Re: hello and question

From: ainsron (ainsron@sbcglobal.net)
Tue May 31 15:16:41 2005


Only a small amount passes into breast milk, in the range of 0.05mg/d, even in women on high dose therapy (60-70mg QD). Some have recommended breast feeding to decrease withdrawal symptoms in the newborn - probably not as effective as paregoric which pediatricians generally use. The latest edition of Briggs, Drugs in pregnancy and lactation, 7th ed, says it is probably compatible with breast feeding and the American Academy of Pediatrics classifies methadone as compatible with breast feeding (Pediatrics 2001)

-----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Rachel Hedin Sent: Tuesday, May 31, 2005 11:33 AM To: Multiple recipients of list OB-GYN-L Subject: Re: hello and question

Thanks! In the event that we were unable to get this mom off the med completely prior to delivery, could she breastfeed while on this? PDR said no, Hale had no info, so if anyone has used this with nursing moms, let me know? Again, I really appreciate the input! ==Rachel RN MSN

At Tue, 31 May 2005, Richard Chudacoff, MD wrote: >
>I've heard and seen excellent results with Buprenorphine for opiate
>withdrawl. It is a category C medication. Maybe switching her to his would
>help ease her taper and her apprehension
>
>--
>Richard Chudacoff, MD





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