Should you use Suboxone during pregnancy?

Jan 18, 2023

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Should you use Suboxone during pregnancy?

Suboxone is a prescription medication that contains a combination of buprenorphine and naloxone. It is used to treat opioid addiction and is often prescribed to pregnant women who are struggling with opioid use disorder.

There have been several published warnings and guidance related to using Suboxone during pregnancy. The U.S. Food and Drug Administration (FDA) has classified Suboxone as a Category C pregnancy drug, which means that it may be harmful to a developing fetus. However, the FDA also acknowledges that the benefits of using Suboxone to treat opioid addiction during pregnancy may outweigh the potential risks.

One of the main concerns with using Suboxone during pregnancy is the potential for neonatal opioid withdrawal syndrome (NOWS). This condition can occur when a newborn is exposed to opioids in utero and experiences withdrawal symptoms after birth. Symptoms of NOWS can include tremors, irritability, difficulty feeding, and abnormal sleep patterns. While NOWS can be treated, it can be a difficult and stressful experience for both the newborn and their caregivers.

Pregnant women who are using Suboxone should be monitored closely by their healthcare provider. It is important for pregnant women to discuss the potential risks and benefits of using Suboxone with their healthcare provider, as well as any other medications they are taking. In some cases, the healthcare provider may recommend alternative treatment options that may be safer for the pregnancy.

It is also important for pregnant women using Suboxone to be careful about the dosage and frequency of their medication. Taking too much Suboxone can increase the risk of NOWS, while taking too little may not effectively treat the opioid addiction and could increase the risk of relapse. Pregnant women should follow their healthcare provider’s instructions and report any changes in their symptoms or side effects to their healthcare provider.

In conclusion, while there are potential risks associated with using Suboxone while pregnant, it is important to carefully consider the benefits and potential risks with a healthcare provider. For pregnant women with opioid addiction, treatment with Suboxone may be the safest and most effective option. However, it is important to be monitored closely and to follow the dosage and frequency instructions provided by the healthcare provider to minimize the potential risks to the pregnancy.

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