PIPages
Labs

Anne Black

Yale University, CT·Public Health & Epidemiology

More older adults now take medicines for opioid use disorder (OUD), such as methadone and buprenorphine, often for many years. Methadone carries known risks, including slowed breathing and heart-rhythm problems.

Fields

Public Health & Epidemiology

Medicine & Clinical Research

Pharmacology

Topics

opioid use disorder

methadone

buprenorphine

Grants
1 known grant, through Mar 2030

What they work on

  1. Measure how time to a medically significant fall relates to current and cumulative methadone dose among VA patients who started methadone for opioid use disorder between 2016 and 2025.
  2. Compare dose-associated fall risk for methadone versus buprenorphine, using target trial emulation to balance patient groups and Cox proportional hazards models to estimate risk.
  3. Assess how age group changes the risk of falls within each medication, with death from any cause and opioid overdose as secondary outcomes.

More about the research

These risks may grow as people age, take more medicines and develop other health conditions. Yet no large, high-quality studies guide doctors on safe dosing for older patients. This project asks how methadone dose, compared with buprenorphine, combines with age to affect the risk of serious falls and other harms.

Why it matters

Older patients taking methadone for opioid addiction may face growing risks of falls, overdose and death. Results on how dose and age affect these risks could help clinicians choose and adjust treatment more safely for aging patients. Results could also guide medication safety policy in the VA and beyond.

Known grants

From NIH and NSF research grants. Labs often have other funding we can't see.

Methadone dose-associated risks and outcomes in opioid use disorder treatment

NIH · Jun 2026 – Mar 2030

Closest labs

Danielle Haley

Boston University, MA·Public Health & Epidemiology

Determine whether cannabis use disorder is associated with new falls, fractures, delirium and dementia, and with HIV viral suppression and antiretroviral therapy adherence, in about 180,000 Veterans Aging Cohort Study patients.

Zachary Mannes

Columbia University, NY·Public Health & Epidemiology·Early-career

Test whether cannabis use disorder is a risk factor for later opioid use disorder, opioid-related hospitalization, and fatal or non-fatal overdose. Use a longitudinal cohort built from VHA electronic health records.

Ashish Thakrar

University of Pennsylvania, PA·Medicine & Clinical Research·Early-career

Conduct a dose-finding study to identify the maximum tolerated methadone loading dose for people with opioid use disorder who use fentanyl, to guide future studies.

The school

Yale University: 73 labs on PI Pages, $1.5B a year on research, 438 research doctorates a year.

More about Yale University

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