Unintended Pregnancies in Opioid Use Disorder

Topics: contraceptive services | Medication for Opioid Use Disorder | Opioid Use Disorder | Pregnancy

REVIEW OF: Heil SH et al, JAMA Psychiatry 2021;78(10):1071–1078 STUDY TYPE: Randomized controlled trial Among women with opioid use disorder, nearly eight out of every 10 pregnancies are unintended (Fischbein RL et al, Contracept Reprod Med 2018;3:4). The complications and potential adverse outcomes of these pregnancies include neonatal opioid w

Suboxone vs. Vivitrol for Opioid Use Disorder: How Do you Choose?

Topics: Addiction Treatment | Buprenorphine | Medication for Opioid Use Disorder | Naltrexone | Opioid Use Disorder

REVIEW OF: Nunes EV Jr et al, Am J Psychiatry 2021;178(7):660–671 For decades, methadone and buprenorphine (Bup) have been upheld as the gold standard of opioid use disorder (OUD) treatments, with naltrexone largely considered second line. However, a pair of landmark studies challenged that wisdom by showing the non-inferiority of long-acting injec