Subutex and Pregnancy

Posts: 2
Joined: 2007-10-14

I am 17 weks pregnant and scarred to death.......My OBGYN said I should transfer to Methadone..But Ive been there and done that and relapsed on Methadone....I am staying on Subutex and need information Because I am having a scheduled C-Section and am wondering about Pain managment???/ I just had dental surgery under General Anastasia and they gave me Fentynal IV right after I woke up and it didnt even touh the pain.....ADVIl did more because it was NOT a narcotic....HELP ME I NEED INFO!!!!!




KnightMetal's picture
Posts: 469
Joined: 2006-06-05
Ive seen reports where they

Ive seen reports where they say that SUB isnt very good on pregnancy, they consider methadone to be better. But really prefer neither. I hope someone can help you!

Id be scared also!


 

Dr. KnightMetal

--I am not a professional, I know by experience only--




gtrplayer's picture
Posts: 2646
Joined: 2006-08-22
Here is a link to a report

Here is a link to a report from Turningpoint.org.au, regarding Subutex dosing guidelines during pregnancy.  The first page is blank, but hopefully one of the 48 pages will include what you are looking for.

gtrplayer




Posts: 959
Joined: 2007-04-12
This was an excellent

This was an excellent resource!




rachel_s_n's picture
Posts: 137
Joined: 2007-09-08
i would REALLY recommend you

i would REALLY recommend you take methadone. Even tho you had a relapse on it. Its safer during pregnancy and you dont want to take any chances. Please take my advise. I have a daughter that was born premature( not due to drugs tho ) and is still very sick and shes 18 months old. So please please do the safe thing!! It dont matter about your  body right now. It only matter about the baby.  And theres alot worse things that could happen besides the baby being born at low birth weight or premature . You could acuely late term miscarriage. Please read the pages that where posted on the outcome of using that drug. Theres No real data on it yet. Which if i where pregnant, would mean DO NOT TAKE..

 




gcdylan's picture
Posts: 416
Joined: 2007-05-03
There is a woman called DR

There is a woman called DR Lois who visits this site, and claims to be a MD. I am sure if you left her a message she very wel might answer you



rachel_s_n's picture
Posts: 137
Joined: 2007-09-08
All Do respect.. I dont

All Do respect.. I dont believe a regular MD would know about pregnancy. I know when i was pregnant i asked my regular MD about some meds and he said he dont know about pregnancy concerns . for me to ask My OBGYN . And hes been in the practice for 35 years.



KnightMetal's picture
Posts: 469
Joined: 2006-06-05
Agree with rachel_s_n. And

Agree with rachel_s_n. And please do not take anyones advice, I dont care what they "claim" to be. Truth is, on the internet, you NEVER know who you are really talking with. Doesnt matter what they claim to be or say they are. Be safe.

 

 

 

Dr. KnightMetal

--I am not a professional, I know by experience only--

--Do NOT take advice from anyone but your OWN MD-




Posts: 959
Joined: 2007-04-12
If it is a scheduled

If it is a scheduled C-section, they will probably give you an epidural.  The epidural can be left in a few days after surgery on a pump.  For surgical anesthesia with an epidural they use local anesthetic like Bupivicaine or Lidocaine.  Since these are not narcotics, they are not antagonized by subutex.  Make sure you speak to the anesthesiologist at the beginning of the third trimester.

 




Posts: 959
Joined: 2007-04-12
This info is from one of the

This info is from one of the on-line US buprenorphine training sites.  It is a short summary on the use of Buprenorphine in pregnancy: 

"There is limited research on the effects of buprenorphine during pregnancy. Preliminary results suggest that buprenorphine may be safe to use during pregnancy: neonates born to mothers maintained on buprenorphine appear to develop normally (Fischer et al., 2000). A 2004 randomized controlled study also found that transitioning women from short-acting opioids to buprenorphine can be done safely and with minimal withdrawal discomfort (Jones et al., 2005). However, this cannot be generalized to women in all stages of pregnancy or to women who conceive during buprenorphine maintenance. For now, it is recommended that pregnant patients take buprenorphine only if "the potential benefit justifies the potential risk to the fetus" (FDA, 2002).

Therefore, the safest policy is as follows:

  • Methadone is appropriate for women who become pregnant while dependent on opioids -- and who both want and are good candidates for opioid agonist treatment. Methadone maintenance treatment is the treatment of choice for pregnant women with opioid dependence. Methadone has been shown to be effective in treating the mother's opioid use disorder and safe for both mother and fetus (SAMHSA, 1995b).

  • Buprenorphine should be considered a second-line drug, and is most appropriate for pregnant patients for whom methadone is not an option -- whether due to methadone being unavailable, unwillingness to enter methadone maintenance treatment, or medical inability to take methadone."