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Weight-loss drugs show promise in tackling opioid and alcohol abuse – The Irish Times

Headline: Ozempic Shown to Halve Opioid and Alcohol Abuse Among Users


Ozempic and GLP-1 Drugs: A New Hope in Combating Addiction

Recent research reveals that Ozempic, along with similar GLP-1 (glucagon-like peptide-1) medications, significantly reduces rates of opioid overdose and alcohol intoxication in individuals with addiction histories. This groundbreaking study adds to the growing body of evidence touting the extensive potential of these blockbuster drugs beyond their original purpose of treating obesity and diabetes.

Conducted on a large scale, the analysis reviewed electronic health records for over 500,000 individuals with a history of opioid use disorder. According to findings published in the journal Addiction, more than 8,000 participants who were prescribed GLP-1 drugs had a striking 40% lower rate of opioid overdoses compared to those without a prescription. Equally compelling was the data indicating that over 5,000 participants suffering from alcohol abuse who used GLP-1 medications experienced a 50% reduction in intoxication rates.

Unpacking the Research

The study, released on Thursday, is a vital contribution to the ongoing search for pharmacological solutions targeting addiction, particularly in the United States, where the opioid epidemic is a continuing tragedy. With over 81,000 opioid-related deaths reported in 2023—a 3.7% decrease from the previous year—the urgency for effective treatments remains critical.

Fares Qeadan, an associate professor of biostatistics at Loyola University Chicago and the study’s lead researcher, remarked, “These findings provide significant initial evidence that GLP-1 receptor agonists such as semaglutide are associated with reduced rates of overdose and intoxication in patients with opioid and alcohol use disorders.” However, he also acknowledged the need for randomized controlled trials to establish any causal relationships definitively.

Addressing Substance Abuse vs. Intoxication

While the findings are hopeful, experts like Matt Field, a professor of psychology at Sheffield University, highlight an important nuance. The study primarily examined acute cases of substance intoxication without addressing whether participants actually reduced their overall substance use. “While Ozempic may prevent people from taking so much alcohol or heroin that they overdose and end up in the hospital, it may not necessarily lead to complete abstinence," Field cautioned.

Understanding the GLP-1 Mechanism

The mechanism through which GLP-1 medications like Ozempic function is intriguing. Originally designed to stimulate insulin production and slow gastric emptying, GLP-1 receptors also reside within the brain’s reward system—an area closely tied to cravings. This connection opens new pathways for understanding how these drugs could disrupt cycles of addiction.

In addition to their potential impacts on opioid and alcohol abuse, researchers are actively exploring how GLP-1 effects extend to nicotine addictions and other addiction-related behaviors through ongoing clinical trials.

Challenges and Considerations

There remain significant challenges associated with the widespread adoption of GLP-1 drugs for addiction treatment. The unprecedented demand prompted by their success has led to ongoing supply shortages. Furthermore, reported side effects such as nausea and vomiting cause many users to discontinue their treatment within a year.

Ozempic’s manufacturer, Novo Nordisk, is embarking on experimental studies to assess the efficacy of a new compound combining semaglutide with cagrilintide for treating alcohol use in patients with liver disease. They are also investigating whether semaglutide could play a role in addressing other degenerative conditions, including Alzheimer’s disease.

In the same study, participants were also using Eli Lilly’s tirzepatide, known by the brand name Mounjaro, along with Novo Nordisk’s liraglutide, marketed as Victoza and Saxenda. These medications share a similar mechanism of action, broadening the scope of treatment possibilities.

Looking Forward: Impacts on Society and Technology

This research presents not only a promising outlook for individuals grappling with addiction but also raises important questions on the pharmaceutical industry’s role in developing and distributing effective medications. As demand for drugs like Ozempic continues to soar, technological innovations and improved supply chain strategies will be crucial to ensure accessibility and address public health needs.

The implications for technology enthusiasts are vast. Breakthroughs in drug formulation, AI-driven patient management tools, and digital health monitoring systems could revolutionize addiction treatment, offering tailored solutions for at-risk populations.

As we explore the ongoing developments in addiction treatments, the integration of GLP-1 drugs into therapeutic protocols could indeed reshape the landscape of addiction recovery and support systems.


Readers are invited to share their thoughts and insights on this evolving topic. Have you or someone you know experienced challenges with addiction treatment? Join the conversation and let us know your perspectives in the comments below!

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