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This entry refers to the co-administration of two distinct pharmaceutical agents—buprenorphine and a combined hormonal contraceptive (CHC). Buprenorphine is a partial agonist at the mu-opioid receptor and an antagonist at the kappa-opioid receptor, primarily used for opioid use disorder (OUD) and pain management. It reduces cravings and withdrawal symptoms in opioid-dependent individuals while having a ceiling effect that lowers overdose risk compared to full agonists[5][6][9]. Combined hormonal contraceptives are medications containing both estrogen and progestin, used for birth control by inhibiting ovulation, altering cervical mucus, and changing endometrial lining. There is no single fixed-dose combination product of these two agents; rather, this term describes their concurrent use in clinical practice.
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