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Finding the right treatment for neonatal abstinence syndrome: is this the right time?

Abstract

Neonatal abstinence syndrome (NAS) is a constellation of withdrawal symptoms in infants born to mothers with chronic opioid use during pregnancy. A proportion of infants will need pharmacotherapy in addition to non-pharmacological interventions. In this article, we reviewed a clinical trial comparing the use of sublingual buprenorphine to oral morphine (the most widely used pharmacotherapy for NAS) in term infants. The primary end point was the duration of treatment, and secondary end points were the length of hospital stay, the proportion of infants who needed supplemental phenobarbital, and safety.

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References

  1. Grossman MR, Berkwitt AK, Osborn RR, Xu Y, Esserman DA, Shapiro ED, Bizzaro MJ. An initiative to improve the quality of care of infants with neonatal abstinence syndrome. Pediatrics. 2017;139:e1–8.

    Article  Google Scholar 

  2. Hudak ML, Tan RC. Committee on Drugs, the Committee of Fetus and Newborn Neonatal drug withdrawal. Pediatrics. 2012;129:e540–60.

    Article  Google Scholar 

  3. Kraft WK, Gibson E, Dysart K, Damle VS, LaRusso JL, Greenspan JS, et al. Sublingual buprenorphine for treatment of the neonatal abstinence syndrome: a randomized trial. Pediatrics. 2008;122:e601–7.

    Article  Google Scholar 

  4. Kraft WK, Dysart K, Greenspan JS, Gibson E, Kaltenbach K, Ehrlich ME. Revised dose schema of sublingual buprenorphine in the treatment of the neonatal abstinence syndrome. Addiction. 2011;106:574–80.

    Article  Google Scholar 

  5. Marek E, Kraft WK. Ethanol pharmacokinetics in neonates and infants. Curr Ther Res. 2014;76:90–7.

    Article  CAS  Google Scholar 

  6. Behnke M, Smith V. Committee on Substance Abuse, Committee on Fetus and Newborn. Prenatal substance abuse: short- and long-term effects on the exposed fetus. Pediatrics. 2013;131:e1009–24.

    Article  Google Scholar 

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Correspondence to Elizabeth Yen.

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Yen, E., Davis, J.M. Finding the right treatment for neonatal abstinence syndrome: is this the right time?. J Perinatol 38, 785–787 (2018). https://doi.org/10.1038/s41372-018-0090-2

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