• J Palliat Med · Aug 2021

    Rapid Buprenorphine Induction for Cancer Pain in Pregnancy.

    • Madison Irwin, Ketti S Petersen, and Michael A Smith.
    • Department of Pharmacy Services, Michigan Medicine, Ann Arbor, Michigan, USA.
    • J Palliat Med. 2021 Aug 1; 24 (8): 1257-1262.

    AbstractMost patients with cancer-related pain are managed using opioids; cancer-related pain in the setting of pregnancy can be challenging to address owing to risk to the fetus associated with in utero opioid exposure. Buprenorphine is a unique opioid with potential benefits over other opioids for use in pregnancy and is often used for management of cancer-related pain in nonpregnant adults. There are limited data on cancer-related pain management in pregnant patients and no data supporting the use of buprenorphine for cancer-related pain in pregnant patients. This case describes a rapid buprenorphine induction using a microdosing regimen in a pregnant patient and highlights the potential of buprenorphine for cancer-related pain in this population.

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