## Ozempic: A New Weapon in the Fight Against Addiction?
The weight-loss drug Ozempic, already a household name, is making headlines again – this time for its potential to curb cravings for alcohol and drugs. A recent study, analyzing millions of health records spanning nearly a decade, suggests that Ozempic and its cousin, Mounjaro, could play a surprising role in addiction treatment.
This revelation, published in the scientific journal *Addiction*, stems from a comprehensive analysis of over 1.3 million individuals in the US who were diagnosed with alcohol and substance use disorders. The study, spanning from 2014 to 2022, found that people prescribed Ozempic or similar medications experienced a significant decrease in addictive behaviors.
For those struggling with alcohol addiction, the study showed a remarkable 50% reduction in binge drinking among those taking Ozempic compared to those not on the medication. This analysis focused on over 800,000 individuals with a history of alcohol use disorder, with approximately 5,600 receiving prescriptions for these drugs.
Similarly, the study revealed a 40% decrease in overdose rates among individuals with opioid addiction who were taking Ozempic or related medications. This analysis examined over 500,000 people with opioid use disorder, with approximately 8,100 receiving prescriptions for these medications.
While these findings are groundbreaking, it’s important to remember that this is the first large-scale study with humans on the potential use of weight loss drugs to treat addiction. Previous preclinical trials in animals had shown similar promising results.
How Weight Loss Medication Could Combat Addiction
The research sheds light on the interconnectedness of the brain mechanisms responsible for food cravings and addictive behaviors. While scientists are still unraveling the exact mechanisms behind Ozempic’s impact on addiction, the evidence suggests that these medications influence the brain in ways that reduce cravings for both food and addictive substances.
Dr. Lorenzo Leggio, clinical director of the National Institute of Drug Abuse, explains, “We believe that these medications are active in the brain and, similar to their actions on food, they also curb cravings for addictive drugs.”
Christian Hendershot, a director at the University of Southern California Institute for Addiction Science, points out another potential mechanism: “These medications are very effective at inducing feelings of satiety, which is why they are used for weight loss. Researchers suspect that this sense of fullness could also be reducing substance use in patients who take these drugs.”
Hendershot adds that these medications “tend to reduce the reward or hedonic value of highly palatable foods and addictive drugs.”
Cautious Optimism and the Need for Further Research
While the study’s findings are exciting, experts emphasize the need for further research to validate these results. Matt Field, a professor of psychology at the University of Sheffield, notes that the study primarily focuses on “very extreme instances of substance intoxication,” such as overdoses.
“Those outcomes are very different from the outcomes used when researchers test new treatments for addiction. In those cases, we might assess whether the treatment helps people achieve complete abstinence, or if it reduces the amount or frequency of substance use,” Field explains. “Those aspects could not be measured in this study.”
Study author Fares Qeadan and his colleagues acknowledge that while the results are promising, they are based on observational data. They emphasize the need for more research, particularly through clinical trials, to confirm these findings.
Dr. Céline Gounder, editor-at-large for public health at KFF Health News, adds another layer of caution. “These drugs are working on the brain, and we don’t know what the long-term effects of this kind of hormone activity in the brain might be,” Gounder says. “We don’t know what the long-term risks for cancer could be. There are known risks of pancreatitis, gallbladder issues, kidney problems, and some reports of suicidal thoughts, which raises concerns.”
While the future of Ozempic in addiction treatment remains uncertain, this groundbreaking research opens the door to potential breakthroughs in understanding and managing addiction. However, thorough research and careful consideration of potential risks are essential before considering these medications for addiction treatment.
