Slow-Release Oral Morphine vs Methadone for Opioid Use Disorder in the Fentanyl Era

In this comparative effectiveness study of adults with OUD in a Canadian setting, treatment discontinuation was common. Compared with methadone, SROM was associated with a slightly higher risk of treatment discontinuation and lower adherence but similar mortality risk. The findings suggest either medication may be appropriate if measures are in place to support retention.

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Publication Details

Journal
JAMA Network Open
Published
2026-03-24
DOI
https://doi.org/10.1001/jamanetworkopen.2026.2970
Primary Topic
Opioid Use Disorder Treatment
Type
article
Field-Weighted Citation Impact
0.00
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article

Slow-Release Oral Morphine vs Methadone for Opioid Use Disorder in the Fentanyl Era

JAMA Network Open
Opioid Use Disorder Treatment
article

Slow-Release Oral Morphine vs Methadone for Opioid Use Disorder in the Fentanyl Era

article en

Abstract

In this comparative effectiveness study of adults with OUD in a Canadian setting, treatment discontinuation was common. Compared with methadone, SROM was associated with a slightly higher risk of treatment discontinuation and lower adherence but similar mortality risk. The findings suggest either medication may be appropriate if measures are in place to support retention.

JAMA Network OpenVol. 9(3)
Boston University (US), Boston Medical Center (US), University of British Columbia (CA), British Columbia Centre on Substance Use (CA)
Good health and well-being
Openalex Percentile: Top 13%
Opioid Use Disorder Treatment
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