Methadone and infants

Common Questions and Answers about Methadone and infants

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Breastfeeding while on methadone has been done, but there have been reported cases of respiratory arrests and deaths in infants while breastfeeding from mothers taking pure opiate agonist such as methadone. There are better ways of approaching your situation. I do hope that this time around you will have good, caring thoughtful doctors and medical team to provide you with better advice. If you are not sure, please feel free to check in with us here. You must talk to your OB/GYN.
assist with stabilisation of drug use and lifestyle help provide a stable environment in your body for your baby, which can improve the health of your baby facilitate attendance for pregnancy care reduce the risk of blood borne viral infections including Hepatitis C and HIV reduce crime associated with drug use is safe in breastfeeding Methadone should be commenced as soon as possible after pregnancy has been confirmed, or continued if you are already on a methadone program.
thanx,what do u mean by slugglish b/c my doctors are saying that at the dose im at right now my baby has a 10 percent chance of having withdrawls but everybody that on methadone and pregnant there body adapts differently and also does the babys,they said it depends how much actually crosses over through the placenta.
Methadone is excreted into and accumulates in human milk. Excreted methadone may prevent withdrawal symptoms in addicted infants. Methadone is considered compatible with breast-feeding by the American Academy of Pediatrics. http://www.drugs.com/pregnancy/methadone.
They treat many women on methadone and other opiates and will be able to refer you to a physician who will be able to manage you on Suboxone or Subutex and will over a few months taper you off. You and the doctor will need to work together to aggressively get you off the meds by the time you are ready to deliver the baby. Subutex is the best and safest way to manage addiction during pregnancy.
I have a 10 year old son whom i had while on methadone. He is fine and healthy and so intelligent, a bit moody at times but other than that ...just perfect. After i had him he had to stay in the hospital for 2 weeks. They detoxed him with phenobarbital. when i finally brought him home they gave me a prescription for his phenobarbital, i noticed that he would try to open his little eyes and they would flutter.
A midwife group is maybe even better. They treat many women on methadone and other opiates and will be able to refer you to a physician who will be able to manage you on Suboxone or Subutex and will over a few months taper you off. You and the doctor will need to work together to aggressively get you off the meds by the time you are ready to deliver the baby. Subutex is the best and safest way to manage addiction during pregnancy.
I am so sorry for your situation.I was on methadone for a year and a half and I have been clean for over a year now.There were pregnant women at the clinic I went too who stayed on the methadone through out their pregnancy,but I'm not sure how it effected their babies.Does your wife's OB doctor know whats going on? If not he/she NEEDS to and they need to know the truth and the whole truth whether they hear it from her or you.
I am a 26 year old vet that is a student currently and graduating this May, and my fiance is on methadone and has been for a year and a half...before that she was addicted to oxy's. We have a 6 month old baby that is just amazing, but she had to be in the NICU at the hospital for 2 and half months since my fiance was on 80 mg of methadone during pregnancy. Long story short ever since she has been on methadone my life has been a living hell.
im 25 wks preg and on methadone maintnance .(59 mg) if baby is born with methadone in her system what meds are given? how long does she stay in hospital? do i have a say so on what meds are offered? should i breastfeed since im going to taper right after birth? thanks for any info.would also love love love to hear others birthing after methadone stories. any body have a baby drug free?
The main problem with methadone is that its primarily available at clinics, and methadone CLINICS are the biggest problem for people on methadone. Fortunately, doctors are beginning to prescribe methadone to give people freedom from the bondage of methadone clinics. The "authorities" are talking about issuing a "license" to doctors which allows them to prescribe methadone, but that is total nonsense designed to continue the stigma.
I am somewhat surprised that they chose methadone to detox your baby. The usual way for infants to detox is morphine because it is so short acting, allowing a relatively fast taper. Methadone is a long acting opiate with half life of anywhere of 13 to more then 40 hours (meaning that it is in the body about 5 times that long). Given that infants' metabolism is usually faster than adults', it will probably be closer to 13 to 20, but it is still very long half-life.
I know next to nothing about addiction medicine except that when we rotated through the nursery we dreaded the baby born addicted to methadone the most. They had withdrawal symptoms for weeks and months. For the infants (and I have read for the people addicted themselves) withdrawal is far harder from methadone than for heroin or other opiates. I don't know if this helps. As for it being worse in MS, I don't know.
Chasnoff's sample, 15% of the infants died of SIDS, more than triple that of heroin or methadone exposed infants. Sleep pattern abnormalities associated with apnea and deep sleep, which may be associated with the greater incidence of SIDS Visual abnormalities which may be associated with retinopathy or damage to the iris. This is thought to be related either to actual damage caused by the cocaine and/or the premature birth associated with such use. like people above said talk to your dr.
Chasnoff's sample, 15% of the infants died of SIDS, more than triple that of heroin or methadone exposed infants. Sleep pattern abnormalities associated with apnea and deep sleep, which may be associated with the greater incidence of SIDS Visual abnormalities which may be associated with retinopathy or damage to the iris. This is thought to be related either to actual damage caused by the cocaine and/or the premature birth associated with such use.
This class of pain medications has a very long history of safe use in premature infants. Methadone has a very slow mechanism of action and lasts a long time, and thus may be preferred if it is anticipated that the medication will be needed for a long period of time. You should ask the Neonatologist what they are specifically treating with the methadone so that they can help you understand the reasons for using the medication.
I will just paste a small clip but I recommend reading the whole study. Simultaneous Quantification of Methadone, Cocaine, Opiates, and Metabolites in Human Placenta by Liquid Chromatography–Mass Spectrometry* Analytical methods have been developed for different biological matrices from the mother and neonate, including urine (12-14), blood (15,16), oral fluid (17), hair (18,19), sweat (20), meconium (21-24), amniotic fluid, and umbilical cord tissue (25-27).
Due to my health, I was on oxycontin and percocet for the last 11 years and I was on both while pregnant with my two children who are 8 and three. With my son, when he was born, he was watched carefullly for withdrawals and same with my daughter but I was also on other meds as well.
I asked her about this and she said that getting on a methadone treatment before birth would help you AND the baby with withdrawal. Methadone is the safest opiate during pregnancy and will help you and the baby with withdrawal. Also, if you start the methadone treatment now then Social Services is less likely to get involved. In some states (like SC for instance) the baby will be taken away if your baby proves positive for illegal drugs (including legal drugs without a prescription).
Breastfeeding while on oxycodone has been done, but there have been reported cases of respiratory arrests and deaths in infants while breastfeeding from mothers taking pure opiate agonist such as oxycodone. There are better ways of approaching your situation. I do hope that this time around you will have good, caring thoughtful doctors and medical team to provide you with better advice. If you are not sure, please feel free to check in with us here. You must talk to your OB/GYN.
Because many drugs are excreted in human milk and because of the potential for serious adverse reactions in nursing infants from hydrocodone and acetaminophen, a decision should be made whether to discontinue nursing or to discontinue the drug, taking into account the importance of the drug to the mother.
Some addtional information I gleaned from searching the web. First of all there is pending legislation in MD that will affect mothers giving birth to drug addicted babies. It is a safe bet that this legislation will pass. I personally believe that this sums up the majority attitude in this country, be it fair or right. Not to get political, but as a liberal, I personally don't agree with it, but I am a minority at this point in time.
I am sorry you are in so deep with your addiction. There is no easy way out of this and unless you use suboxone or methadone, you will have wd's and most likely won't be able to work. But if you are serious about quitting, I think it would be worth it to miss some work to take care of yourself. Maybe you can get someone to watch your son for a week because when you are w/d you won't be able to take care of him.
We do Finnegan scoring on infants that assesses their withdrawal level and put them on Morphine taper to prevent withdrawal symptoms. It generally only lasts 3-5 days for the baby. Your quitting during the pregnancy would be very stressful to both you and the baby. Hang in there, keep being honest with your doctor. One suggestion would be to ask for Oxycodone instead of Percocet - only because you'd then not be taking so much Tylenol.
Now in Alabama new borns are tested for opiants and DHR is called if they are found in the infants system. In most cases, the babies are taken from Mothers and put in relatives homes or foster care but in some cases they are left with the mothers. It all depends on the circumstances. In my nephew case it took 4 years for DHR to take him. He now has ADHD symptoms but also has quite a few symptoms of other disorders.
Right now I am ONLY on the methadone. I had run out of hydrocodone and went into withdrawals and went to the methadone clinic thinking they could detox me for a week or so give me methadone until the wd from the hydro were gone... but to my surprise the doctor at the clinic said they DO NOT take women off of methadone while they are pregnant. If I want to come off I MUST wait until after the baby is born.
I've also read that the better way to do it is with methadone or subotex, and that suboxone should be avoided because of naloxone. Unfortunatelly, i cannot find any of those except suboxone. I want to do the best of my baby, and i want so badly to give birth a healthy boy and everything to be alright. I want so much that baby. The only way i can quit now is with suboxone, and i'm gonna need about 3-4 pieces the maximum. Has anyone done it this way? Does anyone know more??
I know a neo/natal icu nurse and they use methadone because its ez to measure and check the setum level in the blood this is the way they bring alll babys off narcotics its safe and if done right fairly painless sounds like she /he is in good hands let the doctors be dotors Jenny runs into this all the time it more common then you think the baby will be fine and no they dont use sub with babys.........
I am personal friends with an icu neo/natal nurse who's job is to detox babys coming in addicted to things like heroin methadone and oxy...but she said more and more its pain pills in general it use to be a few a week now it has become an everyday occurrence ....they do there best to keep the babys comfortable using methadone but even at vary slow tritration rates thay watch painfuly as the babys detox she now works in denver so this is country wide .....
I recently went into a detox unit to withdraw from methadone. I found that even though they used subutex for about 7 to 10 days to try & speed up the process the 2 weeks I was there simply weren't enough to even get me through the worst of it.(by the way I got down to 30mg before jumping off, was on methadone about 3 years this time).Been home for about 2 weeks but find I can still only cope with symptoms with 3 or 4 30mg codeine doses per day half a xanax in the morning & 1 for bed.
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