Methadone superior to buprenorphine based on retention rates

An analysis based on data for more than 40,000 users of agonist medication treatment for opioid use disorder (OUD) in British Columbia, Canada, has found less favorable population health outcomes associated with buprenorphine/naloxone compared with methadone. The research team reported that any reduced mortality risk for buprenorphine patients while in treatment was offset by poorer treatment retention with buprenorphine.

Authors

Publication Details

Journal
Alcoholism & Drug Abuse Weekly
Published
2026-01-09
DOI
https://doi.org/10.1002/adaw.34771
Primary Topic
Opioid Use Disorder Treatment
Type
article
Field-Weighted Citation Impact
0.00
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article

Methadone superior to buprenorphine based on retention rates

Gary Enos
Alcoholism & Drug Abuse Weekly
Opioid Use Disorder Treatment
article

Methadone superior to buprenorphine based on retention rates

Gary Enos
article en

Abstract

An analysis based on data for more than 40,000 users of agonist medication treatment for opioid use disorder (OUD) in British Columbia, Canada, has found less favorable population health outcomes associated with buprenorphine/naloxone compared with methadone. The research team reported that any reduced mortality risk for buprenorphine patients while in treatment was offset by poorer treatment retention with buprenorphine.

Alcoholism & Drug Abuse WeeklyVol. 38(2)
Good health and well-being
Openalex Percentile: Top 94%
Opioid Use Disorder Treatment
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Methadone superior to buprenorphine based on retention rates — Gary Enos · Alcoholism & Drug Abuse Weekly (2026) | TGRS Research Map | TGRS