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Pharmacologic management of the opioid neonatal abstinence syndrome.


ABSTRACT: Opioid use in pregnant women has increased over the last decade. Following birth, infants with in utero exposure demonstrate signs and symptoms of withdrawal known as the neonatal abstinence syndrome (NAS). Infants express a spectrum of disease, with most requiring the administration of pharmacologic therapy to ensure proper growth and development. Treatment often involves prolonged hospitalization. There is a general lack of high-quality clinical trial data to guide optimal therapy, and significant heterogeneity in treatment approaches. Emerging trends in the treatment of infants with NAS include the use of sublingual buprenorphine, transition to outpatient therapy, and pharmacogenetic risk stratification.

SUBMITTER: Kraft WK 

PROVIDER: S-EPMC4709246 | biostudies-literature | 2012 Oct

REPOSITORIES: biostudies-literature

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Pharmacologic management of the opioid neonatal abstinence syndrome.

Kraft Walter K WK   van den Anker John N JN  

Pediatric clinics of North America 20120830 5


Opioid use in pregnant women has increased over the last decade. Following birth, infants with in utero exposure demonstrate signs and symptoms of withdrawal known as the neonatal abstinence syndrome (NAS). Infants express a spectrum of disease, with most requiring the administration of pharmacologic therapy to ensure proper growth and development. Treatment often involves prolonged hospitalization. There is a general lack of high-quality clinical trial data to guide optimal therapy, and signifi  ...[more]

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