Tehran University of Medical Sciences

Science Communicator Platform

Stay connected! Follow us on X network (Twitter):
Share this content! On (X network) By
Phenobarbital Versus Morphine in the Management of Neonatal Abstinence Syndrome, a Randomized Control Trial Publisher Pubmed



Nayeri F1, 2 ; Sheikh M1, 2 ; Kalani M3 ; Niknafs P4 ; Shariat M1, 2 ; Dalili H2 ; Dehpour AR5
Authors
Show Affiliations
Authors Affiliations
  1. 1. Tehran University of Medical Sciences, Maternal, Fetal and Neonatal Research Center, Tehran, Iran
  2. 2. Tehran University of Medical Sciences, Breastfeeding Research Center, Tehran, Iran
  3. 3. Iran University of Medical Sciences, Department of Neonatology, Akbar-Abadi Hospital, Tehran, Iran
  4. 4. Kerman University of Medical Sciences, Pediatrics Department, Kerman, Iran
  5. 5. Tehran University of Medical Sciences, Department of Pharmacology, Faculty of Medicine, Tehran, Iran

Source: BMC Pediatrics Published:2015


Abstract

Backgrounds: Evaluating the efficacy of the loading and tapering dose of Phenobarbital versus oral Morphine in the management of NAS. Methods: This randomized, open-label, controlled trial was conducted on 60 neonates born to illicit drugs dependent mothers at Vali-Asr and Akbar-Abadi hospitals, Tehran, Iran, who exhibited NAS requiring medical therapy. The neonates were randomized to receive either: Oral Morphine Sulfate or a loading dose of Phenobarbital followed by a tapering dose. The duration of treatment required for NAS resolution, the total hospital stay and the requirement for additional second line treatment were compared between the treatment groups. Results: The Mean ± Standard Deviation for the duration of treatment required for the resolution of NAS was 8.5 ± 5 days in the Morphine group and 8.5 ± 4 days in the Phenobarbital group (P = 0.9). The duration of total hospital stay was 12.6 ± 5.6 days in the Morphine group and 12.5 ± 5.3 days in the Phenobarbital group (P = 0.7). 3.3 % in the Morphine group versus 6.6 % in the Phenobarbital group required adjunctive treatment (P = 0.5). Conclusions: There were no significant differences in the duration of treatment, duration of hospital stay, and the requirement for adjunctive treatment, between the neonates with NAS who received Morphine Sulfate and neonates who received a loading and tapering dose of Phenobarbital. Trial registration: This study is registered at the Iranian Registry of Clinical Trials (www.irct.ir) which is a Primary Registry in the WHO Registry Network. (Registration Number = IRCT201406239568N8) © 2015 Nayeri et al.; licensee BioMed Central.
Related Docs
2. Neonatal Abstinence Syndrome: A Systematic Review of Current Databases and Registries, Journal of Maternal-Fetal and Neonatal Medicine (2021)
Experts (# of related papers)