The comparative safety of buprenorphine versus methadone in pregnancy-what about confounding?
- PMID: 28075537
- PMCID: PMC5571444
- DOI: 10.1111/add.13551
The comparative safety of buprenorphine versus methadone in pregnancy-what about confounding?
Abstract
Preferential treatment of high-risk opioid-dependent pregnant women with methadone limits evidence of the comparative safety of buprenorphine versus methadone on infant outcomes. Adjustment for maternal characteristics that affect both treatment choices and birth outcomes is necessary to provide valid estimates of the effect of prenatal opioid agonist therapy exposure.
Keywords: Birth outcomes; buprenorphine; infants; methadone; neonatal abstinence syndrome; pregnancy.
Conflict of interest statement
None.
Comment in
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Response to Smith and Brogly et al. commentaries on Zedler et al.Addiction. 2016 Dec;111(12):2131-2133. doi: 10.1111/add.13608. Addiction. 2016. PMID: 28075535 No abstract available.
Comment on
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Buprenorphine compared with methadone to treat pregnant women with opioid use disorder: a systematic review and meta-analysis of safety in the mother, fetus and child.Addiction. 2016 Dec;111(12):2115-2128. doi: 10.1111/add.13462. Epub 2016 Jun 30. Addiction. 2016. PMID: 27223595 Free PMC article.
References
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- Wachman EM, Newby PK, Vreeland J, Byun J, Bonganzi A, Bauchner H, et al. The relationship between maternal opioid agonists and psychiatric medications on length of hospitalization for neonatal abstinence syndrome. J Addict Med. 2011;5:293–9. - PubMed
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- Jones HE, Johnson RE, Jasinski DR, O’Grady KE, Chisholm CA, Choo RE, et al. Buprenorphine versus methadone in the treatment of pregnant opioid-dependent patients: effects on the neonatal abstinence syndrome. Drug Alcohol Depend. 2005;79:1–10. - PubMed
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