Why is sodium oxybate (GHB) tightly regulated in narcolepsy treatment?

• A. Potential for abuse.
• B. It cures narcolepsy.
• C. It is an over-the-counter supplement.
• D. It has no safety concerns.

Answer: (B)

GHB is tightly regulated because of its abuse potential and safety concerns. While sodium oxybate can effectively help with narcolepsy symptoms when used under medical supervision, the drug is a potent central nervous system depressant with a history of misuse and diversion. It can cause serious adverse effects, including respiratory depression, coma, and death, and it has a risk of dependence and withdrawal. To prevent misuse and ensure safe, monitored use, it’s available only through strict programs and prescription controls, with careful dosing, patient selection, and follow-up. This regulation reflects safety and abuse prevention, not a claim that it cures narcolepsy or that it’s an over-the-counter product.