{"id":23054,"date":"2025-12-19T09:18:08","date_gmt":"2025-12-19T14:18:08","guid":{"rendered":"https:\/\/www.ices.on.ca\/?post_type=journal_article&#038;p=23054"},"modified":"2025-12-19T09:18:09","modified_gmt":"2025-12-19T14:18:09","slug":"positive-airway-pressure-therapy-initiation-and-continued-benzodiazepine-use-among-chronic-drug-users","status":"publish","type":"journal_article","link":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/positive-airway-pressure-therapy-initiation-and-continued-benzodiazepine-use-among-chronic-drug-users\/","title":{"rendered":"Positive airway pressure therapy initiation and continued benzodiazepine use among chronic drug users"},"content":{"rendered":"<p>Treating obstructive sleep apnea (OSA) has been shown to improve concomitant insomnia symptoms, but whether treating OSA translates into reducing sedative medication use is unknown. We evaluated the association between initiating incident positive airway pressure (PAP) therapy and continued benzodiazepine drug receipt among chronic benzodiazepine users. This was a retrospective, population-based cohort study, analysing Ontario health administrative data from January 1, 2012\u2013March 31, 2020. Persons aged 18\u2009years and older, who were chronic benzodiazepine users, were included. The association of new PAP receipt on benzodiazepine drug discontinuation was evaluated at 3\u20139\u2009months. Propensity score matching was used to account for potential differences in 40 relevant covariates between new and non-PAP users to minimise bias. We identified 249,516 chronic benzodiazepine users, of whom 10,688 (4.3%) newly received PAP. In the matched cohort, there was no significant difference in benzodiazepine discontinuation between new PAP and non-PAP users at 3\u20139\u2009months follow-up (8.2% vs. 8.3%, relative risk [RR] 0.98, 95% confidence interval [CI] 0.90\u20131.07). New PAP receipt was not observed to influence stopping benzodiazepines at 3\u20139\u2009months after PAP initiation. Therefore, our findings raise some uncertainty about the potential effectiveness of administering PAP therapy to improve concomitant insomnia.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Treating obstructive sleep apnea (OSA) has been shown to improve concomitant insomnia symptoms, but whether treating OSA translates into reducing sedative medication use is unknown. We evaluated the association between initiating incident positive airway pressure (PAP) therapy and continued benzodiazepine drug receipt among chronic benzodiazepine users. This was a retrospective, population-based cohort study, analysing Ontario [&hellip;]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[56,35],"migration-helper-qa-sample-set":[],"class_list":["post-23054","journal_article","type-journal_article","status-publish","hentry","topic-pharmacoepidemiology-and-drug-safety","topic-public-health"],"acf":{"citation":"Vozoris NT, Luo J, Austin PC, Ryan CM. <em>J Sleep Res<\/em>. 2025; Dec 19; [Epub ahead of print].","source_url":"https:\/\/doi.org\/10.1111\/jsr.70270","ices_scientist":[1115,1385],"site":[6733],"research_program":[6746],"news_release":"","journal_article":"","atlas":"","research_report":"","infographic":"","video":"","downloads":null,"links":null,"sitecore_item_id":"","sitecore_item_name":"","sitecore_field_values":"","previous_url":""},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.9 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ 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