal tunnel release
  • Given the effectiveness of surgical release and the risks associated with gabapentinoids, greater attention is needed to ensure that gabapentinoids are prescribed appropriately, avoided when possible, and stopped after surgery.


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Billig JI, Sears ED, Gunaseelan V, et al. Inappropriate Preoperative Gabapentinoid Use Among Patients With Carpal Tunnel Syndrome. J Hand Surg Am. 2020;45(8):677-689.e5. doi:10.1016/j.jhsa.2020.04.011