GLP-1 receptor agonists tied to lower SUD risk: Study

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GLP-1 receptor agonists were associated with reduced risk of alcohol, cannabis, cocaine, nicotine and opioid use disorders, as well as other substance use disorders, suggesting potential prevention effects across a broad range of substances, according to a study published March 4 in The BMJ.

Researchers from the VA St. Louis Health Care System and Washington University in St. Louis analyzed EHR data from 606,434 veterans over up to three years, comparing GLP-1 receptor agonists with SGLT-2 inhibitors. Seven trials were included for each incident SUD outcome, and one trial was included for adverse outcomes in individuals with preexisting substance use disorder. 

Previous observational studies have linked GLP-1 receptor agonist use to lower risk of incident and recurrent alcohol, tobacco and cannabis use disorders. 

Here are three things to know:

  1. Patients taking GLP-1 receptor agonists had a lower risk of the composite outcome for all substance use disorders.
  1. Among patients with preexisting substance use disorder, GLP-1 receptor agonists were associated with lower risk of emergency department visits, hospitalization admission and mortality. 
  1. Use of GLP-1 receptor agonists was associated with lower risks of drug overdose and suicidal ideation or attempts. 

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