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Patients with opioid use disorder have an increased risk of experiencing an overdose event. While medication for opioid use disorder (MOUD) treatment decreases overdose risks, a quantitative assessment of overdose risk is not presently available. Adverse events including both fatal and non-fatal overdose events are surveyed in pragmatic clinical trials, allowing a more precise estimate of risk of overdose events during MOUD treatment. Our data, drawn from three previously completed clinical trials, indicate that patients undergoing MOUD treatment have a non-negligible risk of overdose events in the first 24 weeks of treatment (39/2199, 1.78%). Overdose risk is higher among those who fail to initiate or discontinue medication, and/or report benzodiazepine use at baseline.

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This page is a summary of: Risk of Experiencing an Overdose Event for Patients Undergoing Treatment With Medication for Opioid Use Disorder, American Journal of Psychiatry, May 2023, American Psychiatric Association,
DOI: 10.1176/appi.ajp.20220312.
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