Beaudoin Lab

Brown University

PUBLIC HEALTH & PREV MEDICINE

Providence · United States

NIH-funded
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NIH R01 · 2025

Optimizing methadone treatment strategies for opioid use disorder in the era of fentanyl

PROJECT SUMMARY Treatment with medications for opioid use disorder is a critical intervention with proven effectiveness for improving morbidity, mortality and quality of life, yet only a minority of patients with an opioid use disorder are engaged in treatment and ongoing use of fentanyl during treatment is common. Current methadone treatment protocols were developed and validated based on studies performed in populations with heroin use, with a focus on diversion prevention and minimizing overdose risk. A deadlier drug supply dominated by fentanyl has altered this risk-benefit assessment and evidence-based updates are urgently needed. Challenges of methadone initiation and maintenance in…

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