Table 3.

Clinical Features of the Neonatal Narcotic Abstinence Syndrome

Neurologic ExcitabilityGastrointestinal Dysfunction
 Tremors Poor feeding
 Irritability
 Increased wakefulness
 High-pitched crying
 Increased muscle tone
 Hyperactive deep tendon
  reflexes
 Exaggerated Moro reflex
 Seizures
 Frequent yawning and
  sneezing
 Uncoordinated and
  constant sucking
 Vomiting
 Diarrhea
 Dehydration
 Poor weight gain
Autonomic Signs
 Increased sweating
 Nasal stuffiness
 Fever
 Mottling
 Temperature instability