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Re: Indocin Additional question for Dr Mongomery
From: anonymous (anonymous@obgyn.net)
Wed, 18 Oct 2000 16:41:26 -0500 (CDT)
I was also on Indocin during my pregnancy from week 18- 28 and I too was
advised to take a break after 72 hrs if I was taking the Indocin more
than two doses a day. I did use the Indocin and was adivsed it would be
okay to use daily for more than 3 days if I was only taking one dose a
day. This info you have shared concerns me as I was not followed daily
and looked at with u/s more every 3 weeks when I was on that drug. I
had a healthy baby outcome and glad about that but also willbe heads up
now with your input. Do you know if the dr you mention feels the same
way if the indocin dose is only once a day?
Thank you for your insights
At Wed, 18 Oct 2000, Lynn D. Montgomery, MD wrote:
>
>At Wed, 18 Oct 2000, Kim wrote:
>>
>>I have been on Indocin for 1 week and 2 days, 25 mg. every six hours. I
>>have been VERY worried about this, last year I had trouble on Indocin
>>with both the heart duct and low fluid after 8 or 9 days. I was checked
>>on Monday and have another appt. next Monday, I have been worried that
>>this is too long. Last year after I was taken off Indocin labor started
>>a few days later and it was found that my fluid never replenished. On
>>top of that my little girl needed the ductus surgery because after one
>>week in NICU she wasnt responding to Indocin, she lived for five days
>>after the surgery. Should I be asking for a sooner appt.?
>>
>>Kim
>>
>>--
>>Kim
>>
>Kim,
>Yes, I would ask for a sooner appointment. The Indocin data is very
>clear and hasn't varied since the original paper published in the New
>England Journal of Medicine in '87 by Ken Moise. You CANNOT leave a
>pregnant patient on Indocin for longer than 72 hours without daily
>assessment of the fetal ductus and the amniotic fluid volume. I
>recently asked Ken what his response is when asked about cases that
>resulted in fetal damage because of patients being maintained on Indocin
>longer than 72 hours and not monitored appropriately. He stated that
>his current response is "just write the check". Nobody knows more about
>the effects of Indocin in pregnancy than this man...
>Lynn
>
>--
>Lynn D. Montgomery, MD
>Director, Maternal-Fetal Medicine
>Rocky Mountain Perinatal Center
>Missoula, Montana
>
>**Note: Opinions expressed here are for educational purposes only and, as such, do not constitute a physician-patient relationship. This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options and/or interventions.
>
>**Private e-mails cannot be entertained due to time constraints, consequently no private e-mails will receive a response.
>
>**Thank you for your understanding ;-)
>
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