Opioid Neonatal Abstinence Syndrome: An Overview

Clin Pharmacol Ther. 2018 Jun;103(6):979-981. doi: 10.1002/cpt.958. Epub 2017 Dec 29.

Abstract

Opioid neonatal abstinence syndrome (NAS) refers to signs of withdrawal observed in infants experiencing intrauterine opioid exposures. Early identification of at-risk infants allows for the prompt initiation of nonpharmacologic supportive care. When withdrawal symptoms are severe despite these interventions, pharmacologic therapy including opioid weaning is initiated. Consistency with standardized nonpharmacologic approaches as well as stringent weaning protocols are important in minimizing the length of stay and length of pharmacologic treatment for these vulnerable patients.

Publication types

  • Review

MeSH terms

  • Buprenorphine / therapeutic use
  • Clinical Protocols / standards*
  • Humans
  • Infant, Newborn
  • Length of Stay
  • Morphine / therapeutic use
  • Neonatal Abstinence Syndrome / drug therapy
  • Neonatal Abstinence Syndrome / therapy*
  • Risk Assessment
  • Substance Withdrawal Syndrome / drug therapy*
  • Substance Withdrawal Syndrome / therapy

Substances

  • Buprenorphine
  • Morphine