Concurrent benzodiazepine use is associated with increased risk of opioid-related overdose, with the risk highest on the first days of concurrent use, according to a study published June in JAMA Network Open.
Inmaculada Hernandez, Pharm.D., Ph.D., from the University of Pittsburgh, and colleagues conducted a retrospective cohort study of Medicare Part D claims data to examine the exposure-response association between the days with concurrent prescription opioid and benzodiazepine use and the risk of overdose. Participants were classified according to whether they had opioids and benzodiazepines supplied on the day before overdose or censoring event; a total of 50,583 participants only had a supply of opioids and 20,665 had supplies of opioids and benzodiazepines.
“The implementation of policies deterring concurrent opioid and benzodiazepine use is warranted,” the authors write. “Patients using both medications should be closely monitored, particularly during the first days of concurrent use.”