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If you aren’t on this medication, chances are you know someone who is. It’s used to treat everything from pain to mood disorders and can be just what the doctor ordered for many.But now, there is mounting research uncovering misuse of and even a black market for this popular prescription.We’re talking about gabapentin. It’s approved for some types of seizures and nerve pain.Doctors also use it off-label to treat everything from insomnia to migraines to anxiety. Sixty-four million prescriptions of it were sold in the U.S. in 2016, up more than 60 percent from four years earlier.The thing is, experts say there is growing evidence it’s being abused, too. It’s even being sold on the streets under the name “Johnnys.” Dr. Joseph Insler, an addiction psychiatrist, says he’s seeing it all too often.“Sometimes, I've even experienced patients ask me for their “Johnnys” and then they'll, maybe, catch themselves and say, ‘No, no, no. I mean gabapentin',” he says.Why is this prescription being misused?“I think that some individuals may say that they use it to get high, and others may say they use it and get a drowsy effect. So, we're talking about the euphoria versus sedation, “ says Rachel Vickers Smith, Ph.D.Dr Vickers Smith wrote her dissertation on gabapentin abuse when studying drug abusers in Appalachia.“We found a nearly 3000 percent increase from 2008 to about 2014 in individuals reporting gabapentin abuse for the purposes of getting high,” she says.We wanted to see for ourselves, so we searched online. We easily found people talking about taking “Johnnys”, or gabapentin, to get high. There were also threads of people trying to spread awareness about the abuse.Experts say gabapentin is typically misused by substance abusers who mix it with other drugs.But, Dr. Insler says it’s also possible for people with legitimate prescriptions to misuse, too.He says, “If somebody’s taking excessively high doses or needing early refills” or if their mood changes, family members or clinicians should see these signs as red flags.A growing body of research shows the problem of abuse, especially among substance abusers is clear. But some experts also worry about the number of prescriptions being handed out.A recent New England Journal of Medicine letter warned that “clinicians who are desperate for alternatives to opioids” are “increasingly prescribing gabapentin” and that “evidence suggests that some patients misuse, abuse or divert gabapentin.”Dr Rachel Vickers Smith says, “ I think that's why it's really important to get out the message,” about abuse, in general.Gabapentin is not a controlled substance or scheduled drug on the Federal level.We reached out to several government agencies. There was little information on potential abuse although the National Institute on Drug Abuse pointed us to existing research and the DEA says it is beginning to receive calls.Dr Vickers Smith says, “ I don't think that gabapentin abuse is on the CDC, DEA’s, NIDA’s radar, in part because we had this opioid epidemic.”All experts we talked to stress that this is NOT the next opioid epidemic, but they believe gabapentin abuse is something to watch closely and believe more research is needed.We contacted two of the manufacturers of gabapentin, including Pfizer, which told us, “Gabapentin is an important treatment option for their approved indications”. 3416
If you've ever wanted to eat Shaq's favorite pizza, Papa John's is now giving you the chance to do so.Papa John's and Shaquille O'Neal unveiled the Shaq-a-Roni pizza on Monday, which is an extra-large pepperoni pizza that will be cut into Papa John’s largest slice size to-date.“We’re excited to combine all the best ingredients for coming together in support of our neighbors - a Shaq-sized pizza, topped with extra ingredients, with a donation from every purchase going back into our communities," said Rob Lynch, President, and CEO of Papa John’s in a press release.O'Neal also announced that for every pizza sold, the company would donate to The Papa John’s Foundation for Building Community.“It was important to me for the Shaq-a-Roni to be bigger than just pizza. By giving my new pie a try, one dollar will be donated to The Papa John’s Foundation for Building Community to support COVID-19 relief, the fight against racial injustice, Boys & Girls Clubs of America, UNCF (United Negro College Fund) and general community involvement,” said Shaquille O’Neal, Papa John’s Board Member and franchise owner in a press release.The company said they would donations for every Shaq-a-Roni sold will end August 23. 1228

IMPERIAL BEACH, Calif. — A suspected drunk driver nearly hit several beach-goers Sunday before his SUV ended up in the ocean.The driver, identified as 50-year-old Jorge Mosti, was driving in the 1600 block of Seacoast Dr. just after 6:30 p.m. local time when witnesses say his SUV left the roadway and went onto the beach, according to San Diego Sheriff's Department.As he continued onto the beach, SDSO said Mosti nearly hit several people as he drove about a mile down the beach. His vehicle came eventually came to a stop when it partially submerged in the ocean.Mosti reportedly then jumped out of the vehicle and started walking toward Tijuana, Mexico. He made it about half a mile before deputies caught up to him. Deputies said Mosti was holding an open beer can as they took him into custody.Imperial Beach Lifeguards also responded to help pull the SUV from the water.Witnesses at the beach identified Mosti in a curbside lineup, SDSO said. He was arrested on charges of reckless driving and driving under the influence of alcohol. 1078
In a press conference on Tuesday, Iowa Governor Kim Reynolds said the driver who hit the Black Lives Matter protester while driving her away from an event "acted appropriately." 185
Imagine Kevin James as Frank Underwood on "House of Cards."There is an online petition suggesting just that -- believe it or not -- and as of Tuesday, nearly 30,000 people have signed on to endorse the idea."Losing a great show is hard, no matter the circumstances," the petition reads. "However with hardship comes the opportunity for a great show to become one of the greatest television shows of all time. I think Kevin James can elevate 'House of Cards' to a globally adored franchise like 'Game of Thrones' and make the entire world focus on one of the most important Netflix original series there is."It's doubtful one Kevin will replace the other, but let's not pretend that television hasn't pulled big swaps before.Here are a few examples:Donna's death on "Kevin Can Wait"James is currently starring in the CBS sitcom "Kevin Can Wait," which recently killed off his character's wife, played by Erinn Hayes.Now, killing off a character is not out of the ordinary, but the show managed to make this particular plot twist especially awkward.Some "Kevin Can Wait" viewers complained that series treated the character's death too lightly, making a joke about her gym sending a postcard saying she was missed.James's character tells his daughter not to toss the card because "on the bottom, there's a coupon for a Kung-Fu lesson. I want to go there."James's former "King of Queens" costar, Leah Remini, was added to the cast, effectively making the show feel like "King of Queens 2.0."Original vs. new Becky on "Roseanne"Fans still like to argue over who was the better Becky on the hit 1990s sitcom "Roseanne."Actress Lecy Goranson played the eldest Conner child for the first five seasons, before leaving to go to college.Sarah Chalke was then recast in the role for Season 6, which some viewers didn't love.Goranson tried to work with the show -- reprising her role in Season 8 -- but ultimately Chalke became Becky full time.The whole thing turned into a running gag on "Rosanne," which would sometimes include jokes about the missing Goranson.The forthcoming "Roseanne" revival is set to have Goranson back as Becky and Chalke in another role.What happened to Judy on "Family Matters?"Judy Winslow went upstairs to her room one day and was never seen or heard from again.At least that's how fans of ABC's "Family Matters" felt like it all went down.The sitcom, which ran from 1989 to 1997, made the character Steve Urkle famous. But it was the disappearance of young Judy after four seasons that many viewers still talk about.Jaimee Foxworth, the actress who portrayed Judy, is now 37."The producers felt that they could do it [disappear her character] and no one would notice," Foxworth recently told The Root "They'd done it with previous shows they had," she said. "They figured no one would really care. My fans took notice of it."A tale of two Morgan Matthews on "Boy Meets World""Boy Meets World" thought they could pull one over on us when they swapped out actress Lily Nicksay, who played the scene-stealing sister Morgan, for actress Lindsay Ridgeway. Well, the second Morgan became forever known as "the other Morgan."Disney gave the 1990s show a bit of a reboot in 2014 with "Girl Meets World," which at the end of Season 3 brought both actresses back for the finale.It got ugly with Aunt Viv on "Fresh Prince of Bel Air"The original Aunt Viv, Janet Hubert, was beloved by fans for the first three seasons of the series which debuted in 1990.But the actress departed the NBC sitcom in 1993, and cast Daphne Maxwell Reid to play rapper Will Smith's aunt.In 2013, Hubert told "The Insider" that Smith fired her."He said 'We're just going to replace her and act like nothing happened," Hubert said at the time. "Well, honey, that is not what happened is it?"For his part, Smith reportedly said in a 1993 radio interview that he expected Hubert's anger."I can say straight up that Janet Hubert wanted the show to be 'The Aunt Viv of Bel Air Show,' because I know she is going to dog me in the press," he said. "She has basically gone from a quarter of a million dollars a year to nothing. She's mad now, but she's been mad all along."The-CNN-Wire 4169
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