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PostPosted: Fri Jun 17, 2016 12:05 pm 
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A few weeks ago we had a poster claim that magnesium must not be used for pre-eclampsia. Claiming that it was dangerous. They also had made a claim about epidurals not working. Neither seemed correct and Dr. J and I both disagreed with the poster. The last time I delivered a baby Suboxone wasn't even on the radar, the closest methadone clinic was 140 miles away so our little hospital did not deal with those issues. I queried the mentor panel at PCCS and got this response:
RE: Providers’ Clinical Support System For Opioid Therapies's message from Matthew McClure, DO‏
Seth Acton
Good day. A while ago you posted this question on the PCSS-O Mentoring page. Sorry for the delay, it took time to locate one of our OBGYN Mentors to answer. Here is the answer I received from our mentor Patricia Wright:

No. No change in magnesium with Buprenorphine (nor epidural as you mentioned-though occasionally higher doses of epidural morphine are needed).

Hope this helps!

Seth Acton
Data and Training Coordinator
American Academy of Addiction Psychiatry (AAAP)

Site: Providers’ Clinical Support System For Opioid Therapies (http://pcss-o.org)

Name: Matthew McClure, DO

Messages: Recently on a Suboxone patient forum, a woman claimed that magnesium should not be used for pre-eclampsia. States that \"Later I found out the magnesium should not have been pushed into my body until I had been off of Suboxone for at least 24 hours\".
She also claimed that her epidural did not work due to the Suboxone, a claim that is not supported by my experience.
My question, is there a need to change routine treatment protocols for pre-eclampsia when a mom is taking buprenorphine? thanks, MCM


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PostPosted: Fri Jun 17, 2016 2:09 pm 
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Thank you docm!

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Jennifer


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PostPosted: Sun Jun 19, 2016 1:58 pm 
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I think I just figured out your username.... Thanks for checking!


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PostPosted: Mon Jun 20, 2016 11:05 pm 
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I'm not that clever but I see it now. For a while I was docm, then couldn't log in so I created a new account with docm2.


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Fond Du Lac Psychiatry
Dr. Jeffrey Junig, M.D., Ph.D.

  • Board Certified Psychiatrist
  • Asst Clinical Professor, Medical College of Wisconsin

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