I have been watching old episodes of ER for awhile now. I just finished season 4 and for the last several episodes there has been a storyline with an infant who's mother was addicted to heroin, then the baby was put on methadone to handle his withdraw symptoms. The mother was stealing his methadone so Doug Ross decided to sedate him and narcan him to get him off of the methadone, calling it something like "ultra rapid detox."
Obviously this is far fetched, as nearly all TV medicine is, but it did get me wondering how neonates dependent on opiates are actually handled. I have never heard of a baby on methadone, but I've also never heard of this ultra-rapid detox. I realized I know very little on the topic, so I started researching.
Most of what I have found is that this is called Neonatal Abstinence Syndrome (NAS) and is treated with small doses of morphine gradually weaned. Is this fairly accurate to what is done? Was there ever a point where infants were discharged on methadone? Is there really such a thing as ultra-rapid detox?