Article ; Online: Postpartum Extended-Release Buprenorphine Tissue Necrosis.
2023 Volume 142, Issue 6, Page(s) 1504–1508
Abstract: Background: Extended-release buprenorphine (XRB) may improve medication for opioid use disorder continuation among postpartum individuals. However, obstetric clinicians have relatively little experience with XRB. We describe two cases of XRB-related ... ...
Abstract | Background: Extended-release buprenorphine (XRB) may improve medication for opioid use disorder continuation among postpartum individuals. However, obstetric clinicians have relatively little experience with XRB. We describe two cases of XRB-related tissue necrosis in postpartum individuals to highlight recommended injection technique and management strategies for this rare complication. Cases: One patient developed tissue necrosis after her initial injection. Her wound was expectantly managed. Another patient on long-term XRB developed tissue necrosis within 1 day of injection. General surgery excised the depot. Both instances were attributed to injection of XRB intradermally rather than subcutaneously. Both patients continued monthly XRB without recurrence, suggesting that this complication is not an allergy. Conclusion: Clinicians should be able to prevent, recognize, and manage tissue necrosis, a rare complication of XRB injection. |
---|---|
MeSH term(s) | Humans ; Female ; Buprenorphine/therapeutic use ; Delayed-Action Preparations/adverse effects ; Opioid-Related Disorders/drug therapy ; Opiate Substitution Treatment ; Injections ; Analgesics, Opioid/therapeutic use ; Narcotic Antagonists |
Chemical Substances | Buprenorphine (40D3SCR4GZ) ; Delayed-Action Preparations ; Analgesics, Opioid ; Narcotic Antagonists |
Language | English |
Publishing date | 2023-11-02 |
Publishing country | United States |
Document type | Journal Article |
ZDB-ID | 207330-4 |
ISSN | 1873-233X ; 0029-7844 |
ISSN (online) | 1873-233X |
ISSN | 0029-7844 |
DOI | 10.1097/AOG.0000000000005425 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
More links
Kategorien
In stock of ZB MED Cologne/Königswinter
Um I Zs.230: Show issues | Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular ab Jg. 2022: Lesesaal (EG) |
Order via subito
This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.