Hernandez, Inmaculada and He, Meiqi and Brooks, Maria M (2018) Exposure-response association between concurrent opioid and benzodiazepine use and risk of opioid-related overdose in Medicare part D beneficiaries. JAMA Network Open, 1, (2), 10.1001/jamanetworkopen.2018.0919.
External website: https://jamanetwork.com/journals/jamanetworkopen/f...
Question: How does the risk of overdose change with the number of days with concurrent opioid and benzodiazepine use?
Findings: In this cohort study of US Medicare data, the overdose risk associated with concurrent benzodiazepine use changed over time. Concurrent benzodiazepine use was associated with a 5-fold increase in the risk of opioid-related overdose during the initial 90 days and an increase of 1.87 times on days 91 to 180.
Meaning: Policy interventions should focus on preventing concurrent opioid and benzodiazepine use in the first place instead of reducing the length of concurrent use. Patients using both medications should be closely monitored, particularly during the first days of concurrent use.
B Substances > Opioids (opiates)
B Substances > New (novel) psychoactive substances > Benzodiazepines
G Health and disease > Substance use disorder (addiction) > Multiple substance use (Poly-drug /Poly-substance)
G Health and disease > Substance use disorder (addiction) > Drug use disorder > Drug intoxication > Poisoning (overdose)
P Demography, epidemiology, and history > Population dynamics > Substance related mortality / death
VA Geographic area > United States
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