“成瘾永远只是冰山一角”，为了“不用面对现实”，他们开始滥用普瑞巴林

Core Viewpoint - The article highlights the rising trend of pregabalin abuse in China, particularly among youth, as a substitute for previously abused substances like dextromethorphan, raising concerns about its potential for addiction and the need for monitoring [2][23][26]. Group 1: Case Studies and Trends - Lin Ke, a clinical medicine student, experienced severe side effects and hospitalizations due to pregabalin abuse, indicating a growing issue of dependency among users [1][3][4]. - Reports of pregabalin abuse have emerged in China, with cases documenting dependency and severe withdrawal symptoms, suggesting a shift in drug abuse patterns following the regulation of dextromethorphan [2][27][28]. - Pregabalin has become a popular choice for drug abusers due to its accessibility and perceived safety compared to other controlled substances [18][22]. Group 2: Medical and Clinical Insights - Pregabalin is primarily used to treat epilepsy, neuropathic pain, and generalized anxiety disorder, but its misuse for non-medical purposes is becoming increasingly common [9][10]. - Clinical observations indicate that the misuse of pregabalin is particularly prevalent among adolescents and young adults, often linked to emotional distress and social difficulties [19][22]. - The medical community is beginning to recognize the addiction potential of pregabalin, with some doctors expressing surprise at the emerging cases of dependency [29][30]. Group 3: Regulatory and Monitoring Concerns - There is an ongoing debate about whether pregabalin should be classified as a controlled substance, with concerns that strict regulations could lead to increased use of more dangerous alternatives [31][32]. - The article notes that while pregabalin is currently managed as a prescription drug, there is a lack of comprehensive monitoring and regulation, which could exacerbate the issue of abuse [25][36]. - The rise in pregabalin abuse has prompted some local regulatory bodies to initiate special inspections, indicating a growing awareness of the problem [35].