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Peer-Reviewed Publication
Subst Use Misuse2026;1-12.July 19, 2026Journal Article

Sleep Disturbance in Opioid Use Disorder: Systematic Review of Insomnia Prevalence and Sedative-Hypnotic Utilization.

Farid Chekani1, Yifei Lu1, Astha Jain2, Sugandh Sharma3
1Merck & Co., Inc, North Wales, Pennsylvania, USA.
2Parexel International, Mohali, India.
3Parexel International, Chandigarh, India.

Abstract

BACKGROUND: Opioid use disorder (OUD) is a chronic condition affecting approximately 60 million individuals worldwide. Sleep disturbances, particularly insomnia, are highly prevalent in OUD and may worsen psychiatric symptoms, reduce treatment adherence, and increase relapse risk. However, insomnia remains underrecognized and the pharmacological treatment options for insomnia may not be optimal in…

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