PREGNANCY-BIRTH Messages for January, 2002: Re: Vicodin use in pregnancy

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Re: Vicodin use in pregnancy

From: R. Daniel Braun, MD (anonymous@obgyn.net)
Thu, 31 Jan 2002 18:25:30 -0600 (CST)

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In reply to: anonymous@obgyn.net: "Vicodin use in pregnancy"

At Thu, 31 Jan 2002, anonymous@obgyn.net wrote: >
>I am 29 weeks along. Due to ongoing pain r/t the presence of numerous
>kidney stones, I have had to take either 2-4 Vicodin (5 mg) or 2-4
>Percocet (5 mg)tablets daily since the beginning of December. I have
>been hospitalized 2 times, once in December and again last week for IV
>fluids r/t dehydration and IV Dilaudid for pain control. Because the
>kidney is not completely obstructed and I have been passing some
>"gravel," and pieces of stones, my urologist doesn't see the need for a
>stent at this time. The opinions of my OB, urologist, and even a NICU
>doc brought in to talk to me are just drink a ton of water, take the
>meds, and worry about the consequences later. I am very concerned as I
>fear that the baby and I may have developed a tolerance to the meds
>since I've taken them for so long. Everyone talks about possible
>addiction in the baby at birth, but what would happen if the meds were
>D/C prior to birth? Could the baby be in trouble in utero? How long does
>it take for these meds to get out of mine and the baby's systems? Should
>I try to taper what I'm taking "in between" episodes of renal colic or
>just stop completely? I really do try to take the meds as sparingly as I
>can, but I usually end up taking at least 2 tablets daily when I can't
>take the pain anymore. I read somewhere that completely discontinuing
>these medications suddenly could cause seizures and/or brain hemorrhages
>in the baby so I'm terrified,yet desperate for pain relief. Your
>opinion and any info. you can provide is most appreciated.

Do what your OB and Neonatologist say. They know your case and will also be taking care of the baby after it is born. Ask these questions of the Neonatologist. If the baby should be born addicted, the neonatologist will wean him/her off the drugs slowly. Your suddenly stopping them now could cause real serious problems, so follow your medical advice.

--
R.Daniel Braun, MD  FACOG   FOG
**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.

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