Page last updated: 2024-11-02

phenobarbital and Abstinence Syndrome, Neonatal

phenobarbital has been researched along with Abstinence Syndrome, Neonatal in 62 studies

Phenobarbital: A barbituric acid derivative that acts as a nonselective central nervous system depressant. It potentiates GAMMA-AMINOBUTYRIC ACID action on GABA-A RECEPTORS, and modulates chloride currents through receptor channels. It also inhibits glutamate induced depolarizations.
phenobarbital : A member of the class of barbiturates, the structure of which is that of barbituric acid substituted at C-5 by ethyl and phenyl groups.

Research Excerpts

ExcerptRelevanceReference
"Eight sites enrolled 116 full-term newborn infants with neonatal abstinence syndrome born to mothers maintained on methadone or buprenorphine into a randomized trial of morphine vs methadone."9.34Neurodevelopmental Outcomes of Neonates Randomized to Morphine or Methadone for Treatment of Neonatal Abstinence Syndrome. ( Bogen, DL; Czynski, AJ; Dansereau, LM; Davis, JM; Engelhardt, B; Hudak, ML; Lester, BM; Marro, P; Oliveira, EL; Shenberger, J; Wachman, EM, 2020)
"In this single-site, double-blind, double-dummy clinical trial, we randomly assigned 63 term infants (≥37 weeks of gestation) who had been exposed to opioids in utero and who had signs of the neonatal abstinence syndrome to receive either sublingual buprenorphine or oral morphine."9.24Buprenorphine for the Treatment of the Neonatal Abstinence Syndrome. ( Abatemarco, D; Adeniyi-Jones, SC; Chervoneva, I; Ehrlich, ME; Greenspan, JS; Kaltenbach, K; Kraft, WK, 2017)
"To compare the efficacy of clonidine versus phenobarbital in reducing morphine sulfate treatment days for neonatal abstinence syndrome (NAS)."9.17Efficacy of clonidine versus phenobarbital in reducing neonatal morphine sulfate therapy days for neonatal abstinence syndrome. A prospective randomized clinical trial. ( Chamberlain, S; Kopcza, K; Shah, B; Singh, R; Surran, B; Visintainer, P, 2013)
"The aim of the study is to assess the correlation between maternal methadone dose and severity of neonatal abstinence syndrome (NAS) in infants that required pharmacological treatment for NAS."8.12Is Maternal Methadone Dose Associated with the Severity of Neonatal Abstinence Syndrome? ( Adeniyi-Jones, S; Aghai, ZH; Boelig, RC; Carola, D; Greenspan, JS; Kraft, WK; Lafferty, M; Smith, J, 2022)
"This pilot study evaluated the relationship between maternal and neonatal R- and S-methadone and R- and S-2-ethylidene-1,5-dimethyl-3,3-diphenylpyrrolidine (EDDP) exposure and the severity of neonatal abstinence syndrome (NAS)."8.02Stereoselective Analysis of Methadone and EDDP in Laboring Women and Neonates in Plasma and Dried Blood Spots and Association with Neonatal Abstinence Syndrome. ( Evrard, CA; Haas, DM; Haneline, LS; Jones, DR; Masters, AR; Metzger, IF; Quinney, SK; Thomas, AE, 2021)
"To compare clonidine versus phenobarbital as adjunctive therapy in infants who failed monotherapy with morphine for neonatal abstinence syndrome (NAS)."7.96Clonidine versus phenobarbital as adjunctive therapy for neonatal abstinence syndrome. ( Brusseau, C; Burnette, T; Heidel, RE, 2020)
"Neonatal abstinence syndrome (NAS) due to prenatally exposure to citalopram can develop during the first days of life even with low dose of drug exposure."7.85Neonatal abstinence syndrome due to prenatally citalopram exposure: A case report. ( Bas, AY; Celik, IH; Demirel, N; Erol, S; Ozcan, B, 2017)
"The development, characterization and stability evaluation of methadone (MI, MII, MIII) and phenobarbital (PI, PII) can be used for the treatment of neonatal abstinence syndrome (NAS)."7.83Design of pediatric oral formulations with a low proportion of methadone or phenobarbital for the treatment of neonatal abstinence syndrome. ( Calpena, AC; Clares, B; Mallandrich, M; Provenza, N; Pueyo, B, 2016)
"When tramadol is used during pregnancy, there is a serious risk for neonatal abstinence syndrome."7.79[Neonatal abstinence syndrome after maternal use of tramadol]. ( de Wit, D; Koomen-Botman, I, 2013)
" All of these patients were born to mothers who had received methadone substitution for drug addiction during the course of pregnancy."7.76Treatment of neonatal abstinence syndrome with clonidine and chloral hydrate. ( Bastanier, C; Beske, F; Esmaeili, A; Keinhorst, AK; Schlösser, R; Schuster, T, 2010)
"This was a retrospective chart review of 68 neonates and their mothers who received methadone therapy during pregnancy."7.75High-dose methadone in pregnant women and its effect on duration of neonatal abstinence syndrome. ( Cordero, L; Gardner, DK; Lim, S; Prasad, MR; Samuels, P, 2009)
"Three suitable compounds (morphine, chlorpromazine, and phenobarbital) to treat neonatal abstinence syndrome were compared in a prospective multicenter, double-blind trial."5.34Treatment of opioid withdrawal in neonates with morphine, phenobarbital, or chlorpromazine: a randomized double-blind trial. ( Bucher, HU; Duò, A; Held, L; Rudin, C; Zimmermann, U, 2020)
"Eight sites enrolled 116 full-term newborn infants with neonatal abstinence syndrome born to mothers maintained on methadone or buprenorphine into a randomized trial of morphine vs methadone."5.34Neurodevelopmental Outcomes of Neonates Randomized to Morphine or Methadone for Treatment of Neonatal Abstinence Syndrome. ( Bogen, DL; Czynski, AJ; Dansereau, LM; Davis, JM; Engelhardt, B; Hudak, ML; Lester, BM; Marro, P; Oliveira, EL; Shenberger, J; Wachman, EM, 2020)
"In this single-site, double-blind, double-dummy clinical trial, we randomly assigned 63 term infants (≥37 weeks of gestation) who had been exposed to opioids in utero and who had signs of the neonatal abstinence syndrome to receive either sublingual buprenorphine or oral morphine."5.24Buprenorphine for the Treatment of the Neonatal Abstinence Syndrome. ( Abatemarco, D; Adeniyi-Jones, SC; Chervoneva, I; Ehrlich, ME; Greenspan, JS; Kaltenbach, K; Kraft, WK, 2017)
"To compare the efficacy of clonidine versus phenobarbital in reducing morphine sulfate treatment days for neonatal abstinence syndrome (NAS)."5.17Efficacy of clonidine versus phenobarbital in reducing neonatal morphine sulfate therapy days for neonatal abstinence syndrome. A prospective randomized clinical trial. ( Chamberlain, S; Kopcza, K; Shah, B; Singh, R; Surran, B; Visintainer, P, 2013)
" The mothers received methadone (n=22), slow-release oral morphine (n=17) or buprenorphine (n=14) throughout pregnancy."5.12Management of neonatal abstinence syndrome in neonates born to opioid maintained women. ( Baewert, A; Ebner, N; Fischer, G; Jagsch, R; Peternell, A; Rohrmeister, K; Thau, K; Winklbaur, B, 2007)
"The aim of the study is to assess the correlation between maternal methadone dose and severity of neonatal abstinence syndrome (NAS) in infants that required pharmacological treatment for NAS."4.12Is Maternal Methadone Dose Associated with the Severity of Neonatal Abstinence Syndrome? ( Adeniyi-Jones, S; Aghai, ZH; Boelig, RC; Carola, D; Greenspan, JS; Kraft, WK; Lafferty, M; Smith, J, 2022)
"This pilot study evaluated the relationship between maternal and neonatal R- and S-methadone and R- and S-2-ethylidene-1,5-dimethyl-3,3-diphenylpyrrolidine (EDDP) exposure and the severity of neonatal abstinence syndrome (NAS)."4.02Stereoselective Analysis of Methadone and EDDP in Laboring Women and Neonates in Plasma and Dried Blood Spots and Association with Neonatal Abstinence Syndrome. ( Evrard, CA; Haas, DM; Haneline, LS; Jones, DR; Masters, AR; Metzger, IF; Quinney, SK; Thomas, AE, 2021)
"To compare clonidine versus phenobarbital as adjunctive therapy in infants who failed monotherapy with morphine for neonatal abstinence syndrome (NAS)."3.96Clonidine versus phenobarbital as adjunctive therapy for neonatal abstinence syndrome. ( Brusseau, C; Burnette, T; Heidel, RE, 2020)
"Neonatal abstinence syndrome (NAS) due to prenatally exposure to citalopram can develop during the first days of life even with low dose of drug exposure."3.85Neonatal abstinence syndrome due to prenatally citalopram exposure: A case report. ( Bas, AY; Celik, IH; Demirel, N; Erol, S; Ozcan, B, 2017)
"The development, characterization and stability evaluation of methadone (MI, MII, MIII) and phenobarbital (PI, PII) can be used for the treatment of neonatal abstinence syndrome (NAS)."3.83Design of pediatric oral formulations with a low proportion of methadone or phenobarbital for the treatment of neonatal abstinence syndrome. ( Calpena, AC; Clares, B; Mallandrich, M; Provenza, N; Pueyo, B, 2016)
"When tramadol is used during pregnancy, there is a serious risk for neonatal abstinence syndrome."3.79[Neonatal abstinence syndrome after maternal use of tramadol]. ( de Wit, D; Koomen-Botman, I, 2013)
" All of these patients were born to mothers who had received methadone substitution for drug addiction during the course of pregnancy."3.76Treatment of neonatal abstinence syndrome with clonidine and chloral hydrate. ( Bastanier, C; Beske, F; Esmaeili, A; Keinhorst, AK; Schlösser, R; Schuster, T, 2010)
"This was a retrospective chart review of 68 neonates and their mothers who received methadone therapy during pregnancy."3.75High-dose methadone in pregnant women and its effect on duration of neonatal abstinence syndrome. ( Cordero, L; Gardner, DK; Lim, S; Prasad, MR; Samuels, P, 2009)
"Ondansetron treatment reduced the severity of NOWS symptoms; and there was an indication that it could reduce the length of stay."3.30Ondansetron to reduce neonatal opioid withdrawal severity a randomized clinical trial. ( Adeniyi-Jones, S; Argani, C; Cohane, C; Drover, D; Govindaswami, B; Jansson, LM; Jegatheesan, P; Khan, S; Kraft, WK; Peltz, G; Shafer, S; Wang, M; Wu, M, 2023)
" Mean cumulative dosage of ch was 643."2.78Treatment of neonatal abstinence syndrome in preterm and term infants. ( Dabek, MT; Englert, S; Poeschl, J; Ruef, P, 2013)
"When opioid misuse rises in the United States, pregnant women and their neonates are affected."2.61Analgesia, Opioids, and Other Drug Use During Pregnancy and Neonatal Abstinence Syndrome. ( Jones, HE; Kraft, WK, 2019)
"Phenobarbital levels were higher in symptomatic infants than asymptomatic infants, although the difference was not statistically significant."1.37Infants born to mothers under phenobarbital treatment: correlation between serum levels and clinical features of neonates. ( Antichi, E; Cardiello, V; Carducci, C; Catenazzi, P; D'Antuono, A; Piras, A; Pozzoli, G; Romagnoli, C; Scorrano, A; Zuppa, AA, 2011)
"To determine the monitoring and treatment of neonatal abstinence syndrome (NAS) in neonatal intensive care units (NICUs) following opiate or polydrug exposure in utero."1.33Management of neonatal abstinence syndrome in neonatal intensive care units: a national survey. ( Donn, SM; Sarkar, S, 2006)
"Symptoms of the neonatal withdrawal syndrome are excitation of the central nervous system, the gastrointestinal tract and the respiratory tract."1.33[A multidisciplinary approach is necessary in the neonatal withdrawal syndrome]. ( Clement-de Boers, A; de Vries, MC; Leeuwenburgh-Pronk, WG, 2006)
"Maternal drug addiction has increased in an alarming way over the last ten years."1.28[Newborn infant of drug-addicted mother: maternal, perinatal, neonatal aspects, and neonatal abstinence syndrome]. ( Arcas Cruz, R; Comas Mastmitja, L; Cruz Hernández, M; Figueras Aloy, J; Jiménez González, R; Vilanova Juanola, JM, 1991)

Research

Studies (62)

TimeframeStudies, this research(%)All Research%
pre-19903 (4.84)18.7374
1990's7 (11.29)18.2507
2000's11 (17.74)29.6817
2010's29 (46.77)24.3611
2020's12 (19.35)2.80

Authors

AuthorsStudies
Friedman, D1
Zubair, N1
Favara, MT1
Lafferty, M2
Carola, D2
Adeniyi-Jones, S3
Solarin, K1
Aghai, ZH2
Peltz, G1
Jansson, LM1
Cohane, C1
Drover, D1
Shafer, S1
Wang, M1
Wu, M1
Govindaswami, B1
Jegatheesan, P1
Argani, C1
Khan, S1
Kraft, WK5
Leferink, TM1
van der Meer-Kappelle, LH1
Feberwee, T1
MacMillan, KDL1
Zimmermann, U1
Rudin, C1
Duò, A1
Held, L1
Bucher, HU1
Clemans-Cope, L1
Holla, N1
Lee, HC1
Cong, AS1
Castro, R1
Chyi, L1
Huang, A1
Taylor, KJ1
Kenney, GM1
Czynski, AJ2
Davis, JM1
Dansereau, LM1
Engelhardt, B1
Marro, P1
Bogen, DL1
Hudak, ML1
Shenberger, J1
Wachman, EM1
Oliveira, EL1
Lester, BM2
Metzger, IF1
Thomas, AE1
Evrard, CA1
Jones, DR1
Masters, AR1
Haas, DM1
Haneline, LS1
Quinney, SK1
Brusseau, C1
Burnette, T1
Heidel, RE1
Smith, J1
Boelig, RC1
Greenspan, JS3
Merhar, SL1
Ounpraseuth, S1
Devlin, LA1
Poindexter, BB1
Young, LW1
Berkey, SD1
Crowley, M2
Kiefer, AS1
Whalen, BL1
Das, A1
Fuller, JF1
Higgins, RD1
Thombre, V1
Smith, PB1
Newman, S1
Sánchez, PJ1
Smith, MC1
Simon, AE1
Zankl, A2
Martin, J2
Davey, JG2
Osborn, DA7
Adeniyi-Jones, SC1
Chervoneva, I1
Abatemarco, D1
Kaltenbach, K2
Ehrlich, ME2
Erol, S1
Ozcan, B1
Celik, IH1
Bas, AY1
Demirel, N1
Maalouf, FI1
Cooper, WO1
Slaughter, JC1
Dudley, J1
Patrick, SW2
Jones, HE1
de Wit, D1
Koomen-Botman, I1
Dabek, MT1
Poeschl, J1
Englert, S1
Ruef, P1
Surran, B1
Visintainer, P1
Chamberlain, S1
Kopcza, K1
Shah, B1
Singh, R2
Smirk, CL1
Bowman, E1
Doyle, LW1
Kamlin, O1
Kaplan, HC1
Passarella, M1
Davis, MM1
Lorch, SA1
Coyle, MG3
Visintainer, PF1
Hall, ES1
Wexelblatt, SL1
Grow, JL1
Jasin, LR1
Klebanoff, MA1
McClead, RE1
Meinzen-Derr, J1
Mohan, VK1
Stein, H1
Walsh, MC1
Ruwanpathirana, R1
Abdel-Latif, ME2
Burns, L1
Chen, J1
Craig, F2
Lui, K2
Oei, JL1
Nayeri, F1
Sheikh, M1
Kalani, M1
Niknafs, P1
Shariat, M1
Dalili, H1
Dehpour, AR1
Provenza, N1
Calpena, AC1
Mallandrich, M1
Pueyo, B1
Clares, B1
Raith, W1
Schmölzer, GM1
Resch, B1
Reiterer, F1
Avian, A1
Koestenberger, M1
Urlesberger, B1
Holmes, AV1
Atwood, EC1
Whalen, B1
Beliveau, J1
Jarvis, JD1
Matulis, JC1
Ralston, SL1
McPherson, C1
Mücke, S1
Nagel, M1
Siedentopf, J1
Bührer, C1
Hüseman, D1
Winklbaur, B2
Kopf, N1
Ebner, N2
Jung, E1
Thau, K2
Fischer, G2
Lim, S1
Prasad, MR1
Samuels, P1
Gardner, DK1
Cordero, L1
Esmaeili, A1
Keinhorst, AK1
Schuster, T1
Beske, F1
Schlösser, R1
Bastanier, C1
Hartenstein, S1
Proquitté, H1
Bauer, S1
Bamberg, C1
Roehr, CC1
Dysart, K1
Gibson, E1
Jeffery, HE5
Cole, MJ4
Zuppa, AA1
Carducci, C1
Scorrano, A1
Antichi, E1
Catenazzi, P1
Piras, A1
Pozzoli, G1
Cardiello, V1
D'Antuono, A1
Romagnoli, C1
Bio, LL1
Siu, A1
Poon, CY1
Kieviet, N1
Dolman, K1
Wennink, H1
Heres, M1
Honig, A1
Oei, J1
Jackson, L1
Ting, A1
McKay, S1
Galea, P1
Skeoch, C1
Ferguson, A2
Lagasse, L2
Liu, J1
Lester, B2
Cole, M1
Sarkar, S1
Donn, SM1
Leeuwenburgh-Pronk, WG1
de Vries, MC1
Clement-de Boers, A1
Rohrmeister, K1
Baewert, A1
Jagsch, R1
Peternell, A1
Lam, SK1
To, WK1
Kandall, SR1
Tenenbein, M1
Casiro, OG1
Seshia, MM1
Debooy, VD1
Morrison, CL1
Siney, C1
Theis, JG1
Selby, P1
Ikizler, Y1
Koren, G1
Oh, W1
Kattner, E1
Arcas Cruz, R1
Figueras Aloy, J1
Vilanova Juanola, JM1
Comas Mastmitja, L1
Jiménez González, R1
Cruz Hernández, M1
Torrence, CR1
Horns, KM1
Torriolo, MG1
Steffanini, MC1
Mariotti, P1
Calzolari, S1
Fundaro, C1
Tempesta, E1
Thomas, D1

Clinical Trials (13)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
AIM 2- Prevention of Neonatal Abstinence Syndrome[NCT01965704]Phase 2196 participants (Actual)Interventional2014-09-09Completed
Pharmacological Treatment of Narcotic Neonatal Withdrawal[NCT02810782]Phase 3120 participants (Actual)Interventional2001-06-30Completed
Improving Outcomes in Neonatal Abstinence Syndrome[NCT01958476]Phase 3117 participants (Actual)Interventional2013-09-30Completed
Morphine Versus Methadone for Opiate Exposed Infants With Neonatal Abstinence Syndrome[NCT02851303]Phase 461 participants (Actual)Interventional2016-10-31Completed
Pharmacological Treatment of Neonatal Abstinence Syndrome: Opiate Versus Non-Opiate[NCT01734551]Phase 431 participants (Actual)Interventional2011-09-30Completed
Treatment of Neonatal Abstinence Syndrome With Clonidine Versus Morphine as Primary Therapy[NCT03092011]Phase 490 participants (Anticipated)Interventional2018-02-21Recruiting
Treatment of Neonatal Abstinence Syndrome: Evaluation of Efficacy of Phenobarbital in Combination With Either Methadone or Diluted Deodorized Tincture of Opium as Stabilizing and Tapering Regiments[NCT01723722]Phase 440 participants (Actual)Interventional2007-01-31Completed
A Randomized, Active-Control, Double-Blind, Double-Dummy Clinical Trial Comparing Sublingual Buprenorphine And Morphine Solution For The Treatment Of Neonatal Opioid Abstinence Syndrome[NCT01452789]Phase 363 participants (Actual)Interventional2011-11-30Completed
A Randomized Comparison of Sublingual Buprenorphine to Morphine Sulfate in the Treatment of Neonatal Abstinence Syndrome (NAS)[NCT01708707]Phase 229 participants (Actual)Interventional2012-12-31Completed
Comparison of Clonidine Versus Phenobarbital as an Adjunct Therapy for Neonatal Abstinence Syndrome[NCT01175668]68 participants (Actual)Interventional2010-07-31Terminated (stopped due to Based on the planned interim analysis results at 50% recruitment, after IRB reviewed the results, further enrollment was stopped.)
Auricular Acupressure as an Adjunct Treatment for Opioid Tapering in a Pediatric Cardiac Intensive Care Unit: A Pilot Feasibility Study[NCT05025384]40 participants (Actual)Interventional2021-10-25Completed
Buprenorphine for the Treatment of Neonatal Abstinence Syndrome[NCT00521248]Phase 160 participants (Anticipated)Interventional2004-04-30Completed
Prospective Randomized Blinded Trial to Shorten Pharmacologic Treatment of Newborns With Neonatal Opioid Withdrawal Syndrome (NOWS)[NCT04455802]Phase 30 participants (Actual)Interventional2020-10-01Withdrawn (stopped due to termination of funding)
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Number of Participants Requiring Adjunctive Medication to Treat NOWS

Number of neonates requiring treatment with phenobarbital or clonidine. (NCT01965704)
Timeframe: 15 days

InterventionParticipants (Count of Participants)
Ondansetron - Neonates5
Placebo - Neonates5

Number of Participants With Neonatal Abstinence Syndrome

The incidence of neonatal abstinence syndrome (NAS) measured as the number of neonates who need for morphine treatment for the symptoms of neonatal opioid withdrawal syndrome (NOWS) while the neonates received study medication and for the 30 days after stopping the study medication. (NCT01965704)
Timeframe: 35 days

InterventionParticipants (Count of Participants)
Ondansetron - Neonates22
Placebo - Neonates26

Total Dose of Narcotic Required to Treat the Symptoms of NAS

Median dose of morphine required by neonates within 15 days of delivery. (NCT01965704)
Timeframe: 15 days

Interventionmg (Median)
Ondansetron - Neonates9.3
Placebo - Neonates11.1

Length of Hospital Stay

Severity of NAS will be measured by neonates' length of hospital stay (birth to discharge). Length of stay was calculated with 1) no maximum length, and 2) maximum length of stay capped at 15 days. All participants were included in both analyses. (NCT01965704)
Timeframe: At Day 15 and up to 64 days

,
Interventiondays (Mean)
Mean hospital stayMean hospital stay with a 15-day maximum
Ondansetron - Neonates15.59.3
Placebo - Neonates17.411.2

Growth Outcome: Head Circumference at 18 Months

Average head circumference growth outcome at 18 month follow-up visit. (NCT01958476)
Timeframe: 18 month follow-up visit

Interventioncm (Mean)
Methadone47.8
Neonatal Morphine Solution48.2

Growth Outcome: Length at 18 Months

Average length (cm) at 18 month follow-up visit. (NCT01958476)
Timeframe: 18 month follow-up visit

Interventioncm (Mean)
Methadone82.1
Neonatal Morphine Solution81.7

Growth Outcome: Weight Change From Birth to 18 Months

Growth outcome weight (lbs) depicted as difference in averaged weights from birth to 18 month follow-up visit. Standard deviations were averaged between birth and 18 mo time points. (NCT01958476)
Timeframe: Birth to 18 month follow-up visit

Interventionlbs (Mean)
Methadone19.1
Neonatal Morphine Solution18.7

Length of Hospital Stay (LOS)

Participants were monitored for the duration of their hospitalization, an expected mean of 22 days. (NCT01958476)
Timeframe: Participants will be monitored during their entire hospitalization, expected mean 22 days.

Interventiondays (Mean)
Methadone21.8
Neonatal Morphine Solution23.2

Length of Hospital Stay (LOS) Due to Neonatal Abstinence Syndrome (NAS)

Participants were monitored for the duration of their hospitalization attributable to NAS only. (NCT01958476)
Timeframe: Participants were monitored for the duration of their hospitalization, expected mean 22 days.

Interventiondays (Mean)
Methadone18.9
Neonatal Morphine Solution21.1

Length of Treatment (LOT)

Total number of days infant treated with replacement opioids while admitted to the hospital. (NCT01958476)
Timeframe: Participants were monitored for the duration of their hospitalization.

Interventiondays (Mean)
Methadone14.7
Neonatal Morphine Solution16.6

Number of Infants Needing a Dose Increase

"One Finnegan score ≥12, or two consecutive scores ≥8 affirms the requirement for pharmacological treatment or increasing treatment dosage. If the infant continued to have two consecutive Finnegan Scores ≥8 two times consecutively, or one ≥12, the dose was increased to the next level. (Level I: 0.3 mg/kg/day) (Level II: 0.5 mg/kg/day) (Level III: 0.7 mg/kg/day)~A higher Finnegan score indicates greater severity of NAS (min 0, max 50)." (NCT01958476)
Timeframe: Participants were monitored for the duration of their hospitalization, an average of 22 days.

InterventionParticipants (Count of Participants)
Methadone22
Neonatal Morphine Solution28

Number of Infants Needing a Second NAS Medication

Number of infants treated with a second medication following protocol, phenobarbital. If the Finnegan Score remained elevated (still scored ≥8 two times consecutively, or still scored once ≥12) despite increasing to a predetermined maximal opioid dose (methadone or morphine), phenobarbital was administered (20-mg/kg loading dose followed by 4-5 mg/kg daily). (NCT01958476)
Timeframe: Participants were monitored for the duration of their hospitalization, an average of 22 days.

InterventionParticipants (Count of Participants)
Methadone10
Neonatal Morphine Solution17

Cognitive, Language, and Motor Development From 18 Month Bayley III Neurodevelopmental Assessment

The Bayley Scales of Infant and Toddler Development (BSID-III) assesses the development of infants and children (1-42 months) through a series of developmental play tasks, identifying children with developmental delay. Raw scores of completed items are summarized within three distinct scale scores (Cognitive Scale, Language Scale, Motor Scale). Scale scores are each converted to composite scores to determine the child's performance compared with scores of age-matched children of typical development (percentile rank). A higher composite score indicates more ideal developmental outcome (range 40-160). At 18 month follow-up visit, participants were assessed using the BSID-III for cognitive, language and motor scale composite score outcomes. (NCT01958476)
Timeframe: Assessment at 18 month follow-up visit

,
Interventionscores on a scale (Composite) (Mean)
Cognitive CompositeLanguage CompositeMotor Composite
Methadone100.196.0103.6
Neonatal Morphine Solution98.194.299.1

Breastfeeding Initiation and Continuation at Hospital Discharge

Assessed through chart review of discharge summary documentation of method of infant feeding at time of discharge (NCT02851303)
Timeframe: assessed at hospital discharge, approximately 7-30 days

InterventionParticipants (Count of Participants)
Morphine5
Methadone5

Length of Hospital Stay

Number of days in hospital after birth (NCT02851303)
Timeframe: assessed at hospital discharge, approximately 7-30 days

Interventiondays (Mean)
Morphine17.9
Methadone16.1

Length of Treatment

(NCT02851303)
Timeframe: assessed at hospital discharge, approximately 7-30 days

Interventiondays (Mean)
Morphine14.7
Methadone12.8

Need for Additional Agent to Treat Withdrawal, Determined by Chart Review of Medication Administration Record of Administered Medications for Withdrawal Treatment (Example: Clonidine or Phenobarbital)

clonidine (NCT02851303)
Timeframe: assessed at hospital discharge, approximately 7-30 days

InterventionParticipants (Count of Participants)
Morphine1
Methadone0

Need for Feeding Assistance, Determined by Chart Review of Discharge Summary, Specifically Evaluating for Need for Nasogastric Tube Placement or Peripheral Parenteral Nutrition.

(NCT02851303)
Timeframe: assessed at hospital discharge, approximately 7-30 days

InterventionParticipants (Count of Participants)
Morphine11
Methadone6

Need for NICU Transfer, as Determined by Chart Review of Discharge Summary.

(NCT02851303)
Timeframe: assessed at hospital discharge, approximately 7-30 days

InterventionParticipants (Count of Participants)
Morphine0
Methadone3

Total Morphine Equivalent Dose Received

(NCT02851303)
Timeframe: assessed at hospital discharge, approximately 7-30 days

Interventionmorphine equivalents mg (Mean)
Morphine9.86
Methadone33.0

Duration of Treatment

Total number days of treatment (NCT01734551)
Timeframe: 120 days

Interventiondays (Median)
Morphine39
Clonidine27

Bayley Scales of Infant and Toddler Development Third Edition

Scores obtained Bayley Scales of Infant and Toddler Development Third Edition in the developmental domains of motor, cognitive, and language. This tool for measures of motor, cognitive and language development is a series of standardized measurements and for each domain, the standardized scores have a mean of 100 and standard deviation of 15. Scores below 1 standard deviation (= or less than 84) is considered below normal. Scores above 1 standard deviation (over 115) represent higher than normal functioning in each domain The score for each domain (motor, cognitive, and language functioning) represents the full-scale score (NCT01734551)
Timeframe: 1 year of life

,
Interventionscores on a scale (Mean)
Bayley III motorCognitiveLanguage totalLanguage ReceptiveLanguage Expressive
Clonidine95.893.395.895.099.2
Morphine97.692.998.0101.1100.0

Finnegan Neonatal Abstinence Scoring System

Mean of total Finnegan Scores obtained every 3 hours on days 2, 7, and 14 following start of treatment; A score is a number representing the total score or sum from 21 items or symptoms or manifestations of opiate withdrawal in newborn infants. The total score ranges from 0 to 43. Reference: 1. Finnegan LP, Connaughton JF, Jr., Kron RE, et al. Neonatal abstinence syndrome: assessment and management. Addict Dis 1975;2(1-2):141-58. Although normal newborn may manifest mild symptoms that will give scores in the range of 0 to 7. A score of 8 consecutively obtained times 3 indicate that infant will benefit from treatment, in this study morphine or clonidine. A decrease in scores especially to less than 8 is suggestive of a good response to treatment. (NCT01734551)
Timeframe: 14 days

,
Interventionscores on a scale (Mean)
Finnegan scores day 2 of treatmentFinnegan scores day 7 of treatmentFinnegan scores day 14 of treatment
Clonidine8.55.76.7
Morphine7.56.67.1

Neurobehavioral Performance Summary Scores From the Neonatal Intensive Care Unit Network Neurobehavioral Scale (NNNS)

The summary scores from the Neonatal Intensive Care Unit Network Neurobehavioral Scale (NNNS) give a measure of infant neurobehavior in the following areas (score range): habituation (1-9), regulation (2.20-7.50), attention (1.29 -8.4), Handling (0 - 1), quality of movement (1.20 - 6.20), Non-optimal reflexes (0-12), Asymmetric reflexes (0-7), arousal (2.43 - 6.67), hypertonicity (0- 8), hypotonicity (0 - 5.0), excitability (0-11), lethargy (0 - 11.0). and stress/abstinence (0. - 0.57). A higher score for each item means a higher level of the construct. For example, a higher score for hypertonicity means the infant is more hypertonic and higher score on hypotonicity means the infant is more hypotonic. No cut-off score published for normal or abnormal behavioral performance. Reference: Lester BM et al. Summary Statistics of Neonatal Intensive Care Unit Network Neurobehavioral Scale Scores From the Maternal Lifestyle Study: A Quasinormative Sample, in Pediatrics 2004; 113,668. (NCT01734551)
Timeframe: 5-10 days after treatment starts

,
Interventionscores on a scale (Mean)
AttentionHandlingQuality of movementRegulationNon-optimal reflexesAsymmetric reflexesStress/abstinenceArousalHypertonicityHypotonicityExcitabilityLethargy
Clonidine4.510.424.925.264.130.000.083.950.250.192.385.13
Morphine5.060.364.775.23.730.200.073.910.400.132.63.6

Length of Treatment With Opioid Medication

Up to 12 months (NCT01723722)
Timeframe: Up to 12 months

Interventiondays (Mean)
Deodorized Tincture Opium After Phenobarbital for Withdrawal19.1
Methadone After Phenobarbital for Withdrawal17.7

Length of Hospitalization

This endpoint will compare length of stay in the hospital (in days) using sublingual buprenorphine or morphine solution. (NCT01452789)
Timeframe: Duration of hospital stay is an expected average of 5 weeks.

Interventiondays (Median)
Sublingual Buprenorphine21
Oral Morphine33

Length of Treatment

This endpoint will compare length of treatment (in days) using sublingual buprenorphine or oral morphine solution. (NCT01452789)
Timeframe: Patients will be followed for the duration of hospital stay, an expected average of 5 weeks.

Interventiondays (Median)
Sublingual Buprenorphine15
Oral Morphine28

Number of Participants With Adverse Events as a Measure of Safety and Tolerability

Adverse events will be collected, graded by severity, and assessed for causality referent to study drug. (NCT01452789)
Timeframe: Patients will be followed for the duration of hospital stay, an expected average of 5 weeks.

InterventionParticipants (Count of Participants)
Sublingual Buprenorphine7
Oral Morphine8

Number of Patients Requiring Supplemental Phenobarbital Treatment.

This endpoint will compare requirement number of patients who require use of supplemental phenobarbital. (NCT01452789)
Timeframe: Patients will be followed for the duration of hospital stay, an expected average of 5 weeks.

Interventionparticipants (Number)
Sublingual Buprenorphine5
Oral Morphine7

Length of Treatment With Neonatal Morphine Sulfate

(NCT01175668)
Timeframe: subjects were followed for the duration of treatment, up to 3 months

Interventiondays (Mean)
NMS/Clonidine18.2
NMS/Phenobarbital13.6

Total Dose of NMS Used

(NCT01175668)
Timeframe: For the duration of treatment, upto 3 months

Interventionmg/kg (Mean)
NMS/Clonidine5.7
NMS/Phenobarbital4.6

Reviews

16 reviews available for phenobarbital and Abstinence Syndrome, Neonatal

ArticleYear
Neonatal Abstinence Syndrome: Review of Epidemiology, Care Models, and Current Understanding of Outcomes.
    Clinics in perinatology, 2019, Volume: 46, Issue:4

    Topics: Analgesics, Opioid; Breast Feeding; Buprenorphine; Female; Humans; Hypnotics and Sedatives; Infant,

2019
Sedatives for opioid withdrawal in newborn infants.
    The Cochrane database of systematic reviews, 2021, 05-18, Volume: 5

    Topics: Bias; Chlorpromazine; Clonidine; Diazepam; Humans; Hypnotics and Sedatives; Infant, Newborn; Narcoti

2021
Opioid treatment for opioid withdrawal in newborn infants.
    The Cochrane database of systematic reviews, 2021, 07-07, Volume: 7

    Topics: Buprenorphine; Chlorpromazine; Clonidine; Diazepam; Humans; Hypnotics and Sedatives; Infant, Newborn

2021
Opioid treatment for opioid withdrawal in newborn infants.
    The Cochrane database of systematic reviews, 2021, 07-07, Volume: 7

    Topics: Buprenorphine; Chlorpromazine; Clonidine; Diazepam; Humans; Hypnotics and Sedatives; Infant, Newborn

2021
Opioid treatment for opioid withdrawal in newborn infants.
    The Cochrane database of systematic reviews, 2021, 07-07, Volume: 7

    Topics: Buprenorphine; Chlorpromazine; Clonidine; Diazepam; Humans; Hypnotics and Sedatives; Infant, Newborn

2021
Opioid treatment for opioid withdrawal in newborn infants.
    The Cochrane database of systematic reviews, 2021, 07-07, Volume: 7

    Topics: Buprenorphine; Chlorpromazine; Clonidine; Diazepam; Humans; Hypnotics and Sedatives; Infant, Newborn

2021
Opioid treatment for opioid withdrawal in newborn infants.
    The Cochrane database of systematic reviews, 2021, 07-07, Volume: 7

    Topics: Buprenorphine; Chlorpromazine; Clonidine; Diazepam; Humans; Hypnotics and Sedatives; Infant, Newborn

2021
Opioid treatment for opioid withdrawal in newborn infants.
    The Cochrane database of systematic reviews, 2021, 07-07, Volume: 7

    Topics: Buprenorphine; Chlorpromazine; Clonidine; Diazepam; Humans; Hypnotics and Sedatives; Infant, Newborn

2021
Opioid treatment for opioid withdrawal in newborn infants.
    The Cochrane database of systematic reviews, 2021, 07-07, Volume: 7

    Topics: Buprenorphine; Chlorpromazine; Clonidine; Diazepam; Humans; Hypnotics and Sedatives; Infant, Newborn

2021
Opioid treatment for opioid withdrawal in newborn infants.
    The Cochrane database of systematic reviews, 2021, 07-07, Volume: 7

    Topics: Buprenorphine; Chlorpromazine; Clonidine; Diazepam; Humans; Hypnotics and Sedatives; Infant, Newborn

2021
Opioid treatment for opioid withdrawal in newborn infants.
    The Cochrane database of systematic reviews, 2021, 07-07, Volume: 7

    Topics: Buprenorphine; Chlorpromazine; Clonidine; Diazepam; Humans; Hypnotics and Sedatives; Infant, Newborn

2021
Opioid treatment for opioid withdrawal in newborn infants.
    The Cochrane database of systematic reviews, 2021, 07-07, Volume: 7

    Topics: Buprenorphine; Chlorpromazine; Clonidine; Diazepam; Humans; Hypnotics and Sedatives; Infant, Newborn

2021
Opioid treatment for opioid withdrawal in newborn infants.
    The Cochrane database of systematic reviews, 2021, 07-07, Volume: 7

    Topics: Buprenorphine; Chlorpromazine; Clonidine; Diazepam; Humans; Hypnotics and Sedatives; Infant, Newborn

2021
Opioid treatment for opioid withdrawal in newborn infants.
    The Cochrane database of systematic reviews, 2021, 07-07, Volume: 7

    Topics: Buprenorphine; Chlorpromazine; Clonidine; Diazepam; Humans; Hypnotics and Sedatives; Infant, Newborn

2021
Opioid treatment for opioid withdrawal in newborn infants.
    The Cochrane database of systematic reviews, 2021, 07-07, Volume: 7

    Topics: Buprenorphine; Chlorpromazine; Clonidine; Diazepam; Humans; Hypnotics and Sedatives; Infant, Newborn

2021
Opioid treatment for opioid withdrawal in newborn infants.
    The Cochrane database of systematic reviews, 2021, 07-07, Volume: 7

    Topics: Buprenorphine; Chlorpromazine; Clonidine; Diazepam; Humans; Hypnotics and Sedatives; Infant, Newborn

2021
Opioid treatment for opioid withdrawal in newborn infants.
    The Cochrane database of systematic reviews, 2021, 07-07, Volume: 7

    Topics: Buprenorphine; Chlorpromazine; Clonidine; Diazepam; Humans; Hypnotics and Sedatives; Infant, Newborn

2021
Opioid treatment for opioid withdrawal in newborn infants.
    The Cochrane database of systematic reviews, 2021, 07-07, Volume: 7

    Topics: Buprenorphine; Chlorpromazine; Clonidine; Diazepam; Humans; Hypnotics and Sedatives; Infant, Newborn

2021
Opioid treatment for opioid withdrawal in newborn infants.
    The Cochrane database of systematic reviews, 2021, 07-07, Volume: 7

    Topics: Buprenorphine; Chlorpromazine; Clonidine; Diazepam; Humans; Hypnotics and Sedatives; Infant, Newborn

2021
Opioid treatment for opioid withdrawal in newborn infants.
    The Cochrane database of systematic reviews, 2021, 07-07, Volume: 7

    Topics: Buprenorphine; Chlorpromazine; Clonidine; Diazepam; Humans; Hypnotics and Sedatives; Infant, Newborn

2021
Opioid treatment for opioid withdrawal in newborn infants.
    The Cochrane database of systematic reviews, 2021, 07-07, Volume: 7

    Topics: Buprenorphine; Chlorpromazine; Clonidine; Diazepam; Humans; Hypnotics and Sedatives; Infant, Newborn

2021
Opioid treatment for opioid withdrawal in newborn infants.
    The Cochrane database of systematic reviews, 2021, 07-07, Volume: 7

    Topics: Buprenorphine; Chlorpromazine; Clonidine; Diazepam; Humans; Hypnotics and Sedatives; Infant, Newborn

2021
Opioid treatment for opioid withdrawal in newborn infants.
    The Cochrane database of systematic reviews, 2021, 07-07, Volume: 7

    Topics: Buprenorphine; Chlorpromazine; Clonidine; Diazepam; Humans; Hypnotics and Sedatives; Infant, Newborn

2021
Opioid treatment for opioid withdrawal in newborn infants.
    The Cochrane database of systematic reviews, 2021, 07-07, Volume: 7

    Topics: Buprenorphine; Chlorpromazine; Clonidine; Diazepam; Humans; Hypnotics and Sedatives; Infant, Newborn

2021
Opioid treatment for opioid withdrawal in newborn infants.
    The Cochrane database of systematic reviews, 2021, 07-07, Volume: 7

    Topics: Buprenorphine; Chlorpromazine; Clonidine; Diazepam; Humans; Hypnotics and Sedatives; Infant, Newborn

2021
Opioid treatment for opioid withdrawal in newborn infants.
    The Cochrane database of systematic reviews, 2021, 07-07, Volume: 7

    Topics: Buprenorphine; Chlorpromazine; Clonidine; Diazepam; Humans; Hypnotics and Sedatives; Infant, Newborn

2021
Opioid treatment for opioid withdrawal in newborn infants.
    The Cochrane database of systematic reviews, 2021, 07-07, Volume: 7

    Topics: Buprenorphine; Chlorpromazine; Clonidine; Diazepam; Humans; Hypnotics and Sedatives; Infant, Newborn

2021
Opioid treatment for opioid withdrawal in newborn infants.
    The Cochrane database of systematic reviews, 2021, 07-07, Volume: 7

    Topics: Buprenorphine; Chlorpromazine; Clonidine; Diazepam; Humans; Hypnotics and Sedatives; Infant, Newborn

2021
Opioid treatment for opioid withdrawal in newborn infants.
    The Cochrane database of systematic reviews, 2021, 07-07, Volume: 7

    Topics: Buprenorphine; Chlorpromazine; Clonidine; Diazepam; Humans; Hypnotics and Sedatives; Infant, Newborn

2021
Opioid treatment for opioid withdrawal in newborn infants.
    The Cochrane database of systematic reviews, 2021, 07-07, Volume: 7

    Topics: Buprenorphine; Chlorpromazine; Clonidine; Diazepam; Humans; Hypnotics and Sedatives; Infant, Newborn

2021
Opioid treatment for opioid withdrawal in newborn infants.
    The Cochrane database of systematic reviews, 2021, 07-07, Volume: 7

    Topics: Buprenorphine; Chlorpromazine; Clonidine; Diazepam; Humans; Hypnotics and Sedatives; Infant, Newborn

2021
Opioid treatment for opioid withdrawal in newborn infants.
    The Cochrane database of systematic reviews, 2021, 07-07, Volume: 7

    Topics: Buprenorphine; Chlorpromazine; Clonidine; Diazepam; Humans; Hypnotics and Sedatives; Infant, Newborn

2021
Opioid treatment for opioid withdrawal in newborn infants.
    The Cochrane database of systematic reviews, 2021, 07-07, Volume: 7

    Topics: Buprenorphine; Chlorpromazine; Clonidine; Diazepam; Humans; Hypnotics and Sedatives; Infant, Newborn

2021
Opioid treatment for opioid withdrawal in newborn infants.
    The Cochrane database of systematic reviews, 2021, 07-07, Volume: 7

    Topics: Buprenorphine; Chlorpromazine; Clonidine; Diazepam; Humans; Hypnotics and Sedatives; Infant, Newborn

2021
Opioid treatment for opioid withdrawal in newborn infants.
    The Cochrane database of systematic reviews, 2021, 07-07, Volume: 7

    Topics: Buprenorphine; Chlorpromazine; Clonidine; Diazepam; Humans; Hypnotics and Sedatives; Infant, Newborn

2021
Opioid treatment for opioid withdrawal in newborn infants.
    The Cochrane database of systematic reviews, 2021, 07-07, Volume: 7

    Topics: Buprenorphine; Chlorpromazine; Clonidine; Diazepam; Humans; Hypnotics and Sedatives; Infant, Newborn

2021
Opioid treatment for opioid withdrawal in newborn infants.
    The Cochrane database of systematic reviews, 2021, 07-07, Volume: 7

    Topics: Buprenorphine; Chlorpromazine; Clonidine; Diazepam; Humans; Hypnotics and Sedatives; Infant, Newborn

2021
Opioid treatment for opioid withdrawal in newborn infants.
    The Cochrane database of systematic reviews, 2021, 07-07, Volume: 7

    Topics: Buprenorphine; Chlorpromazine; Clonidine; Diazepam; Humans; Hypnotics and Sedatives; Infant, Newborn

2021
Opioid treatment for opioid withdrawal in newborn infants.
    The Cochrane database of systematic reviews, 2021, 07-07, Volume: 7

    Topics: Buprenorphine; Chlorpromazine; Clonidine; Diazepam; Humans; Hypnotics and Sedatives; Infant, Newborn

2021
Opioid treatment for opioid withdrawal in newborn infants.
    The Cochrane database of systematic reviews, 2021, 07-07, Volume: 7

    Topics: Buprenorphine; Chlorpromazine; Clonidine; Diazepam; Humans; Hypnotics and Sedatives; Infant, Newborn

2021
Opioid treatment for opioid withdrawal in newborn infants.
    The Cochrane database of systematic reviews, 2021, 07-07, Volume: 7

    Topics: Buprenorphine; Chlorpromazine; Clonidine; Diazepam; Humans; Hypnotics and Sedatives; Infant, Newborn

2021
Opioid treatment for opioid withdrawal in newborn infants.
    The Cochrane database of systematic reviews, 2021, 07-07, Volume: 7

    Topics: Buprenorphine; Chlorpromazine; Clonidine; Diazepam; Humans; Hypnotics and Sedatives; Infant, Newborn

2021
Opioid treatment for opioid withdrawal in newborn infants.
    The Cochrane database of systematic reviews, 2021, 07-07, Volume: 7

    Topics: Buprenorphine; Chlorpromazine; Clonidine; Diazepam; Humans; Hypnotics and Sedatives; Infant, Newborn

2021
Opioid treatment for opioid withdrawal in newborn infants.
    The Cochrane database of systematic reviews, 2021, 07-07, Volume: 7

    Topics: Buprenorphine; Chlorpromazine; Clonidine; Diazepam; Humans; Hypnotics and Sedatives; Infant, Newborn

2021
Opioid treatment for opioid withdrawal in newborn infants.
    The Cochrane database of systematic reviews, 2021, 07-07, Volume: 7

    Topics: Buprenorphine; Chlorpromazine; Clonidine; Diazepam; Humans; Hypnotics and Sedatives; Infant, Newborn

2021
Opioid treatment for opioid withdrawal in newborn infants.
    The Cochrane database of systematic reviews, 2021, 07-07, Volume: 7

    Topics: Buprenorphine; Chlorpromazine; Clonidine; Diazepam; Humans; Hypnotics and Sedatives; Infant, Newborn

2021
Opioid treatment for opioid withdrawal in newborn infants.
    The Cochrane database of systematic reviews, 2021, 07-07, Volume: 7

    Topics: Buprenorphine; Chlorpromazine; Clonidine; Diazepam; Humans; Hypnotics and Sedatives; Infant, Newborn

2021
Opioid treatment for opioid withdrawal in newborn infants.
    The Cochrane database of systematic reviews, 2021, 07-07, Volume: 7

    Topics: Buprenorphine; Chlorpromazine; Clonidine; Diazepam; Humans; Hypnotics and Sedatives; Infant, Newborn

2021
Opioid treatment for opioid withdrawal in newborn infants.
    The Cochrane database of systematic reviews, 2021, 07-07, Volume: 7

    Topics: Buprenorphine; Chlorpromazine; Clonidine; Diazepam; Humans; Hypnotics and Sedatives; Infant, Newborn

2021
Opioid treatment for opioid withdrawal in newborn infants.
    The Cochrane database of systematic reviews, 2021, 07-07, Volume: 7

    Topics: Buprenorphine; Chlorpromazine; Clonidine; Diazepam; Humans; Hypnotics and Sedatives; Infant, Newborn

2021
Opioid treatment for opioid withdrawal in newborn infants.
    The Cochrane database of systematic reviews, 2021, 07-07, Volume: 7

    Topics: Buprenorphine; Chlorpromazine; Clonidine; Diazepam; Humans; Hypnotics and Sedatives; Infant, Newborn

2021
Analgesia, Opioids, and Other Drug Use During Pregnancy and Neonatal Abstinence Syndrome.
    Clinics in perinatology, 2019, Volume: 46, Issue:2

    Topics: Analgesia, Obstetrical; Analgesics; Analgesics, Opioid; Breast Feeding; Buprenorphine; Buprenorphine

2019
Pharmacotherapy for Neonatal Abstinence Syndrome: Choosing the Right Opioid or No Opioid at All.
    Neonatal network : NN, 2016, Volume: 35, Issue:5

    Topics: Analgesics; Buprenorphine; Clonidine; Drug Therapy, Combination; Humans; Hypnotics and Sedatives; In

2016
Treating pregnant women dependent on opioids is not the same as treating pregnancy and opioid dependence: a knowledge synthesis for better treatment for women and neonates.
    Addiction (Abingdon, England), 2008, Volume: 103, Issue:9

    Topics: Buprenorphine; Diagnosis, Dual (Psychiatry); Female; GABA Modulators; Humans; Infant, Newborn; Menta

2008
Sedatives for opiate withdrawal in newborn infants.
    The Cochrane database of systematic reviews, 2010, Oct-06, Issue:10

    Topics: Chlorpromazine; Clonidine; Diazepam; Humans; Hypnotics and Sedatives; Infant, Newborn; Narcotics; Ne

2010
Opiate treatment for opiate withdrawal in newborn infants.
    The Cochrane database of systematic reviews, 2010, Oct-06, Issue:10

    Topics: Diazepam; Humans; Hypnotics and Sedatives; Infant, Newborn; Morphine; Narcotics; Neonatal Abstinence

2010
Update on the pharmacologic management of neonatal abstinence syndrome.
    Journal of perinatology : official journal of the California Perinatal Association, 2011, Volume: 31, Issue:11

    Topics: Benzodiazepines; Buprenorphine; Clonidine; Female; Humans; Hypnotics and Sedatives; Infant, Newborn;

2011
[Withdrawal in newborns after exposure to psychotropic medications during pregnancy].
    Nederlands tijdschrift voor geneeskunde, 2012, Volume: 156, Issue:16

    Topics: Anticonvulsants; Female; Humans; Infant, Newborn; Male; Neonatal Abstinence Syndrome; Phenobarbital;

2012
Sedatives for opiate withdrawal in newborn infants.
    The Cochrane database of systematic reviews, 2002, Issue:3

    Topics: Chlorpromazine; Clonidine; Diazepam; Humans; Hypnotics and Sedatives; Infant, Newborn; Neonatal Abst

2002
Sedatives for opiate withdrawal in newborn infants.
    The Cochrane database of systematic reviews, 2005, Jul-20, Issue:3

    Topics: Chlorpromazine; Clonidine; Diazepam; Humans; Hypnotics and Sedatives; Infant, Newborn; Neonatal Abst

2005
Opiate treatment for opiate withdrawal in newborn infants.
    The Cochrane database of systematic reviews, 2005, Jul-20, Issue:3

    Topics: Diazepam; Humans; Infant, Newborn; Narcotics; Neonatal Abstinence Syndrome; Opioid-Related Disorders

2005
Treatment options for drug-exposed infants.
    NIDA research monograph, 1995, Volume: 149

    Topics: Female; GABA Modulators; Humans; Infant, Newborn; Naloxone; Narcotic Antagonists; Narcotics; Neonata

1995
Current management of the neonatal abstinence syndrome: a critical analysis of the evidence.
    Biology of the neonate, 1997, Volume: 71, Issue:6

    Topics: Analgesics, Opioid; Anticonvulsants; Antipsychotic Agents; Chlorpromazine; Clinical Trials as Topic;

1997
[Findings in newborn infants following drug abuse or drug weaning in the mother].
    Der Gynakologe, 1991, Volume: 24, Issue:6

    Topics: Abnormalities, Drug-Induced; Adult; Female; Fetal Growth Retardation; Heroin Dependence; Humans; Inf

1991

Trials

13 trials available for phenobarbital and Abstinence Syndrome, Neonatal

ArticleYear
Ondansetron to reduce neonatal opioid withdrawal severity a randomized clinical trial.
    Journal of perinatology : official journal of the California Perinatal Association, 2023, Volume: 43, Issue:3

    Topics: Analgesics, Opioid; Humans; Infant, Newborn; Morphine; Neonatal Abstinence Syndrome; Ondansetron; Ph

2023
Treatment of opioid withdrawal in neonates with morphine, phenobarbital, or chlorpromazine: a randomized double-blind trial.
    European journal of pediatrics, 2020, Volume: 179, Issue:1

    Topics: Analgesics, Opioid; Chlorpromazine; Dopamine Antagonists; Dose-Response Relationship, Drug; Double-B

2020
Neurodevelopmental Outcomes of Neonates Randomized to Morphine or Methadone for Treatment of Neonatal Abstinence Syndrome.
    The Journal of pediatrics, 2020, Volume: 219

    Topics: Female; Humans; Infant; Infant, Newborn; Male; Methadone; Morphine; Narcotics; Neonatal Abstinence S

2020
Buprenorphine for the Treatment of the Neonatal Abstinence Syndrome.
    The New England journal of medicine, 2017, 06-15, Volume: 376, Issue:24

    Topics: Administration, Oral; Administration, Sublingual; Analgesics, Opioid; Buprenorphine; Double-Blind Me

2017
Treatment of neonatal abstinence syndrome in preterm and term infants.
    Klinische Padiatrie, 2013, Volume: 225, Issue:5

    Topics: Adult; Analgesics, Opioid; Chloral Hydrate; Dose-Response Relationship, Drug; Drug Administration Sc

2013
Efficacy of clonidine versus phenobarbital in reducing neonatal morphine sulfate therapy days for neonatal abstinence syndrome. A prospective randomized clinical trial.
    Journal of perinatology : official journal of the California Perinatal Association, 2013, Volume: 33, Issue:12

    Topics: Adrenergic alpha-2 Receptor Agonists; Analgesics, Opioid; Analysis of Variance; Clonidine; Drug Ther

2013
Phenobarbital versus morphine in the management of neonatal abstinence syndrome, a randomized control trial.
    BMC pediatrics, 2015, May-15, Volume: 15

    Topics: Administration, Oral; Analgesics, Opioid; Chemotherapy, Adjuvant; Drug Administration Schedule; Huma

2015
Laser Acupuncture for Neonatal Abstinence Syndrome: A Randomized Controlled Trial.
    Pediatrics, 2015, Volume: 136, Issue:5

    Topics: Acupuncture Therapy; Combined Modality Therapy; Female; Humans; Infant, Newborn; Lasers; Male; Morph

2015
Revised dose schema of sublingual buprenorphine in the treatment of the neonatal opioid abstinence syndrome.
    Addiction (Abingdon, England), 2011, Volume: 106, Issue:3

    Topics: Administration, Sublingual; Adult; Birth Weight; Buprenorphine; Cytomegalovirus Infections; Dose-Res

2011
Revised dose schema of sublingual buprenorphine in the treatment of the neonatal opioid abstinence syndrome.
    Addiction (Abingdon, England), 2011, Volume: 106, Issue:3

    Topics: Administration, Sublingual; Adult; Birth Weight; Buprenorphine; Cytomegalovirus Infections; Dose-Res

2011
Revised dose schema of sublingual buprenorphine in the treatment of the neonatal opioid abstinence syndrome.
    Addiction (Abingdon, England), 2011, Volume: 106, Issue:3

    Topics: Administration, Sublingual; Adult; Birth Weight; Buprenorphine; Cytomegalovirus Infections; Dose-Res

2011
Revised dose schema of sublingual buprenorphine in the treatment of the neonatal opioid abstinence syndrome.
    Addiction (Abingdon, England), 2011, Volume: 106, Issue:3

    Topics: Administration, Sublingual; Adult; Birth Weight; Buprenorphine; Cytomegalovirus Infections; Dose-Res

2011
Revised dose schema of sublingual buprenorphine in the treatment of the neonatal opioid abstinence syndrome.
    Addiction (Abingdon, England), 2011, Volume: 106, Issue:3

    Topics: Administration, Sublingual; Adult; Birth Weight; Buprenorphine; Cytomegalovirus Infections; Dose-Res

2011
Revised dose schema of sublingual buprenorphine in the treatment of the neonatal opioid abstinence syndrome.
    Addiction (Abingdon, England), 2011, Volume: 106, Issue:3

    Topics: Administration, Sublingual; Adult; Birth Weight; Buprenorphine; Cytomegalovirus Infections; Dose-Res

2011
Revised dose schema of sublingual buprenorphine in the treatment of the neonatal opioid abstinence syndrome.
    Addiction (Abingdon, England), 2011, Volume: 106, Issue:3

    Topics: Administration, Sublingual; Adult; Birth Weight; Buprenorphine; Cytomegalovirus Infections; Dose-Res

2011
Revised dose schema of sublingual buprenorphine in the treatment of the neonatal opioid abstinence syndrome.
    Addiction (Abingdon, England), 2011, Volume: 106, Issue:3

    Topics: Administration, Sublingual; Adult; Birth Weight; Buprenorphine; Cytomegalovirus Infections; Dose-Res

2011
Revised dose schema of sublingual buprenorphine in the treatment of the neonatal opioid abstinence syndrome.
    Addiction (Abingdon, England), 2011, Volume: 106, Issue:3

    Topics: Administration, Sublingual; Adult; Birth Weight; Buprenorphine; Cytomegalovirus Infections; Dose-Res

2011
A randomised controlled trial of morphine versus phenobarbitone for neonatal abstinence syndrome.
    Archives of disease in childhood. Fetal and neonatal edition, 2004, Volume: 89, Issue:4

    Topics: Double-Blind Method; Humans; Infant, Newborn; Morphine; Narcotics; Neonatal Abstinence Syndrome; Opi

2004
Neurobehavioral effects of treatment for opiate withdrawal.
    Archives of disease in childhood. Fetal and neonatal edition, 2005, Volume: 90, Issue:1

    Topics: Analgesics, Opioid; Drug Therapy, Combination; Heroin; Humans; Hypnotics and Sedatives; Infant Behav

2005
Management of neonatal abstinence syndrome in neonates born to opioid maintained women.
    Drug and alcohol dependence, 2007, Mar-16, Volume: 87, Issue:2-3

    Topics: Adult; Apgar Score; Female; Gestational Age; Humans; Infant, Newborn; Male; Methadone; Morphine; Neo

2007
Diluted tincture of opium (DTO) and phenobarbital versus DTO alone for neonatal opiate withdrawal in term infants.
    The Journal of pediatrics, 2002, Volume: 140, Issue:5

    Topics: Analgesics, Opioid; Drug Therapy, Combination; Heroin; Hospital Costs; Humans; Hypnotics and Sedativ

2002

Other Studies

33 other studies available for phenobarbital and Abstinence Syndrome, Neonatal

ArticleYear
Do small for gestational age infants have less severe neonatal abstinence syndrome?
    Journal of neonatal-perinatal medicine, 2022, Volume: 15, Issue:4

    Topics: Female; Gestational Age; Humans; Infant; Infant, Newborn; Infant, Premature; Neonatal Abstinence Syn

2022
[Neonatal abstinence syndrome due to kratom].
    Nederlands tijdschrift voor geneeskunde, 2023, Sep-28, Volume: 167

    Topics: Analgesics, Opioid; Female; Humans; Infant, Newborn; Mitragyna; Neonatal Abstinence Syndrome; Opioid

2023
Neonatal abstinence syndrome management in California birth hospitals: results of a statewide survey.
    Journal of perinatology : official journal of the California Perinatal Association, 2020, Volume: 40, Issue:3

    Topics: Analgesics, Opioid; Breast Feeding; California; Clonidine; Health Care Surveys; Humans; Infant Care;

2020
Stereoselective Analysis of Methadone and EDDP in Laboring Women and Neonates in Plasma and Dried Blood Spots and Association with Neonatal Abstinence Syndrome.
    American journal of perinatology, 2021, Volume: 38, Issue:9

    Topics: Analgesics, Opioid; Anticonvulsants; Dried Blood Spot Testing; Female; Humans; Infant, Newborn; Labo

2021
Clonidine versus phenobarbital as adjunctive therapy for neonatal abstinence syndrome.
    Journal of perinatology : official journal of the California Perinatal Association, 2020, Volume: 40, Issue:7

    Topics: Analgesics, Opioid; Clonidine; Humans; Infant, Newborn; Length of Stay; Methadone; Morphine; Neonata

2020
Is Maternal Methadone Dose Associated with the Severity of Neonatal Abstinence Syndrome?
    American journal of perinatology, 2022, Volume: 39, Issue:10

    Topics: Female; Humans; Infant, Newborn; Methadone; Morphine; Neonatal Abstinence Syndrome; Opioid-Related D

2022
Phenobarbital and Clonidine as Secondary Medications for Neonatal Opioid Withdrawal Syndrome.
    Pediatrics, 2021, Volume: 147, Issue:3

    Topics: Analgesics; Analgesics, Opioid; Clonidine; Drug Administration Schedule; Drug Therapy, Combination;

2021
Neonatal abstinence syndrome due to prenatally citalopram exposure: A case report.
    Archivos argentinos de pediatria, 2017, Dec-01, Volume: 115, Issue:6

    Topics: Anticonvulsants; Antidepressive Agents, Second-Generation; Citalopram; Depressive Disorder, Major; F

2017
Outpatient Pharmacotherapy for Neonatal Abstinence Syndrome.
    The Journal of pediatrics, 2018, Volume: 199

    Topics: Ambulatory Care; Analgesics, Opioid; Drug Therapy, Combination; Emergency Service, Hospital; Facilit

2018
[Neonatal abstinence syndrome after maternal use of tramadol].
    Nederlands tijdschrift voor geneeskunde, 2013, Volume: 157, Issue:9

    Topics: Adult; Analgesics, Opioid; Female; Humans; Infant, Newborn; Neonatal Abstinence Syndrome; Opioid-Rel

2013
Home-based detoxification for neonatal abstinence syndrome reduces length of hospital admission without prolonging treatment.
    Acta paediatrica (Oslo, Norway : 1992), 2014, Volume: 103, Issue:6

    Topics: Adult; Analgesics, Opioid; Breast Feeding; Cost Control; Female; Home Care Services, Hospital-Based;

2014
Variation in treatment of neonatal abstinence syndrome in US children's hospitals, 2004-2011.
    Journal of perinatology : official journal of the California Perinatal Association, 2014, Volume: 34, Issue:11

    Topics: Comorbidity; Female; Hospital Charges; Hospitals, Pediatric; Humans; Infant, Newborn; Length of Stay

2014
Adjunctive therapy for neonatal opioid dependence: do we really know what's best?
    Journal of perinatology : official journal of the California Perinatal Association, 2014, Volume: 34, Issue:7

    Topics: Adrenergic alpha-2 Receptor Agonists; Analgesics, Opioid; Clonidine; Female; Humans; Male; Morphine;

2014
Adjunctive therapy for neonatal abstinence syndrome: why not personalize it for each infant based on their in-utero exposure?
    Journal of perinatology : official journal of the California Perinatal Association, 2014, Volume: 34, Issue:7

    Topics: Adrenergic alpha-2 Receptor Agonists; Analgesics, Opioid; Clonidine; Female; Humans; Male; Morphine;

2014
A multicenter cohort study of treatments and hospital outcomes in neonatal abstinence syndrome.
    Pediatrics, 2014, Volume: 134, Issue:2

    Topics: Adult; Clinical Protocols; Female; Humans; Hypnotics and Sedatives; Infant, Newborn; Infant, Prematu

2014
Prematurity reduces the severity and need for treatment of neonatal abstinence syndrome.
    Acta paediatrica (Oslo, Norway : 1992), 2015, Volume: 104, Issue:5

    Topics: Adult; Anticonvulsants; Australian Capital Territory; Female; Gestational Age; Humans; Infant, Newbo

2015
Design of pediatric oral formulations with a low proportion of methadone or phenobarbital for the treatment of neonatal abstinence syndrome.
    Pharmaceutical development and technology, 2016, Volume: 21, Issue:6

    Topics: Administration, Oral; Chemistry, Pharmaceutical; Drug Design; Drug Packaging; Drug Stability; Humans

2016
Rooming-In to Treat Neonatal Abstinence Syndrome: Improved Family-Centered Care at Lower Cost.
    Pediatrics, 2016, Volume: 137, Issue:6

    Topics: Analgesics, Opioid; Drug Utilization; Hospital Costs; Humans; Hypnotics and Sedatives; Infant, Newbo

2016
Neonatal Abstinence Syndrome: Twelve Years of Experience at a Regional Referral Center.
    Klinische Padiatrie, 2017, Volume: 229, Issue:1

    Topics: Buprenorphine; Diseases in Twins; Female; Hospitalization; Humans; Infant, Newborn; Male; Methadone;

2017
High-dose methadone in pregnant women and its effect on duration of neonatal abstinence syndrome.
    American journal of obstetrics and gynecology, 2009, Volume: 200, Issue:1

    Topics: Adult; Anticonvulsants; Cohort Studies; Dose-Response Relationship, Drug; Female; Humans; Infant, Ne

2009
Treatment of neonatal abstinence syndrome with clonidine and chloral hydrate.
    Acta paediatrica (Oslo, Norway : 1992), 2010, Volume: 99, Issue:2

    Topics: Blood Pressure; Chloral Hydrate; Clonidine; Drug Therapy, Combination; Female; Humans; Hypnotics and

2010
Neonatal abstinence syndrome (NAS) after intrauterine exposure to tramadol.
    Journal of perinatal medicine, 2010, Volume: 38, Issue:6

    Topics: Analgesics, Opioid; Breast Feeding; Female; Humans; Hypnotics and Sedatives; Infant, Newborn; Matern

2010
Infants born to mothers under phenobarbital treatment: correlation between serum levels and clinical features of neonates.
    European journal of obstetrics, gynecology, and reproductive biology, 2011, Volume: 159, Issue:1

    Topics: Adult; Anticonvulsants; Cohort Studies; Epilepsy; Female; Hospitals, University; Humans; Infant, New

2011
Profile of infants born to drug-using mothers: a state-wide audit.
    Journal of paediatrics and child health, 2013, Volume: 49, Issue:1

    Topics: Australian Capital Territory; Breast Feeding; Congenital Abnormalities; Female; Hospitalization; Hos

2013
Management of neonatal abstinence syndrome in neonatal intensive care units: a national survey.
    Journal of perinatology : official journal of the California Perinatal Association, 2006, Jan-01, Volume: 26, Issue:1

    Topics: Humans; Hypnotics and Sedatives; Infant, Newborn; Injections, Intravenous; Intensive Care Units, Neo

2006
[A multidisciplinary approach is necessary in the neonatal withdrawal syndrome].
    Nederlands tijdschrift voor geneeskunde, 2006, Apr-08, Volume: 150, Issue:14

    Topics: Adult; Female; Humans; Hypnotics and Sedatives; Infant, Newborn; Male; Methadone; Narcotics; Neonata

2006
Neonatal narcotic withdrawal in Hong Kong Chinese.
    Asia-Oceania journal of obstetrics and gynaecology, 1994, Volume: 20, Issue:3

    Topics: Asian People; Case-Control Studies; Chlorpromazine; Female; Hong Kong; Humans; Infant, Newborn; Narc

1994
Neonatal withdrawal from maternal volatile substance abuse.
    Archives of disease in childhood. Fetal and neonatal edition, 1996, Volume: 74, Issue:3

    Topics: Acidosis; Cohort Studies; Female; GABA Modulators; Humans; Infant, Newborn; Male; Neonatal Abstinenc

1996
A survey of the management of neonatal opiate withdrawal in England and Wales.
    European journal of pediatrics, 1996, Volume: 155, Issue:4

    Topics: Chlorpromazine; England; Female; Hospitals, Maternity; Humans; Infant, Newborn; Male; Narcotics; Neo

1996
[Newborn infant of drug-addicted mother: maternal, perinatal, neonatal aspects, and neonatal abstinence syndrome].
    Anales espanoles de pediatria, 1991, Volume: 34, Issue:2

    Topics: Adult; Chlorpromazine; Female; Humans; Infant, Low Birth Weight; Infant, Newborn; Neonatal Abstinenc

1991
Appraisal and caregiving for the drug addicted infant.
    Neonatal network : NN, 1989, Volume: 8, Issue:3

    Topics: Humans; Infant, Newborn; Narcotics; Neonatal Abstinence Syndrome; Nursing Assessment; Patient Care P

1989
The influence of pharmacotherapy on the neonatal sleep patterns of infants born to opiate-addicted mothers.
    NIDA research monograph, 1987, Volume: 76

    Topics: Drug Therapy, Combination; Female; Humans; Infant, Newborn; Male; Methadone; Narcotics; Neonatal Abs

1987
Infants of drug-addicted mothers.
    Australian paediatric journal, 1988, Volume: 24, Issue:3

    Topics: Acquired Immunodeficiency Syndrome; Female; Humans; Infant; Infant, Newborn; Neonatal Abstinence Syn

1988