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Extended-release buprenorphine in pregnancy.

Alexander Hubbell1, Ese Aghenta2, Cresta Jones3

  • 1M Health Fairview Addiction Medicine, University of Minnesota, Minneapolis, Minnesota, USA.

The American Journal on Addictions
|January 24, 2024
PubMed
Summary

Monthly extended-release buprenorphine (XR-BUP) use during pregnancy resulted in positive patient experiences and healthy infants in a case report. Further research is needed to fully evaluate XR-BUP safety and efficacy in pregnant populations.

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Area of Science:

  • Obstetrics and Gynecology
  • Addiction Medicine
  • Pharmacology

Background:

  • The safety and efficacy of monthly extended-release buprenorphine (XR-BUP) during pregnancy remain under-evaluated.
  • Limited data hinders informed decision-making for pregnant individuals considering XR-BUP treatment.

Observation:

  • This case report details the experiences of two pregnant individuals undergoing XR-BUP treatment.
  • Both individuals received XR-BUP throughout their pregnancies.

Findings:

  • Both patients reported positive experiences with XR-BUP therapy.
  • Both patients delivered healthy infants, suggesting favorable outcomes.

Implications:

  • This report contributes valuable, previously unreported data on XR-BUP use in pregnancy.
  • Findings support further investigation into XR-BUP for pregnant patients with opioid use disorder.
  • This evidence can aid clinicians and patients in risk-benefit discussions regarding XR-BUP during gestation.