Evidence map›Paper›PMID 25022635›Full record

ArticleCanadian family physician Medecin de famille canadien2014

Safety of the newer class of opioid antagonists in pregnancy.

Shirley Poon, Anna Pupco, Gideon Koren, Pina Bozzo

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Canadian family physician Medecin de famille canadien, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03740243 (Comparison of Buprenorphine vs Buprenorphine/Naloxone on the Effects of Maternal Symptomatology), which is not on this map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
5.1field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03740243 phase4withdrawnnot on this mapstarted 2018, after this paper: background citation

Comparison of Buprenorphine vs Buprenorphine/Naloxone on the Effects of Maternal Symptomatology

TypeinterventionalSponsorStony Brook UniversityRan2018 to 2020Enrolled0ConditionsOpioid-use DisorderArmsBuprenorphine/naloxone, Buprenorphine
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Update on the Treatment of Opioid Use Disorders in Pregnancy.Focus (American Psychiatric Publishing) · 2017
    Review
  4. Article
  5. Not antagonist treatment.Canadian family physician Medecin de famille canadien · 2014
    Article
  6. Response.Canadian family physician Medecin de famille canadien · 2014
    Article
  7. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

Shirley Poon
Anna Pupco
Gideon Koren
Pina Bozzo

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

questionI have a patient recently confirmed to be 6 weeks pregnant. For the past 6 months she has been treated for an opioid addiction with buprenorphine-naloxone combination. Should I be concerned about her exposure to this drug combination up to this point of the pregnancy? Should I switch her medication to methadone now that she is pregnant? ANSWER: The limited data on buprenorphine exposure during pregnancy show no increased risk of adverse outcomes in the newborn. There are limited data on naloxone exposure during pregnancy; however, oral use is not expected to be associated with an increased risk of adverse pregnancy outcomes. Physicians treating pregnant women or women who become pregnant while they are stable taking buprenorphine-naloxone treatment are advised to continue this treatment but to consider transition to buprenorphine monotherapy.

Indexed as

BuprenorphineBuprenorphine, Naloxone Drug CombinationContraindicationsDrug CombinationsFemaleHumansNaloxoneNarcotic AntagonistsOpioid-Related DisordersPregnancyPregnancy ComplicationsBuprenorphineBuprenorphine, Naloxone Drug CombinationDrug CombinationsNaloxoneNarcotic Antagonists

Identifiers

PMID25022635
PMCPMC4096261
OpenAlexW2152758964

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.