Display options
Share it on

J Pain Res. 2018 Mar 15;11:549-559. doi: 10.2147/JPR.S153903. eCollection 2018.

Buprenorphine and pain treatment in pediatric patients: an update.

Journal of pain research

Erendira Vicencio-Rosas, María Gabriela Pérez-Guillé, Carmen Flores-Pérez, Janett Flores-Pérez, Francisca Trujillo-Jiménez, Juan Luis Chávez-Pacheco

Affiliations

  1. Anesthesiology Department, Hospital Regional de Alta Especialidad "Bicentenario de la Independencia", ISSSTE, Tultitlán de Mariano Escobedo, México.
  2. Pharmacology Laboratory, Instituto Nacional de Pediatría, Ciudad de México, México.

PMID: 29588613 PMCID: PMC5859905 DOI: 10.2147/JPR.S153903

Abstract

INTRODUCTION: The usual management of moderate to severe pain is based on the use of opioids. Buprenorphine (BPN) is an opioid with an analgesic potency 50 times greater than that of morphine. It is widely used in various pain models and has demonstrated efficacy and safety in adult patients; however, there are insufficient clinical trials in pediatric populations.

PURPOSE: The aim of this study was to perform an updated meta-analysis on the implementation of BPN in the treatment of pain in the pediatric population.

METHODS: A bibliographic search was carried out in different biomedical databases to identify scientific papers and clinical trials with evidence of BPN use in children and adolescents.

RESULTS: A total of 89 articles were found, of which 66 were selected. Analysis of these items revealed additional sources, and the final review included a total of 112 publications.

CONCLUSION: Few studies were found regarding the efficacy and safety of BPN use in children. In recent years, the use of this drug in the pediatric population has become widespread, so it is imperative to perform clinical trials and pharmacological and pharmacovigilance studies, which will allow researchers to develop dosage schemes based on the evidence and minimize the risk of adverse effects.

Keywords: adverse effects; analgesia; buprenorphine; child; opioid; pharmacokinetics

Conflict of interest statement

Disclosure The authors report no conflicts of interest in this work.

References

  1. Neuropsychopharmacology. 2003 Nov;28(11):2000-9 - PubMed
  2. Clin Rheumatol. 2002 Feb;21 Suppl 1:S13-6 - PubMed
  3. Addiction. 2015 Sep;110(9):1468-75 - PubMed
  4. Pediatr Blood Cancer. 2009 Jan;52(1):125-7 - PubMed
  5. Paediatr Anaesth. 2011 Mar;21(3):280-90 - PubMed
  6. J Pain. 2009 Feb;10(2):113-30 - PubMed
  7. Paediatr Anaesth. 2014 Jun;24(6):561-8 - PubMed
  8. Clin J Pain. 2012 Oct;28(8):722-5 - PubMed
  9. Br J Anaesth. 2006 May;96(5):627-32 - PubMed
  10. J Neurosci. 2003 Nov 12;23 (32):10331-7 - PubMed
  11. Br J Clin Pharmacol. 1993 Sep;36(3):215-9 - PubMed
  12. Eur J Clin Pharmacol. 2012 Mar;68(3):301-9 - PubMed
  13. Clin Ther. 2006 Jun;28(6):943-52 - PubMed
  14. Behav Pharmacol. 2002 Nov;13(7):557-70 - PubMed
  15. Pediatrics. 2008 Apr;121(4):e782-6 - PubMed
  16. Prim Care Companion J Clin Psychiatry. 2003 Oct;5(5):205-215 - PubMed
  17. Anesthesiology. 2011 Dec;115(6):1251-60 - PubMed
  18. Neuropharmacology. 1987 Sep;26(9):1445-7 - PubMed
  19. Pain. 2008 Jul 31;137(3):473-7 - PubMed
  20. Ann N Y Acad Sci. 2012 Feb;1248:124-39 - PubMed
  21. Anesthesiology. 2010 Jan;112(1):226-38 - PubMed
  22. Pediatrics. 2001 Sep;108(3):793-7 - PubMed
  23. Am J Health Syst Pharm. 2000 Feb 15;57(4):328, 333, 335 - PubMed
  24. Pain. 2004 Dec;112(3):372-80 - PubMed
  25. Peptides. 2000 Jul;21(7):1141-6 - PubMed
  26. Eur J Pain. 2009 Mar;13(3):219-30 - PubMed
  27. Br J Pharmacol. 1977 Aug;60(4):537-45 - PubMed
  28. Paediatr Anaesth. 2012 Jul;22(7):661-8 - PubMed
  29. Pediatr Crit Care Med. 2011 Mar;12(2):e102-7 - PubMed
  30. Br J Anaesth. 2005 Jun;94(6):825-34 - PubMed
  31. Anesthesiol Clin. 2010 Dec;28(4):601-9 - PubMed
  32. Ther Clin Risk Manag. 2006 Mar;2(1):115-25 - PubMed
  33. Br J Anaesth. 1977 Sep;49(9):913-6 - PubMed
  34. Clin Pharmacol Ther. 1980 Nov;28(5):667-72 - PubMed
  35. Crit Rev Oncol Hematol. 2014 Jul;91(1):93-7 - PubMed
  36. J Clin Pharmacol. 1997 Jan;37(1):31-7 - PubMed
  37. Br J Anaesth. 1978 Jun;50(6):599-603 - PubMed
  38. Support Care Cancer. 2005 Nov;13(11):878-87 - PubMed
  39. Paediatr Anaesth. 2002 Nov;12(9):786-90 - PubMed
  40. Eur J Pain. 2006 Oct;10(7):587-95 - PubMed
  41. Anaesthesia. 1980 Oct;35(10):957-61 - PubMed
  42. Am J Addict. 2010 Jan-Feb;19(1):89-95 - PubMed
  43. Pain Res Manag. 2016;2016:5346819 - PubMed
  44. J Subst Abuse Treat. 2005 Dec;29(4):307-12 - PubMed
  45. J Pain Symptom Manage. 2005 Mar;29(3):297-326 - PubMed
  46. Drugs. 2003;63(19):1999-2010; discussion 2011-2 - PubMed
  47. Brain Res. 1997 Jan 2;744(1):41-6 - PubMed
  48. N Engl J Med. 1995 Jun 22;332(25):1685-90 - PubMed
  49. Br J Anaesth. 2003 Jul;91(1):40-9 - PubMed
  50. J Pediatr. 2013 Nov;163(5):1377-83.e1-3 - PubMed
  51. N Z Med J. 1979 Apr 11;89(633):255-7 - PubMed
  52. Cochrane Database Syst Rev. 2014 May 29;(5):CD011056 - PubMed
  53. Clin Toxicol (Phila). 2011 Dec;49(10):910-41 - PubMed
  54. Drug Alcohol Depend. 2013 Oct 1;132(3):580-6 - PubMed
  55. Drug Metab Dispos. 2010 Jan;38(1):40-5 - PubMed
  56. Brain Res Dev Brain Res. 2004 Jul 19;151(1-2):149-57 - PubMed
  57. Pediatrics. 2006 Oct;118(4):1746-51 - PubMed
  58. Curr Drug Saf. 2010 Jan;5(1):105-11 - PubMed
  59. Eur J Pain. 2006 Nov;10(8):743-8 - PubMed
  60. Pain Pract. 2008 Jul-Aug;8(4):287-313 - PubMed
  61. Drug Metab Dispos. 2005 May;33(5):689-95 - PubMed
  62. J Pain. 2010 Nov;11(11):1230-9 - PubMed
  63. Pain Pract. 2010 Sep-Oct;10(5):428-50 - PubMed
  64. Br J Anaesth. 1988 Jan;60(1):48-55 - PubMed
  65. J Pain. 2017 Jun;18(6):605-614 - PubMed
  66. Lancet. 1999 Jun 12;353(9169):2051-8 - PubMed
  67. Curr Med Res Opin. 2005 Aug;21(8):1147-56 - PubMed
  68. Pediatr Blood Cancer. 2013 Mar;60(3):433-7 - PubMed
  69. Eur J Pharmacol. 1988 Jul 14;151(3):457-61 - PubMed
  70. J Pain Res. 2015 Dec 04;8:859-70 - PubMed
  71. Pharmacotherapy. 1986 Sep-Oct;6(5):228-35 - PubMed
  72. Eur J Pharm Sci. 2017 Nov 15;109S:S22-S26 - PubMed
  73. J Pain. 2016 Feb;17 (2):131-57 - PubMed
  74. Anaesthesia. 1990 May;45(5):406-8 - PubMed
  75. Pharmacology. 1993 Oct;47 Suppl 1:138-45 - PubMed
  76. J Emerg Nurs. 2011 Mar;37(2):200-2 - PubMed
  77. Immunopharmacology. 2000 Jul 20;48(2):145-56 - PubMed
  78. J Int Med Res. 1980;8(2):153-5 - PubMed
  79. J Clin Pharmacol. 1999 Jun;39(6):619-23 - PubMed
  80. Pharmacol Rev. 1983 Dec;35(4):219-81 - PubMed
  81. Anesth Analg. 1988 Mar;67(3):233-9 - PubMed
  82. Drugs. 1979 Feb;17(2):81-110 - PubMed
  83. Ann Emerg Med. 2006 Jul;48(1):109 - PubMed
  84. Clin Ther. 2005 Apr;27(4):451-62 - PubMed
  85. Palliat Med. 2004 Oct;18(7):654-62 - PubMed
  86. Ann Gen Psychiatry. 2005 Jan 25;4(1):1 - PubMed
  87. Br J Anaesth. 1990 Mar;64(3):276-82 - PubMed
  88. Acta Anaesthesiol Scand. 1980 Dec;24(6):462-8 - PubMed
  89. Paediatr Drugs. 2009;11(2):129-51 - PubMed
  90. Br J Clin Pharmacol. 1989 Aug;28(2):202-4 - PubMed
  91. J Postgrad Med. 1994 Apr-Jun;40(2):61-4 - PubMed
  92. Clin Pharmacol Ther. 1988 Apr;43(4):412-9 - PubMed
  93. J Pharmacol Exp Ther. 2004 Nov;311(2):652-8 - PubMed
  94. Chest. 2003 Jun;123(6):1817-24 - PubMed

Publication Types