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Major randomized controlled trials did not document suicidal ideation as a primary safety signal, though such serious events may be underdetected in structured trials
Key findings included: 14 percent lower overall risk of developing any substance use disorder 18 percent lower risk of alcohol use disorder (hazard ratio HR 0.82) 14 percent lower risk of cannabis use disorder 20 percent lower risk of cocaine use disorder 20 percent lower risk of nicotine dependence 25 percent lower risk of opioid use disorder These included: 30 percent fewer substance-related emergency department visits 25 percent fewer hospitalizations 40 percent lower overdose risk 50 percent lower risk of drug-related death Possible Mechanism: Effects on Brain Reward Pathways GLP-1 receptor agonists mimic a hormone involved in regulating insulin secretion, appetite, and gastric emptying

Contrave is contraindicated in patients with uncontrolled high blood pressure, a seizure disorder or history of seizures, current use of other bupropion-containing products (such as Wellbutrin), bulimia or anorexia nervosa, chronic opioid use or current use of opioid agonists like methadone or Suboxone, current use of MAO inhibitors, or known allergy to naltrexone, bupropion, or any component of Contrave
Over the last few years, the interest in GLP-1 drugs for weight loss has skyrocketed
Subcutaneous injections deliver medication into the layer of tissue just below the skin, while intramuscular injections go one layer deeper, directly into the muscle