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Concurrent Session 7B: Beyond Standard Dosing: Improving Methadone and Buprenorphine Treatment for Pregnant Patients with OUD and co-occurring HCV

Tracks
Track 2
Friday, October 9, 2026
2:00 PM - 3:30 PM
Nadir

Details

This session will review emerging research on the pharmacology of methadone and buprenorphine during pregnancy and discuss how physiologic changes in pregnancy influence medication exposure, dosing needs, and treatment outcomes. We will highlight findings from recent clinical and pharmacokinetic studies and translate these results into practical approaches for optimizing medication treatment for opioid use disorder during pregnancy. Additionally, pharmacokinetic studies and emerging safety data for HCV treatment in pregnancy will be reviewed. • Describe physiologic changes during pregnancy that influence drug metabolism. • Summarize evidence and clinical considerations for initiating methadone or buprenorphine treatment for opioid use disorder during pregnancy in the fentanyl era, including medication selection, safety considerations, and barriers to treatment initiation. • Apply current evidence to optimize continuation of medication treatment during pregnancy, including considerations for dose adjustments, split dosing strategies to managing withdrawal symptoms and cravings. • Review evidence on maternal, postpartum, and neonatal outcomes associated with methadone and buprenorphine treatment, including neonatal opioid withdrawal syndrome and considerations for medication management in the postpartum period. • Present the most recent safety and efficacy data on HCV treatment in pregnancy and practical recommendations for treatment providers


Speaker

Dr. Catherine Chappell
Associate Professor
University Of Pittsburgh

Introduction to pharmacokinetic changes in pregnancy and implications for OUD medications

2:00 PM - 2:10 PM

Biography

Dr. Elizabeth Krans
Associate Professor Obstetrics, Gynecology, and Reproductive Sciences
University Of Pittsburgh

Methadone initiation, dosing in pregnancy and postpartum consolidation

2:10 PM - 2:25 PM

Biography

Dr Marcela Smid
Associate Professor, Division of Maternal Fetal Medicine
University of Utah Department of Obstetrics and Gynecology

Buprenorphine initiation and dosing in pregnancy (sublingual and injectable)

2:25 PM - 2:40 PM

Biography

Dr. Catherine Chappell
Associate Professor
University Of Pittsburgh

HCV treatment in pregnancy: pharmacology, efficacy and safety

2:40 PM - 2:55 PM

Biography

Dr. Catherine Chappell
Associate Professor
University Of Pittsburgh

Panel Discussion

2:55 PM - 3:10 PM

Biography

Dr. Elizabeth Krans
Associate Professor Obstetrics, Gynecology, and Reproductive Sciences
University Of Pittsburgh

Panel Discussion

2:55 PM - 3:10 PM

Biography

Dr Marcela Smid
Associate Professor, Division of Maternal Fetal Medicine
University of Utah Department of Obstetrics and Gynecology

Panel Discussion

2:55 PM - 3:10 PM

Biography

Agenda Item Image
INHSU 2026

Concluding Remarks

3:10 PM - 3:15 PM

Biography

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